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

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Assertive Community Treatmentc. Only ACT consumers are permitted to attend these group services.d. Acceptable group practitioners are those on the ACT team who meet the practitioner levels as follows:• Practitioner Level 1: Physician/Psychiatrist• Practitioner Level 2: Psychologist, CNS-PMH• Practitioner Level 3: LCSW, LPC, LMFT, RN• Practitioner Level 4: LMSW; LAPC; LAMFT; Psychologist/LCSW/LPC/LMFT’s supervisee/trainee with at least a Bachelor’s degree in one <strong>of</strong> the helpingpr<strong>of</strong>essions such as social work, community counseling, counseling, psychology, or criminology, functioning within the scope <strong>of</strong> the practice acts <strong>of</strong> thestate; MAC, CAC-II, CADC, CCADC, GCADC (II, III); CAC-I or Addiction Counselor Trainees with at least a Bachelor’s degree in one <strong>of</strong> the helpingpr<strong>of</strong>essions such as social work, community counseling, counseling, psychology, or criminology (may only perform these functions related to treatment <strong>of</strong>addictive diseases).• Practitioner Level 5: CAC-I, RADT (I, II, or III), Addiction Counselor Trainees with high school diploma/equivalent (practitioners at this level may onlyperform these functions related to treatment <strong>of</strong> addictive diseases).e. ACT groups must be led by more than one practitioner.i. If there are 2 practitioners leading the group who are the same practitioner level (i.e. two U3 practitioners), then each may split the responsibility fordocumentation <strong>and</strong> singly sign a note. In this situation, there must be evidence in the note <strong>of</strong> who was the co-leader <strong>of</strong> that group to document theStaffingRequirementsii.compliance expectations for two practitioners.If a group is facilitated by two practitioners who are not the same U-level (i.e. one is a U3 <strong>and</strong> one is a U4), then these co-leaders may split the responsibilityfor documenting group progress notes. If the lower-leveled practitioner writes the progress note, the upper level person's practitioner level can be billed ifthe higher practitioner-leveled person co-signs the note. If the higher level practitioner writes the note, then he/she shall document the co-leadersparticipation <strong>and</strong> can solely sign that note.1. Assertive Community Treatment Team members must include:• (1 FT Employee required) A fulltime Team Leader who is the clinical <strong>and</strong> administrative supervisor <strong>of</strong> the team <strong>and</strong> also functions as a practicing clinician on theteam; this individual must have at least 2 years <strong>of</strong> documented experience working with adults with a SPMI <strong>and</strong> one <strong>of</strong> the following qualifications to be an“independently licensed practitioner.” It is expected that the practicing ACT Team Leader provides direct services at least 50% <strong>of</strong> the time. The Team Leadermust be a FT employee <strong>and</strong> dedicated to only the ACT team.• Physician• Psychologist• Physician’s Assistant• APRN• RN with a 4-year BSN• LCSW• LPC• LMFT• (Variable:.4-1.0 FTE required) Depending on consumer enrollment, a full or part time Psychiatrist who:• provides clinical <strong>and</strong> crisis services to all team consumers with emphasis in delivering services in the recipient’s natural environment,• works with the team leader to monitor each individual’s clinical <strong>and</strong> medical status <strong>and</strong> response to treatment, <strong>and</strong>FY2013 Provider Manual for Community <strong>Behavioral</strong> <strong>Health</strong> Providers Page 98

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