Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.17-015 - Outpatient Behavioral Health Services Update 1-17, Inpatient Psychiatric Services for Persons Under Age 21 Update 1-17 and Residential Communuty Reintegration Program Certification

Current through Register Vol. 49, No. 6, June, 2024
Section
			 II
Outpatient Behavioral Health Services
254.003
Residential Community
			 Reintegration Program
CPT®/HCPCS PROCEDURE CODE
PROCEDURE CODE DESCRIPTION
H2020, U4
Therapeutic behavioral services, per diem
SERVICE DESCRIPTION
MINIMUM DOCUMENTATION REQUIREMENTS
The Residential Community Reintegration Program is
						  designed to serve as an intermediate level of care between Inpatient
						  Psychiatric Facilities and Outpatient Behavioral Health Services. The program
						  provides twenty-four hour per day intensive therapeutic care provided in a
						  small group home setting for children and youth with emotional and/or behavior
						  problems which cannot be remedied by less intensive treatment. The program is
						  intended to prevent acute or sub-acute hospitalization of youth, or
						  incarceration. The program is also offered as a step-down or transitional level
						  of care to prepare a youth for less intensive treatment. Services include all
						  allowable Outpatient Behavioral Health Services (OBHS) based upon the age of
						  the beneficiary as well as any additional interventions to address the
						  beneficiary's behavioral health needs.
A Residential Community Reintegration Program shall be
						  appropriately certified by the Department of Human Services to ensure quality
						  of care and the safety of beneficiaries and staff.
A Residential Community Reintegration Program shall
						  have, at a minimum, 2 direct service staff available at all times. Direct
						  service staff may include any allowable performing provider in the Outpatient
						  Behavioral Health Services (OBHS) manual, teachers, or other ancillary
						  educational staff.
A Residential Community Reintegration Program shall
						  ensure the provision of educational services to all beneficiaries in the
						  program. This may include education occurring on campus of the Residential
						  Community Reintegration Program or the option to attend a school off campus if
						  deemed appropriate in according with the Arkansas Department of
						  Education.
.
Date of Service
.
Place of Service
.
Diagnosis and pertinent interval
						  history
.
Daily description of activities and
						  interventions that coincide with master treatment plan and meet or exceed
						  minimum service requirements
.
Mental Status and Observations
.
Rationale and description of the
						  treatment used that must coincide with objectives on the master treatment
						  plan
.
Staff signature/credentials/date of
						  signature
NOTES
EXAMPLE ACTIVITIES
Eligibility for this service is determined by the
						  standardized Independent Assessment.
Prior to reimbursement for the Residential Community
						  Reintegration Program in Intensive Level Services, a beneficiary must be
						  eligible for Intensive Level Services as determined by the standardized
						  Independent Assessment.
APPLICABLE POPULATIONS
UNIT
BENEFIT LIMITS
Children and Youth
Per Diem
DAILY MAXIMUM OF UNITS THAT MAY BE BILLED: 1
YEARLY MAXIMUM OF UNITS THAT MAY BE BILLED (extension
						  of benefits can be requested): 90
ALLOWED MODE(S) OF DELIVERY
TIER
Face-to-face
Intensive
ALLOWABLE PERFORMING PROVIDERS
PLACE OF SERVICE
The Residential Community Reintegration Program must be
						  provided in a facility that is certified by the Department of Human Services as
						  a Residential Community Reintegration Program provider.
14
Provider Manual Update Transmittal
				INPPSYCH-1-17