Montana Code 53-21-1403. Crisis stabilization services — requirements
53-21-1403. Crisis stabilization services — requirements. (1) In order to qualify for reimbursement under this part, crisis stabilization services must be delivered in a safe environment to an individual in crisis as required under this section.
Terms Used In Montana Code 53-21-1403
- Crisis: means a serious, unexpected situation resulting from an individual's apparent mental illness in which the individual's symptoms are of sufficient severity, as determined by a mental health practitioner, to require immediate care to avoid:
(a)jeopardy to the life or health of the individual; or
(b)death or bodily harm to the individual or to others. See Montana Code 53-21-1401
- Crisis stabilization: means development and implementation of a short-term intervention to respond to a crisis in order to:
(a)reduce the severity of an individual's symptoms of mental illness; and
(b)attempt to prevent the individual from receiving services in a more restrictive environment. See Montana Code 53-21-1401
- Department: means the department of public health and human services provided for in 2-15-2201. See Montana Code 53-21-102
- facility: means the state hospital, the Montana mental health nursing care center, or a hospital, a behavioral health inpatient facility, a mental health center, a residential treatment facility, or a residential treatment center licensed or certified by the department that provides treatment to children or adults with a mental disorder. See Montana Code 53-21-102
- Patient: means a person committed by the court for treatment for any period of time or who is voluntarily admitted for treatment for any period of time. See Montana Code 53-21-102
- Presumptive eligibility: means a period of up to 72 hours after an individual is found to be in crisis and during which the individual is presumed to be eligible for crisis stabilization services that will be reimbursed by the department. See Montana Code 53-21-1401
- services: means the services allowed under 53-21-1403. See Montana Code 53-21-1401
(2)Crisis stabilization services must:
(a)be delivered by an individual or facility that is enrolled with the department to provide services under this part;
(b)be provided in accordance with a plan for crisis stabilization that meets requirements established by the department by rule;
(c)include a plan for appropriate followup care; and
(d)be medically necessary mental health services that:
(i)are delivered in direct response to a crisis in an effort to stabilize the individual in crisis;
(ii)provide diagnostic clarity;
(iii)are designed to treat symptoms that can be improved during the presumptive eligibility period; and
(iv)provide an appropriate alternative to psychiatric hospitalization.
(3)Crisis stabilization services include but are not limited to:
(a)two psychiatric diagnostic interview examinations during the crisis stabilization period;
(b)coordination of care as defined by the department by rule;
(c)individual psychotherapy;
(d)family psychotherapy conducted with or without the patient;
(e)one-to-one community-based psychiatric rehabilitation and support; and
(f)crisis management services as defined by the department by rule.