53-21-1403 . Crisis stabilization services -- requirements. (1) In order to qualify for reimbursement under this part, crisis stabilization services must be delivered in a safe environment to an individual in crisis as required under this section. (2) Crisis stabilization services must: (a) be delivered by an individual or facility that is enrolled with the department to provide services under this part; (b) be provided in accordance with a plan for crisis stabilization that meets requirements established by the department by rule; (c) include a plan for appropriate followup care; and (d) be medically necessary mental health services that: (i) are delivered in direct response to a crisis in an effort to stabilize the individual in crisis; (ii) provide diagnostic clarity; (iii) are designed to treat symptoms that can be improved during the presumptive eligibility period; and (iv) provide an appropriate alternative to psychiatric hospitalization. (3) Crisis stabilization services include but are not limited to: (a) two psychiatric diagnostic interview examinations during the crisis stabilization period; (b) coordination of care as defined by the department by rule; (c) individual psychotherapy; (d) family psychotherapy conducted with or without the patient; (e) one-to-one community-based psychiatric rehabilitation and support; and (f) crisis management services as defined by the department by rule.
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