(a) Payment will be made to a licensed
IBHS
agency for
group services if the following conditions are met:
(1) There is a written order for
group
services that meets the requirements of §
1155.32(a)(1)
(relating to payment conditions for
individual services).
(2) A face-to-face assessment has been
completed by a graduate-level professional within 15 days of the initiation of
group services and prior to completing the ITP in accordance with §
5240.95 (relating to assessment)
or a face-to-face assessment has been reviewed and updated within 12 months of
the previous face-to-face assessment.
(3) The assessment and all updates have been
signed by the staff person who completed the assessment.
(4) An ITP based upon the assessment and
written order for
group services has been completed within 30 days after the
initiation of services in accordance with §
5240.96 (relating to individual
treatment plan) or an ITP has been reviewed and updated within 6 months of the
previous ITP.
(5) The ITP and all
updates have been reviewed and signed by the
youth,
young adult, or parent or
legal guardian of the
child or
youth, the
staff person who completed the ITP
and an individual who meets the qualifications of a clinical director in §
5240.12 (relating to
staff
qualifications).
(6) For continued
group services, a
child,
youth or
young adult shall have an order written
within 12 months of the initiation of the continued services that complies with
§
1155.32(a)(1)(ii)-(iv).
(b) Payment will be made to a licensed IBHS
agency for individual interventions provided as part of group services when
included in the child's, youth's or young adult's ITP.
(c) Payment will be made to a licensed IBHS
agency for group services for up to 45 days after initiation of services, if an
ITP has not yet been completed but there is a written order for services that
complies with subsection (a)(1) and there is a treatment plan for the group
services provided.
