New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 321 - SPECIALIZED BEHAVIORAL HEALTH SERVICES › Part 2 - SPECIALIZED BEHAVIORAL HEALTH PROVIDER ENROLLMENT AND REIMBURSEMENT › Section 8.321.2.20 - CRISIS TRIAGE CENTER

Current through Register Vol. 35, No. 13, July 16, 2024
MAD pays for a set of services, either outpatient only or
				  including residential, to eligible adults and youth 14 years of age and older,
				  to provide voluntary stabilization of behavioral health crises including
				  emergency mental health evaluation and care. Crisis triage centers (CTC) shall
				  provide emergency screening and evaluation services 24 hours a day, seven days
				  a week.
A.
Coverage criteria
				for CTCs which include residential care:
(1) The CTC shall provide emergency
				screening, and evaluation services 24-hours a day, seven days a week and shall
				admit 24-hours a day seven days a week and discharge seven days a
				week;
(2) Readiness for discharge
				shall be reviewed in collaboration with the recipient every day;
(3) An independently licensed mental health
				practitioner or non-independent mental health practitioner under supervision
				must assess each individual with the assessment focusing on the stabilization
				needs of the client;
(4) The
				assessment must include medical and mental health history and status, the onset
				of the illness, the presenting circumstances, risk assessment, cognitive
				abilities, communication abilities, social history and history of
				trauma;
(5) A licensed mental
				health professional must document a crisis stabilization plan to address needs
				identified in the assessment which must also include criteria describing
				evidence of stabilization and either transfer or discharge criteria;
(6) The CTC identifies recipients at high
				risk of suicide or intentional self-harm, and subsequently engages these
				recipients through solution-focused and harm-reducing methods;
(7) Education and program offerings are
				designed to meet the stabilization and transfer of recipients to a different
				level of care;
(8) The charge
				nurse, in collaboration with a behavioral health practitioner, shall make the
				determination as to the time and manner of transfer to ensure no further
				deterioration of the recipient during the transfer between facilities, and
				shall specify the benefits expected from the transfer in the recipient's
				record;
(9) The facility shall
				develop policies and procedures addressing risk assessment and mitigation
				including, but not limited to: assessments, crisis intervention plans,
				treatment, approaches to supporting, engaging and problem solving, staffing,
				levels of observation and documentation. The policies and procedures must
				prohibit seclusion and address physical restraint, if used, and the facility's
				response to clients that present with imminent risk to self or others,
				assaultive and other high-risk behaviors;
(10) Use of seclusion is
				prohibited;
(11) The use of
				physical restraint must be consistent with federal and state laws and
				regulation;
(12) Physical
				restraint, as defined in the BH policy and billing manual, shall be used only
				as an emergency safety intervention of last resort to ensure the physical
				safety of the client and others, and shall be used only after less intrusive or
				restrictive interventions have been determined to be ineffective;
(13) If serving both youth and adult
				populations, the service areas must be separate; and
(14) If an on-site laboratory is part of
				services, the appropriate clinical laboratory improvement amendments (CLIA)
				license must be obtained.