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

Residential: Independent Residential ServicesTransactionCodeSupportedHousingCode Detail Code Mod1Mod2Mod3Mod4Rate Code Detail Code Mod1Mental Health H0043 R1 Addictive Diseases H0043 HF R1Unit Value Unit= 1 day Maximum Daily Units 1 unitInitialAuthorization180 units Re-Authorization 180 unitsAuthorizationPeriod180 days Benefit Information LOCUS score:1-4ServiceDefinitionAdmissionCriteriaContinuingStay CriteriaDischargeCriteriaClinicalExclusionsRequiredComponentsStaffingRequirementsIndependent Residential Service (IRS) provides scheduled residential service to a consumer who requires a low level of residential structure to maintain stable housing,continue with their recovery, and increase self-sufficiency. This residential placement will reflect consumer choice and should be fully integrated in the community in ascattered site individual residence.1. Individual must meet target population as indicated above, and2. Individual demonstrates ability to live with minimal supports and3. Individual, states a preference to live independently.Consumer continues to benefit from and require minimal community supports.1. Consumer, or appropriate legal representative, no longer desires service, or2. Consumer no longer meets program and/or housing criteria.Individuals with the following conditions are excluded from admission unless there is documented evidence of a psychiatric condition: developmentally disability, autism,organic mental disorder, or traumatic brain injury.1. The organization must have an executive director or program director charged with the responsibility for day-to-day management of the organization.2. If applicable, the organization must be licensed by the Georgia Office of Regulatory Services to provide residential services to consumers with mental illness and/orsubstance abuse diagnosis.3. The Independent Residential Service provides scheduled visits to a consumer’s apartment or home to assist with residential responsibilities.4. Services must be provided at a time that accommodates consumers’ needs, which may include during evenings, weekends, and holidays.5. This service requires a minimum of 1 face-to-face contact with the consumer in their home each week (see also D. for an exception).6. Independent Residential Services may only be provided within a supportive housing program or within the consumer’s own apartment or home.7. There must be a written Residential Crisis Response Plan that guides the residential provider’s response to an individual’s crisis episode while receiving residentialservices that diverts the loss of housing and promotes housing stability. This plan shall be developed in partnership with the individual and offer 24/7 access to aresidential services specialist in the event of a crisis.1. Residential Managers may be persons with at least 2 years experience providing MH or AD services and with at least a high school diploma; however, this person mustbe supervised by a licensed staff member (including LMSW, LAMFT, LAPC or 4 year RN).2. Persons with high school diplomas, GEDs, or higher degrees may provide direct support services under the supervision of a Residential Manager.3. A staff person must be available 24/7 to respond to emergency calls within one hour.4. A minimum of one staff per 35 consumers may not be exceeded.Mod2Mod3Mod4RateFY2013 Provider Manual for Community Behavioral Health Providers Page 122