Source: https://www.revisor.mn.gov/statutes/2016/cite/256B.0622/subd/256B.0622.2
Timestamp: 2019-12-07 10:59:29
Document Index: 143642323

Matched Legal Cases: ['art 2', 'art 3', 'art 3', 'art 2', 'art 8', 'art 7', 'art 2', 'art 2', 'art 16']

256B.0622 ASSERTIVE COMMUNITY TREATMENT AND INTENSIVE RESIDENTIAL TREATMENT SERVICES.
Subject to federal approval, medical assistance covers medically necessary, assertive community treatment for clients as defined in subdivision 2a and intensive residential treatment services for clients as defined in subdivision 3, when the services are provided by an entity meeting the standards in this section.
(c) "Assertive community treatment" means intensive nonresidential treatment and rehabilitative mental health services provided according to the assertive community treatment model. Assertive community treatment provides a single, fixed point of responsibility for treatment, rehabilitation, and support needs for clients. Services are offered 24 hours per day, seven days per week, in a community-based setting.
(m) "Intensive residential treatment services treatment team" means all staff who provide intensive residential treatment services under this section to clients. At a minimum, this includes the clinical supervisor; mental health professionals as defined in section 245.462, subdivision 18, clauses (1) to (6); mental health practitioners as defined in section 245.462, subdivision 17; mental health rehabilitation workers under section 256B.0623, subdivision 5, clause (4); and mental health certified peer specialists under section 256B.0615.
(n) "Intensive residential treatment services" means short-term, time-limited services provided in a residential setting to clients who are in need of more restrictive settings and are at risk of significant functional deterioration if they do not receive these services. Services are designed to develop and enhance psychiatric stability, personal and emotional adjustment, self-sufficiency, and skills to live in a more independent setting. Services must be directed toward a targeted discharge date with specified client outcomes.
(q) "Overnight staff" means a member of the intensive residential treatment services team who is responsible during hours when clients are typically asleep.
Subd. 2a.Eligibility for assertive community treatment.
Subd. 2b.Continuing stay and discharge criteria for assertive community treatment.
Subd. 3.Eligibility for intensive residential treatment services.
Subd. 3a.Provider certification and contract requirements for assertive community treatment.
Subd. 4.Provider licensure and contract requirements for intensive residential treatment services.
(a) The intensive residential treatment services provider must:
[Repealed by amendment, 2016 c 163 art 2 s 5]
Subd. 5a.Standards for intensive residential rehabilitative mental health services.
Subd. 7. Assertive community treatment service standards.
Subd. 7a.Assertive community treatment team staff requirements and roles.
Subd. 7b.Assertive community treatment program size and opportunities.
Subd. 7c.Assertive community treatment program organization and communication requirements.
(a) An ACT team shall provide at least 75 percent of all services in the community in non-office-based or non-facility-based settings.
Subd. 7d.Assertive community treatment assessment and individual treatment plan.
Subd. 7e.ACT team variances.
The commissioner may grant a variance to specific requirements under subdivision 2a, 7a, 7b, or 7c for an ACT team when the ACT team demonstrates an inability to meet the specific requirement and how the team shall ensure the variance shall not negatively impact outcomes for clients. The commissioner may require a plan of action for the ACT team to come into compliance with the specific requirement being varied and establish specific time limits for the variance. A decision to grant or deny a variance request is final and not subject to appeal.
Subd. 8.Medical assistance payment for assertive community treatment and intensive residential treatment services.
(a) Payment for intensive residential treatment services and assertive community treatment in this section shall be based on one daily rate per provider inclusive of the following services received by an eligible client in a given calendar day: all rehabilitative services under this section, staff travel time to provide rehabilitative services under this section, and nonresidential crisis stabilization services under section 256B.0624.
(b) Except as indicated in paragraph (c), payment will not be made to more than one entity for each client for services provided under this section on a given day. If services under this section are provided by a team that includes staff from more than one entity, the team must determine how to distribute the payment among the members.
A county contract is not required for a provider proposing to serve a subpopulation of eligible clients under the following circumstances:
Subd. 12.Start-up grants.
The commissioner may, within available appropriations, disburse grant funding to counties, Indian tribes, or mental health service providers to establish additional assertive community treatment teams, intensive residential treatment services, or crisis residential services.
1Sp2003 c 14 art 3 s 19; 2004 c 288 art 3 s 23; 1Sp2005 c 4 art 2 s 7; 2007 c 147 art 8 s 17; 2009 c 79 art 7 s 14; 2009 c 167 s 9,10; 2011 c 86 s 11; 2015 c 71 art 2 s 23-32; 2016 c 163 art 2 s 5; 2016 c 189 art 16 s 11