Included in CFR Manual Only - New York State Office of Mental Health

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New York State Consolidated Budget and Claiming Manual Subject: Appendix F – OMH Program Types, Definitions and Codes For the Periods: January 1, 2010 to December 31, 2010 July 1, 2010 to June 30, 2011 Section/Page: 30.27 Issued: February 15, 2010 2300 – HCBS Waiver Services (Non-Licensed Program) The purpose of the Home and Community Based Services (HCBS) Waiver, authorized in Section 1915(c) of the Social Security Act, is to maintain children with serious emotional disturbance in their homes and communities who would otherwise be in hospital levels of care by reimbursing for non-traditional services. In addition to Individualized Care Coordination, nontraditional services include: Crisis Response, Intensive In-Home, Respite Care, Family Support Services, and Skill Building. This program waives parental deeming (where parental income and resource are disregarded in the Medicaid application for the child). Services are provided to eligible children between the ages of 5 and 21 years and their families. Units of Service: Total enrollee months, i.e. the 12 month total of each monthly census number (in months and half months) rounded to the next whole month. 2320 - Intensive Psychiatric Rehabilitation Treatment (IPRT) (Licensed Program) An intensive psychiatric rehabilitation treatment program is time-limited, with active psychiatric rehabilitation designed to assist a patient in forming and achieving mutually agreed upon goals in living, learning, working and social environments; to intervene with psychiatric rehabilitation technologies, to overcome functional disabilities and to improve environmental supports. An intensive psychiatric rehabilitation treatment program shall provide the following services: psychiatric rehabilitation readiness determination, psychiatric rehabilitation goal setting, psychiatric rehabilitation functional and resource assessment, psychiatric rehabilitation service planning, psychiatric rehabilitation skills and resource development and discharge planning. Units of Service: Total service hours. 2340 - Affirmative Business/Industry (Non-Licensed Program) The objective is to provide vocational assessment, training, transitional or long-term paid employment, and support services for persons disabled by mental illness in a less restrictive/more integrated employment setting than sheltered workshops. Affirmative Business programs may include mobile contract services, small retail or wholesale outlets, and manufacturing and service oriented businesses. Units of Service: Count the total number of consumer hours.
New York State Consolidated Budget and Claiming Manual Subject: Appendix F – OMH Program Types, Definitions and Codes For the Periods: January 1, 2010 to December 31, 2010 July 1, 2010 to June 30, 2011 Section/Page: 30.28 Issued: February 15, 2010 2600 – CPEP Crisis Beds (Non-Licensed Program) A residential (24 hour/day) stabilization component of the CPEP, which provides supportive services for acute symptom reduction and the restoration of patients to pre-crisis level of functioning. These programs are time limited (up to five days) for patients until they achieve stabilization. Crisis beds serve persons experiencing rapid or sudden deterioration of social and personal conditions such that they are clinically at risk of hospitalization but may be treated in this alternative setting. CPEP crisis bed services are neither funded by OMH nor Medicaidreimbursable, but are purchased from the facility operating these beds. This program is one of four program components which, when provided together, form the OMH licensed Comprehensive Psychiatric Emergency Program (CPEP). The other program components of the CPEP are: CPEP Crisis Intervention (3130), CPEP Crisis Outreach (1680) and CPEP Extended Observation Beds (1920). Units of Service: One resident day. 2680 Crisis Intervention (Non-Licensed Program) Crisis intervention services, applicable to adults, children and adolescents, are intended to reduce acute symptoms and restore individuals to pre-crisis levels of functioning. Examples of where these services may be provided include emergency rooms and residential settings. Provision of services may also be provided by a mobile treatment team, generally at a consumer’s residence or other natural setting (not at an in-patient or outpatient treatment setting). Examples of services are screening, assessment, stabilization, triage, and/or referral to an appropriate program or programs. This program type does not include warm lines or hot lines. Use Advocacy/Support 1760 for such services. This program code should not be used for services that are provided by a licensed outpatient program. Units of Service: Count the total staff hours.
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Included in CFR Manual Only - New York State Office of Mental Health

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