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This website publishes administrative rules on their effective dates, as designated by the adopting state agencies, colleges, and universities.

Rule 5160-27-12 | Behavioral health crisis intervention provided by unlicensed practitioners.

 

(A) For the purpose of medicaid reimbursement, behavioral health crisis intervention is a timely intervention with medicaid recipients who are experiencing a life threatening or complex emergent situation related to mental illness or a substance use disorder.

(1) The goals of crisis intervention are to ease the crisis, re-establish safety and institute interventions to minimize psychological trauma.

(2) Activities may include but are not limited to: emergent care, assessment, immediate stabilization, de-escalation, counseling, care planning and resolution.

(B) In order to provide behavioral health crisis intervention, practitioners must meet the requirements in paragraph (A)(6) of rule 5160-27-01 of the Administrative Code.

(1) For the purposes of this rule, the following unlicensed practitioners are excluded: care management specialist and peer recovery supporter.

(2) Practitioners of crisis intervention shall have current certification in first aid and cardio-pulmonary resuscitation (CPR).

(C) Limitations: crisis intervention will not be reimbursed when a recipient is enrolled in assertive community treatment (ACT), intensive home based treatment (IHBT) or receiving services in a substance use disorder (SUD) residential treatment facility.

(D) Providers shall adhere to documentation requirements set forth in rules 5160-1-27 and 5160-8-05 of the Administrative Code.

(E) Crisis psychotherapy rendered by licensed practitioners is authorized in rule 5160-8-05 of the Administrative Code and as defined by the American medical association's current procedural terminology book.

Supplemental Information

Authorized By: 5162.02, 5162.05, 5164.02
Amplifies: 5164.03, 5164.02
Five Year Review Date: 1/1/2023
Prior Effective Dates: 1/1/2018, 6/12/2020 (Emer.)