Connecticut Administrative Code › Title 17b - Social Services › 262 - Requirements for Payment of Home Health Agencies › Requirements for Payment of Rehabilitation Services for Individuals Under Age 21 with Behavioral Health Disorders › Section 17b-262-854 - Covered services

Current through July 10, 2024
(a) Rehabilitation services shall be recommended by a physician or other licensed clinician operating within his or her scope of practice.
(b) Rehabilitation services are services designed to assist individuals in reaching an achievable level of independent functioning.
(c) Rehabilitation services include office-based off-site rehabilitation services, home and community-based rehabilitation services and EMPS when provided by a qualified and enrolled provider of such services.
(d) Depending upon the particular needs of each individual and the rehabilitation plan, office-based off-site services may include any of the routine outpatient services listed on the department's fee schedule for behavioral health clinics.
(e) Depending upon the particular needs of each individual and the rehabilitation plan, home and community-based rehabilitation services, extended day treatment program services and EMPS may include the following components:
(1) Intake and assessment, which means assessing and reassessing the individual's behavioral health needs in the context of medical, social, educational and other needs through face-to-face contact with the individual, the individual's family and through consultation with other professionals;
(2) development of an individual rehabilitation plan in accordance with sections 17b-262-851(7) and 17b-262-858 of the Regulations of Connecticut State Agencies;
(3) individual and group psychotherapy or counseling;
(4) family therapy or training;
(5) socialization skills development, which means individual-centered skill development activities that are provided to support the goals and objectives in the rehabilitation plan and that are directed at reducing individuals' psychiatric and substance abuse symptoms, restoring individuals to an achievable functioning level;
(6) behavior modification or management training and intervention;
(7) supportive counseling directed at solving daily problems related to community living and interpersonal relationships;
(8) psycho-educational services pertaining to the alleviation and management of psychiatric or substance abuse disorders;
(9) teaching, coaching and assisting with daily living and self-care skills such as the use of transportation, meal planning and preparation, personal grooming, management of financial resources, shopping, use of leisure time, interpersonal communication and problem solving;
(10) therapeutic recreation and other skill development activities directed at reducing disability; restoring individual functioning and achieving independent participation in social, interpersonal or community activities and full community reintegration and independence as identified in the rehabilitation plan;
(11) support with connecting individuals to natural community supports;
(12) orientation to, and assistance with, accessing self-help and advocacy resources;
(13) development of self-advocacy skills;
(14) health education;
(15) teaching of recovery skills in order to prevent relapse;
(16) crisis response services, either face-to-face or telephonic only, when provided as part of a home and community-based rehabilitation service; and
(17) consultation for persons responsible for the development of healthy social relationships and the promotion of successful interpersonal and community experiences.