PART I - Department of Behavioral Health and Developmental ...

Crisis Stabilization Unit Servicesbed may remain in the CSU for an unlimited number of additional days if the date of transfer and length of stay in the transitional bed is documented).5. Individuals occupying transitional beds must receive services from outside the CSU (i.e. community-based services) on a daily basis.6. Services must be provided in a facility designated as an emergency receiving and evaluation facility that is not also an inpatient hospital, a freestanding Institutefor Mental Disease (IMD), or a licensed substance abuse detoxification facility.7. All services provided within the CSU must be delivered under the direction of a physician. A physician must conduct an assessment of new admissions, addressStaffingRequirementsClinicalOperationsAdditionalMedicaidRequirementsissues of care, and write orders as required.1. Crisis Stabilization Unit (CSU) Services must be provided by a physician or a staff member under the supervision of a physician, practicing within the scope ofState law.2. A CSU must employ a fulltime Nursing Administrator who is a Registered Nurse.3. A CSU must have a Registered Nurse present at the facility at all times.4. Staff-to-client ratios must be established based on the stabilization needs of clients being served and in accordance with rules and regulations.5. Functions performed by Physician Assistants, Nurse Practitioners, Clinical Nurse Specialists, Registered Nurses, and Licensed Practical Nurses must beperformed within the scope of practice allowed by State law and Professional Practice Acts.1. CSU must have documented operating agreements and referral mechanisms for psychiatric disorders, addictive disorders, and physical healthcare needs that arebeyond the scope of the CSU and that require inpatient treatment. Operating agreements must delineate the type and level of service to be provided by theprivate or public inpatient hospital or treatment facility. These agreements must specifically address the criteria and procedures for transferring an individual to adesignated treatment facility when the CSU is unable to stabilize the individual.2. CSUs must follow the seclusion and restraint procedures included in the Department’s “Crisis Stabilization Unit Rules and Regulations” and in related policy.3. For individuals with co-occurring diagnoses including developmental disability/developmental disabilities, this service must target the symptoms, manifestations,and skills-development related to the identified behavioral health issue.4. Individuals served in transitional beds may access an array of community-based services in preparation for their transition out of the CSU, and are expected toengage in community-based services daily while in a transitional bed.1. Crisis Stabilization Units with 16 beds or less should bill individual discrete services for Medicaid recipients.2. The individual services listed below may be billed up to the daily maximum listed for services provided in a Crisis Stabilization Unit. Billable services and dailylimits within CSUs are as follows:ServiceCrisis InterventionDiagnostic AssessmentPsychiatric TreatmentNursing Assessment and CareMedication AdministrationGroup Training/CounselingBeh Health Assmnt & Serv. Plan DevelopmentMedication AdministrationDaily Maximum Billable Units8 units2 units1 unit (Pharmacological Mgmt only)5 units1 unit4 units24 units1 unit3. Medicaid claims for the services above may not be billed for any service provided to Medicaid-eligible individuals in CSUs with greater than 16 beds.FY2013 Provider Manual for Community Behavioral Health Providers Page 109