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

1. It is expected that the transition planning for less intensive service will begin at the onset of these services. Documentation must demonstrate this planning.2. A consumer may have variable length of stay. The level of care should be determined as a result of consumers’ multiple assessments. It is recommended thatindividuals attend at a frequency appropriate to their level of need. Ongoing clinical assessment should be conducted to determine step down in level of care.3. Each consumer should participate in setting individualized goals for themselves and in assessing their own skills and resources related to sobriety, use/abuse, andmaintaining recovery. Goals are set by exploring strengths and needs in the consumer’s living, learning, social, and working environments. Implementation ofservices may take place individually or in groups.4. Each consumer must be provided assistance in the development/acquisition of needed skills and resources necessary to achieve sobriety and/or reduction in abuseand maintenance of recovery.5. Substance Abuse Intensive Outpatient Package must offer a range of skill-building and recovery activities within the program.6. The following the services must be included in the SA Intensive Outpatient Package. Many of these activities are reimbursable through Medicaid.The activities include but not limited to:a. Group Outpatient Services:I.Psycho-educational activities focusing on the disease of addiction prevention, the health consequences of addiction, and recoveryII.Therapeutic group treatment and counselingIII.Leisure and social skill-building activities without the use of substancesIV.Linkage to natural supports and self-help opportunitiesb. Individual Outpatient ServicesI.Individual counselingII.Individualized treatment, service, and recovery planningIII.Linkage to health carec. Family Outpatient ServicesI.Family education and engagementd. Community SupportI.Vocational readiness and supportII.Service coordination unless provided through another service providere. Behavioral Health Assessment & Service Plan Development and Diagnostic AssessmentI.Assessment and reassessmentf. Services not covered by MedicaidI.Drug screening/toxicology examinations7. In addition to the above required activities within the program, the following must be offered as needed either within the program or through referral to/or affiliationwith another agency or practitioner, and may be billed in addition to the billing for Substance Abuse Intensive Outpatient Package:a. Community Support– for housing, legal and other issuesb. Individual counseling in exceptional circumstances for traumatic stress and other mental illnesses for which special skills or licenses are requiredc. Physician assessment and cared. Psychological testinge. Health screening.FY2013 Provider Manual for Community Behavioral Health Providers Page 135