Section 7 AAC 135.120 - Behavioral health treatment plan(a) The department will pay a community behavioral health services provider or a mental health physician clinic for services provided to a recipient only if (1) those services are provided under an individualized behavioral health treatment plan that meets the requirements of this section and 7 AAC 135.130;(2) the plan is based on a professional behavioral health assessment under 7 AAC 135.110;(3) the plan is signed and monitored by the directing clinician; and(4) if the recipient is 18 years of age or younger, the plan is developed with the recipient or the recipient's representative and is based upon the input of a treatment team that meets the requirements of (c) of this section(b) By signing a behavioral health treatment plan, a directing clinician attests that in the directing clinician's professional judgment the services called for in the behavioral health treatment plan are (1) appropriate to the recipient's needs;(2) delivered at an adequate skill level; and(3) achieving the treatment goals.(c) A behavioral health treatment team for a recipient under 18 years of age (1) must include (B) the recipient's family members, including parents, guardians, and others similarly involved in providing general oversight of the recipient;(C) a staff member of the office in the department responsible for children's services, if the recipient is in the state's protective custody or supervision;(D) a staff member of the division in the department responsible for juvenile justice, if the recipient is in that agency's custody or care;(E) the directing clinician; and(F) the case manager, if the recipient is a child experiencing a severe emotional disturbance; and(2) may include (A) if the recipient currently resides within an alternative living arrangement, including foster care, residential child care, or an institution, a representative of that facility;(B) if the recipient is currently unable to succeed in a school, a representative from the recipient's public, private, or home educational system, including a teacher, special education consultant, speech therapist, or other representative involved in the recipient's education.(d) All members of the behavioral health treatment team shall attend meetings of the team in person or by means of a telehealth modality and be involved in team decisions unless the clinical record documents that (1) the other team members determine that participation by the recipient or other individual involved with the care of the recipient is detrimental to the recipient's well-being;(2) family members, school district employees, or government agency employees refuse to or are unable to participate after the provider's responsible efforts to encourage participation; or(3) weather, illness, or other circumstances beyond the member's control prohibits that member from participating.(e) If a provision of this chapter requires the approval, concurrence, or recommendation of the treatment team, the treatment team may issue that approval, concurrence, or recommendation only upon the concurrence of (1) the directing clinician; and(2) the recipient or the recipient's representative.(f) The directing clinician must review a recipient's plan for treatment in person or by means of a telehealth modality with the recipient at least every 90 days to confirm that the identified problems and treatment services are current and relevant, and to identify any need for continuing assessment or treatment services to address new problems identified by the provider or the recipient. If the recipient is 18 years of age or younger, the review must be conducted in accordance with (c) of this section. The directing clinician shall document in the recipient's clinical record the date that the review was conducted.Eff. 10/1/2011, Register 199; am 4/24/2020, Register 234, April 2020; am 9/1/2023, Register 247, October 2023Authority:AS 47.05.010
AS 47.07.030
AS 47.07.069