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

RequiredComponents,continuedStaffingRequirements4. The program utilizes methods, materials, settings, and outside resources appropriate to the developmental and cognitive levels, capabilities, age, gender, and cultureof participants.5. The program utilizes methods, materials, approaches, activities, settings, and outside resources appropriate for and targeted to individuals with co-occurring disordersof mental illness and substance abuse and targeted to individuals with co-occurring developmental disabilities and substance abuse when such individuals arereferred to the program.6. The program conducts random drug screening and uses the results of these tests for marking participant’s progress toward goals and for service planning.7. The program is provided over a period of several weeks or months and often follows detoxification or residential services.8. This service must operate at an established site approved to bill Medicaid for services. However, limited individual or group activities may take place off-site in naturalcommunity settings as is appropriate to each individual’s treatment plan. (Narcotics Anonymous (NA) and/or Alcoholics Anonymous (AA) meetings offsite may beconsidered part of these limited individual or group activities for billing purposes only when time limited and only when the purpose of the activity is introduction of theparticipating individual to available NA and/or AA services, groups or sponsors. NA and AA meetings occurring during the SA Intensive Outpatient package may notbe counted as billable hours for any individual outpatient services, nor may billing related to these meetings be counted beyond the basic introduction of an individualto the NA/AA experience.).9. This service may operate in the same building as other services; however, there must be a distinct separation between services in staffing, program description, andphysical space during the hours the SA Intensive Outpatient Services is in operation.10. Adequate space, equipment, furnishings, supplies, and other resources must be provided in order to effectively provide services and so that the program environmentis clean and in good repair. Space, equipment, furnishings, supplies, transportation, and other resources for participating individuals’ use within the Substance AbuseIntensive Outpatient package must not be substantially different from that provided for other uses for similar numbers of individuals.1. The program must be under the clinical supervision of a Level 4 or above who is onsite a minimum of 50% of the hours the service is in operation.2. Services must be provided by staff who are:a. Level 4 (LAPC, LMSW, CACII, CADC, CCADC and Addiction Counselor Trainee with supervision)b. Level 5 (Paraprofessionals, high school graduates) under the supervision of an Level 4 or above3. It is necessary for all staff who provide this “co-occurring capable” service to have basic knowledge in the Georgia DBHDD content areas in the Suggested BestPractices Principles and Staff Capabilities for Services Serving Individuals with Co-Occurring Disorders document included in this Provider Manual4. Programs must have documentation that there is one Level 4 staff (excluding Addiction Counselor Trainee) that is “co-occurring capable.” This person’s knowledgemust go beyond basic understanding and must demonstrate actual staff capabilities in using that knowledge for individuals with co-occurring disorders. Personneldocumentation should demonstrate that this staff person has received a minimum of 4 hours of training in co-occurring treatment within the past 2 years.5. There must be at least a Level 4 practitioner on-site at all times the service is in operation, regardless of the number of individuals participating.6. The maximum face-to-face ratio cannot be more than 12 individuals to 1 direct program staff based on average daily attendance of individuals in the program.7. The maximum face-to-face ratio cannot be more than 20 individuals to 1 SAP based on average daily attendance of individuals in the program.8. A physician and/or a Registered Nurse or a Licensed Practical Nurse with appropriate supervision must be available to the program either by a physician and/ornurse employed by the agency, through a contract with a licensed practitioner, or by written referral or affiliation agreement with another agency or agencies that offersuch services.a. The physician is responsible for addiction and psychiatric consultation, assessment, and care (including but not limited to ordering medications and/orlaboratory testing) as needed.b. The nurse is responsible for nursing assessments, health screening, medication administration, health education, and other nursing duties as needed.9. Level 4 staff may be shared with other programs as long as they are available as required for supervision and clinical operations and as long as their time isappropriately allocated to staffing ratios for each program.FY2013 Provider Manual for Community Behavioral Health Providers Page 134