Mental Health and Substance Use Providers. Providers who provide Mental Health and Substance Use services to Covered Persons must provide for services to be delivered in compliance with the requirements of 42 CFR 438.3 subpart K insofar as those requirements are applicable.
Mental Health and Substance Use Providers. Providers who provide Mental Health and Substance Use services to Covered Persons must provide for services to be delivered in compliance with the requirements of 42 CFR 438.3 subpart K insofar as those requirements are applicable. Additionally, Mental Health and Substance Use Providers must:
i) Ensure Covered Persons receiving inpatient Behavioral Health Services are scheduled for outpatient follow-up and/or continuing treatment prior to discharge. The outpatient treatment must occur within seven (7) days from the date of discharge. Behavioral Health Service Providers shall contact Covered Persons who have missed an appointment within 24 hours to reschedule appointments;
ii) Coordinate with United to ensure that Covered Persons under the age of 21 and over the age of 65 who have been ordered to receive inpatient psychiatric services by a court of competent jurisdiction under the provisions of KRS 645, Kentucky Mental Health Act of the Unified Juvenile Code, and KRS 202A, Kentucky Mental Health Hospitalization Act receive such services. The Medical Necessity of inpatient psychiatric services provided pursuant to a Court-Ordered Commitment for Enrollees under age 21 or over age 65 shall not be denied, reduced or controverted. Any modification or termination of services must be presented to the court with jurisdiction over the matter for determination;
iii) Coordinate with United regarding admission and discharge planning, treatment objectives and projected length of stay for Covered Persons committed by a court of law and/or voluntarily admitted to the state psychiatric hospital in accordance with applicable laws, including 908 KAR 3:040 and the federal Xxxxxxxx law. As applicable, Provider shall ensure continuity of care for successful transition back into community-based supports and participate in quarterly continuity of care meetings hosted by United or a state-operated or state contracted psychiatric hospital;
iv) Assign a case manager prior to or on the date of discharge and provide basic, targeted or intensive case management services as Medically Necessary to Covered Persons with SMI and co-occurring conditions who are discharged from a state operated or state contracted psychiatric facility or state operated nursing facility for Covered Persons with SMI. The case manager, Provider, and other identified Behavioral Health Service providers shall participate in discharge planning meetings to ensure compliance with federal Xxxxxxxx and other applicable...
Mental Health and Substance Use Providers. Providers who provide Mental Health and Substance Use services to Covered Persons must provide for services to be delivered in compliance with the requirements of 42 CFR 438.3 subpart K insofar as those requirements are applicable. In addition, Providers who provider Mental Health and Substance Use services:
i) will, if providing inpatient psychiatric services to Covered Persons, schedule the Covered Person for outpatient follow-up or continuing treatment prior to discharge from the inpatient setting with the outpatient treatment occurring within seven calendar days from the date of discharge.
ii) will complete the OHCA Customer Data Core (CDC) form located at xxxx://xxx.xxxxxxx.xxx/picis/CDCPAForms/arc_CDCPA_Forms.htm as a condition of payment for Covered Services;
iii) will provide treatment to pregnant Covered Persons who are intravenous drug users and all other pregnant substance users within 24 hours of assessment; and
iv) agree that United will obtain the appropriate Covered Persons releases to share clinical information and Covered Person health records with community-based behavioral health providers, as requested, consistent with all State and federal confidentiality requirements and in accordance with United’s policies and procedures.
