Hour Diversionary Services a. Youth and Adult Community Crisis Stabilization – services provided as an alternative to hospitalization, including short-term psychiatric treatment in structured, community-based therapeutic environments. Community Crisis Stabilization provides continuous 24-hour observation and supervision for Enrollees who do not require Inpatient Services. ✓ ✓ ✓
Hour Diversionary Services. Community Crisis Stabilization – services provided as an alternative to hospitalization, including short-term psychiatric treatment in structured, community-based therapeutic environments. Community Crisis Stabilization provides continuous 24-hour observation and supervision for Covered Individuals who do not require Inpatient Services. Community-Based Acute Treatment for Children and Adolescents (CBAT) – mental health services provided in a staff-secure setting on a 24-hour basis, with sufficient clinical staffing to insure safety for the child or adolescent, while providing intensive therapeutic services including, but not limited to, daily medication monitoring; psychiatric assessment; nursing availability; Specialing (as needed); individual, group and family therapy; case management; family assessment and consultation; discharge planning; and psychological testing, as needed. This service may be used as an alternative to or transition from Inpatient services. Medically Monitored Intensive Services – Acute Treatment Services (ATS) for Substance Use Disorders (Level 3.7) – 24-hour, seven days week, medically monitored addiction treatment services that provide evaluation and withdrawal management services delivered by nursing and counseling staff under a physician-approved protocol and physician-monitored procedures. Services include bio-psychosocial assessment; induction to FDA approved medications for addictions when appropriate, individual and group counseling; psychoeducational groups; and discharge planning. Pregnant women receive specialized services to ensure substance use disorder treatment and obstetrical care. Covered Individuals with Co-occurring Disorders receive specialized services to ensure treatment for their co-occurring psychiatric conditions. These services may be provided in licensed freestanding or hospital-based programs. Clinical Support Services for Substance Use Disorders (Level 3.5) – 24-hour treatment services including comprehensive bio-psychosocial assessments and treatment planning, therapeutic milieu, intensive psychoeducation education and counseling; outreach to families and significant others; linkage to medications for addiction therapy, connection to primary care and community supports, and aftercare planning for individuals beginning to engage in recovery from addiction. Covered Individuals with Co-Occurring Disorders receive coordination of transportation and referrals to mental health providers to ensure treatment fo...
Hour Diversionary Services those Diversionary Services that are provided in community settings, such as the home, school, mental health center or substance use disorder clinic, or hospital outpatient department, provided as clinically appropriate alternatives to 24-hour acute treatment (Inpatient Services, Community Based Acute Treatment (CBAT), Intensive Community Based Acute Treatment (ICBAT) or Community Crisis Stabilization (CSS)), or to support an Enrollee returning to the community following an Inpatient Services discharge, or that provide intensive support to maintain functioning in the community. Behavioral Health Services (or BH Services) – mental health and substance use disorder services that are ACO Covered Services set forth in detail in Appendix C, as applicable, of this Contract.
Hour Diversionary Services. Community Support Program (CSP) - an array of services delivered by a community-based, mobile, multi-disciplinary team of professionals and paraprofessionals. These programs provide essential services to Enrollees with a long standing history of a psychiatric or substance use disorder and to their families, or to Enrollees who are at varying degrees of increased medical risk, or who have behavioral health issues challenging their optimal level of functioning in the home/community setting. Services include outreach and supportive services, delivered in a community setting, which will vary with respect to hours, type and intensity of services depending on the changing needs of the Enrollee.
Hour Diversionary Services those Diversionary Services that are provided in community settings, such as the home, school, mental health center or substance use disorder clinic, or hospital outpatient department, provided as clinically appropriate alternatives to 24- hour acute treatment (Inpatient Services, Community Based Acute Treatment (CBAT), Intensive Community Based Acute Treatment (ICBAT) or Community Crisis Stabilization (CSS)), or to support an Enrollee returning to the community following an Inpatient Services discharge, or that provide intensive support to maintain functioning in the community. Behavioral Health Services (or BH Services) – mental health and substance use disorder services that are ACO Covered Services set forth in detail in Appendix C, as applicable, of this Contract. Behavioral Health Inpatient Services – mental health or substance use disorder services, or both, set forth in Appendix C, as applicable, of the Contract, which are provided in a twenty-four hour setting, such as a hospital. Behavioral Health Outpatient Services – mental health and substance use disorder services set forth in Appendix C, as applicable, of the Contract, which are provided in an ambulatory care setting, such as a mental health or substance use clinic, hospital outpatient department, community mental health center, or Provider’s office.
