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(1) by striking ‘‘or’’ at the end of paragraph
(14);
(2) by striking the period at the end of para-
graph (15) and inserting ‘‘; or’’; and
(3) by inserting after paragraph (15) the fol-
lowing new paragraph:
‘‘(16) in the case of any items or services fur-
nished under part B for the treatment of mental ill-
ness or emotional disturbance (including substance
abuse), if the services are not furnished in accord-
ance with standards established by the Secretary for
the management of such services.’’.
SEC. 205. INTENSIVE COMMUNITY-BASED SERVICES.
(a) COVERAGE.—
(1) IN GENERAL.—Section 1832(a)(2)(J) (42
U.S.C. 1395k(a)(2)(J)) is amended to read as fol-
lows:
‘‘(J) intensive community-based services
(as described in section 1861(ff))—
‘‘(i) for an unlimited number of days
during any calendar year, in the case of
services described in section 1861(ff)(2)(E)
that are furnished to an individual who is
a seriously mentally ill adult, a seriously
emotionally disturbed child, or an adult or
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child with serious substance abuse disorder
(as determined in accordance with criteria
established by the Secretary),
‘‘(ii) in the case of services described
in section 1861(ff)(2)(C), for up to 180
days during any calendar year, except that
such services may be furnished to the indi-
vidual for a number of additional days dur-
ing the year equal to the difference be-
tween the total number of days of intensive
residential services which the individual
may receive during the year under part A
(as determined under section 1812(a)(6))
and the number of days of such services
which the individual has received during
the year, or
‘‘(iii) in the case of any other such
services, for up to 90 days during any cal-
endar year, except that such services may
be furnished to the individual for the num-
ber of additional days during the year de-
scribed in clause (ii).’’.
(2) REDUCTION IN NUMBER OF DAYS OF IN-
TENSIVE
RESIDENTIAL
SERVICES.—Section
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1812(a)(6) (42 U.S.C. 1395d(a)(6)), as added by
section 203(a), is amended—
(A) by inserting ‘‘(A)’’ before ‘‘such serv-
ices’’; and
(B) by striking the period at the end and
inserting the following: ‘‘, and (B) reduced by
a number of days determined by the Secretary
so that the actuarial value of providing such
number of days of services under this para-
graph to the individual is equal to the actuarial
value of the days of intensive community-based
services furnished to the individual under sec-
tion 1832(a)(2)(J) during the year after such
services have been furnished to the individual
for 90 days (or, in the case of services described
in section 1832(a)(2)(J)(ii), for 180 days) dur-
ing the year (rounded to the nearest day).’’.
(b) SERVICES DESCRIBED.—Section 1861(ff)(2) (42
U.S.C. 1395x(ff)(2)) is amended—
(1) in the matter preceding subparagraph (A),
by striking ‘‘are—’’ and inserting ‘‘are as follows:’’;
(2) in subparagraph (C)—
(A) by inserting ‘‘behavioral aide services,’’
after ‘‘nurses’’, and
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(B) by adding at the end the following:
‘‘(to the extent authorized under State law)’’;
(3) by adding ‘‘and’’ at the end of subpara-
graph (G);
(4) in subparagraph (H), by striking ‘‘, and’’
and inserting a period;
(5) by redesignating subparagraphs (A) through
(H) as clauses (i) through (viii) and moving such
subparagraphs 2 ems to the right;
(6) by inserting before clause (i) (as so redesig-
nated) the following:
‘‘(A) Partial hospitalization services con-
sisting of—’’;
(7) by inserting after clause (viii) (as so redes-
ignated) the following new subparagraphs:
‘‘(B) Psychiatric rehabilitation services.
‘‘(C) Day treatment services for substance
abuse treatment for individuals of any age and for
other mental health services for individuals under 19
years of age.
‘‘(D) In-home services.
‘‘(E) Case management services, including col-
lateral services designated as such case management
services by the Secretary.
‘‘(F) Ambulatory detoxification services.’’; and