This notice is published in accordance with
IC 12-8-3-4.4. Under
IC 4-22-2-29, LSA Document #10-45, posted at
20100428-IR-405100045PRA, was adopted by the Secretary of the Family and Social Services Administration on May 24, 2010. This rule amends
405 IAC 5-3-13 to add partial hospitalization to services requiring prior authorization, to delete assertive community treatment intensive case management from the list of services requiring prior authorization, and to replace community mental health rehabilitation services with Medicaid rehabilitation option (MRO) services; amends
405 IAC 5-20-8 to exclude persons holding a master's degree in social work, marital and family therapy, or mental health counseling from being reimbursed for partial hospitalization services, defines the conditions under which partial hospitalization services will be reimbursed, the standards for partial hospitalization programs, and the exclusions to reimbursement for partial hospitalization services, and removes partial hospitalization as a general service that is not reimbursable by Medicaid, except as provided under
405 IAC 5-21.5; adds
405 IAC 5-21.5 to define MRO services and terms related to MRO services, to set out reimbursement for MRO services, to define behavioral health rehabilitation services, including the provision of behavioral health counseling
and therapy, medication training and support, skills training and development, behavioral health level of need redetermination, crisis intervention, child and adolescent intensive resiliency services, adult intensive resiliency services, intensive alcohol or drug, or both, outpatient treatment, alcohol or drug, or both, counseling, peer recovery services, case management services, and psychiatric assessment and intervention, to define case management services, including services, standards, and exclusions, to define eligibility criteria for the MRO program services, program standards, and provider types that may provide services, and to define prior authorization requirements for MRO services; amends
405 IAC 5-29-1 to make technical corrections; and repeals
405 IAC 5-21-1,
405 IAC 5-21-2,
405 IAC 5-21-3,
405 IAC 5-21-4,
405 IAC 5-21-5,
405 IAC 5-21-6, and
405 IAC 5-21-8. The rule that was adopted is a different version than the proposed rule that was posted on the -IR- Database Website on April 28, 2010.
