Community Mental Health Services – MANDATORY Sample Clauses

Community Mental Health Services – MANDATORY. Community mental health services include mental health services that are provided for the maximum reduction of the recipient’s mental health disability and restoration to the best possible functional level. Community mental health services can reasonably be expected to improve the recipient’s condition or prevent further regression so that the services will no longer be needed. The provider must provide services that are medically necessary and are rendered or recommended by a physician or psychiatrist and included in a treatment plan. Medically necessary community mental health services must be provided to persons of all ages from very young children through the geriatric population. The provider is encouraged to expand the criteria for some services and base those upon social necessity rather than strict medical necessity requirements. Provision of those services very early may reduce the provision of expensive services later. Services should be age appropriate and sensitive to the developmental level of the recipient. The term “community mental health services” is not intended to suggest that the following services must be provided by state funded “community mental health centers” or to preclude state funded “community mental health centers” from providing these services. The services must meet the intent of the services covered in the Florida Medicaid Community Mental Health Services Coverage and Limitations Handbook. Although the provider can provide flexible services, the service limits and medical necessity criteria cannot be more restrictive than those in Medicaid policy as stated in Medicaid handbooks and the PMHP contract. Additionally, the provider may have available additional services, but must have the core services available as outlined and discussed below. There are seven basic categories of mental health care services provided under community mental health. The frequency, duration, and content of the services should be consistent with the age, developmental level and level of functioning of the recipient. The provider shall develop clinical care criteria appropriate for each service to be provided. The following seven categories of mental health services are required: 1. Treatment planning and review: Treatment planning includes working with the recipient, the natural support system, and all involved treating providers to develop an individualized plan for addressing identified clinical needs. A face-to-face interview with the recipient by...