Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 471 - NEBRASKA MEDICAL ASSISTANCE PROGRAM SERVICES › Chapter 32 - CHILDREN'S MENTAL HEALTH AND SUBSTANCE USE TREATMENT SERVICES › Section 471-32-004 - Mental Health and Substance Abuse Day Treatment Services

Current through June 17, 2024
Day treatment services are available to clients age 20 or younger when
	 the client has participated in a HEALTH CHECK (EPSDT) screen, the treatment is
	 clinically necessary, and the need for this level of care is identified as part
	 of a Substance Use Disorder Assessment. These services are part of a continuum
	 of care designed to prevent hospitalization or to facilitate the movement of
	 the client in an acute psychiatric setting to a status in which the client is
	 capable of functioning within the community with less frequent contact with the
	 mental health or substance abuse provider.
Day treatment services must be community based, family centered,
	 culturally competent, and developmentally appropriate.
Day treatment services must meet all requirements in 471 NAC
	 32-001.
Providers must encourage family members to be involved in the
	 assessment of the client, the development of the treatment plan, and all
	 aspects of the client's treatment unless prohibited by the client, through
	 legal action, or because of federal confidentiality laws.
Providers must be available to schedule meetings and sessions in a
	 flexible manner to accommodate and work with a family's schedule. This includes
	 the ability to schedule sessions at a variety of times including weekends or
	 evenings.
The provider must document their attempts to involve the family in
	 treatment plan development and treatment plan reviews. A variety of
	 communication means should be considered. These may include, but should not be
	 limited to, including the family via conference telephone calls, using
	 registered letters to notify the family of meetings, and scheduling meetings in
	 the evening and on weekends.
004.01
  Covered Day Treatment Services
Day treatment programs shall provide the following mandatory services
	 and at least two of the following optional services. Payment for both mandatory
	 services and optional services is included in the rate for day treatment.
	 Individual services to the client by a supervising practitioner that are not
	 administrative in nature and are clinically necessary will be considered for
	 payment when billed by the supervising practitioner. Providers shall not make
	 any additional charges to the Department or to the client.
32-004.01A
Mandatory
  Services
: The following services must be included in a program for
  day treatment to be approved for participation in the Nebraska Medical
  Assistance Program. See 471 NAC
  32-001 for definitions.
1.
Medically Necessary
  Psychotherapy and Substance Abuse Counseling Services
: These
  services must demonstrate active treatment of a patient with a serious
  emotional disturbance. These services are subject to program limitations.
a. Individual Psychotherapy or Substance
  Abuse Counseling;
b. Group
  Psychotherapy or Substance Abuse Counseling;
c. Family Psychotherapy or Substance Abuse
  Counseling; and
d. Family
  Assessment;