Section 51341 - Short-Doyle Mental Health Medi-Cal Program Services(a) Community mental health services, as defined in this section, provided by Short-Doyle Medi-Cal providers to Medi-Cal beneficiaries are covered by the Medi-Cal program.(b) Community Mental Health Services. (1) Acute inpatient hospital service means those services provided by a hospital, including bed and board, to a Medi-Cal beneficiary who needs intense diagnosis and/or treatment of an acute psychiatric condition on a continuous 24-hour a day basis.(2) Psychiatric health facility services means therapeutic and/or rehabilitation services provided in a non-hospital 24 hour inpatient setting, on either a voluntary or involuntary basis. Services are provided to individuals experiencing an acute psychiatric episode or crisis, whose physical health needs can be met in an affiliated hospital or in outpatient settings.(3) Mental health service means interventions designed to provide the maximum reduction of mental disability and restoration or maintenance of functioning consistent with the requirements for learning, development, independent living and enhanced self-sufficiency. Services shall be directed toward achieving the individual's goals/desired results/personal milestones.(4) Medication support service means prescribing, administering, dispensing and monitoring of psychiatric medications necessary to alleviate the symptoms of mental illness which are provided by a staff person within the scope of practice of his/her profession.(5) Day treatment intensive service means services provided by an organized and structured multi-disciplinary treatment program as an alternative to hospitalization, to avoid placement in a more restrictive setting, or to maintain the individual in a community setting. These services are provided to a distinct group of individuals and occur in a therapeutic, organized and structured setting. Day treatment intensive is a packaged program with service available at least three hours and less than 24 hours each day the program is open.(6) Day rehabilitation service means evaluation, rehabilitation and therapy to maintain or restore personal independence and functioning consistent with requirements for learning and development. It is an organized and structured program which provides services to a distinct group of individuals. Day rehabilitation is a packaged program with service available at least three hours and less than 24 hours each day the program is open.(7) Adult residential treatment service means rehabilitation services provided in a non-institutional residential setting where individuals are supported in their efforts to restore, maintain and apply interpersonal and independent living skills, and access community support systems. Programs shall provide a therapeutic community including a range of activities and services for individuals who would be at risk of hospitalization or other institutional placement if they were not in the residential treatment program. This is a structured package program with services available day and night, seven days a week.(8) Crisis residential treatment services means therapeutic and/or rehabilitation services provided in a 24-hour residential treatment program for individuals experiencing an acute psychiatric episode or crisis, and who do not present medical complications requiring nursing care. Individuals are supported in their efforts to restore, maintain and apply interpersonal and independent living skills, and access community support systems. Interventions which focus on symptom reduction shall also be available. This is a structured, packaged program with services available day and night, seven days a week.(9) Crisis intervention means quick emergency response service enabling the individual to cope with a crisis, while maintaining his/her status as a functioning community member to the greatest extent possible. A crisis is an unplanned event that results in the individual's need for immediate service intervention. Crisis intervention services are limited to stabilization of the presenting emergency.(10) Crisis Stabilization -- Emergency Room means an immediate face-to-face response lasting less than 24 hours, to or on behalf of an individual exhibiting acute psychiatric symptoms, provided in a 24-hour health facility or hospital based outpatient program. The goal is to avoid the need for inpatient services by alleviating problems which, if not treated, present an imminent threat to the individual or other's safety or substantially increase the risk of the individual becoming gravely disabled.(11) Crisis Stabilization -- Urgent Care means an immediate face-to-face response lasting less than 24 hours, to or on behalf of an individual exhibiting acute psychiatric symptoms, provided at a certified Mental Health Rehabilitation provider site. The goal is to avoid the need for inpatient services by alleviating problems and symptoms which, if not treated, present an imminent threat to the individual or other's safety or substantially increase the risk of the individual becoming gravely disabled. Services provided to individuals in a Crisis stabilization -- Urgent Care program are not based in 24-hour health care facilities or hospital based outpatient programs. Services shall be available 24 hours per day.(12) Case management brokerage means activities provided by program staff to access medical, educational, social, prevocational, vocational, rehabilitative, or other needed community services for eligible individuals.Cal. Code Regs. Tit. 22, § 51341
1. Amendment filed 6-29-84 as an emergency; designated effective 7-1-84 (Register 84, No. 28). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 10-30-84. For prior history, see Registers 76, No. 2 and 75, No. 40.
2. Order of Repeal of 6-29-84 emergency language filed 11-26-84 by OAL pursuant to Government Code Section 11349.6(b) (Register 84, No. 48).
3. Amendment filed 1-31-85 as an emergency; designated effective 2-1-85 (Register 85, No. 7). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 6-3-85.
4. Certificate of Compliance transmitted to OAL 5-17-85 and filed 6-14-85 (Register 85, No. 24).
5. New subsections (b)(10) and (c)(3)-(4) and amendment of NOTE filed 10-5-93 as an emergency; operative 10-5-93 (Register 93, No. 41). A Certificate of Compliance must be transmitted to OAL by 2-2-94 or emergency language will be repealed by operation of law on the following day.
6. Certificate of Compliance as to 10-5-93 order transmitted to OAL 2-2-94 and filed 3-15-94 (Register 94, No. 11).
7. Repealer and new subsections (b)(2)-(10) and new subsections (b)(11)-(12) filed 10-2-95 as an emergency; operative 10-2-95 (Register 95, No. 40). A Certificate of Compliance must be transmitted to OAL by 1-30-96 or emergency language will be repealed by operation of law on the following day.
8. Amendment of section heading, subsection (a) and repealer of subsections (c)-(c)(4) filed 12-14-95 as an emergency; operative 12-14-95 (Register 95, No. 50). A Certificate of Compliance must be transmitted to OAL by 4-12-96 or emergency language will be repealed by operation of law on the following day.
9. Certificate of Compliance as to 10-2-95 order including amendment of subsection (b)(4) transmitted to OAL 1-26-96 and filed 3-7-96 (Register 96, No. 10).
10. Reinstatement of subsections as they existed prior to emergency amendment filed 12-14-95 by operation of Government Code section 11346.1 (Register 96, No. 16).
11. Amendment of section heading, subsection (a) and repealer of subsections (c)-(c)(4) filed 4-16-96 as an emergency; operative 4-16-96 (Register 96, No. 16). A Certificate of Compliance must be transmitted to OAL by 8-14-96 or emergency language will be repealed by operation of law on the following day.
12. Certificate of Compliance as to 4-16-96 order transmitted to OAL 8-13-96 and filed 9-25-96 (Register 96, No. 39). Note: Authority cited: Sections 10725, 14021.3, 14021.5 and 14124.5, Welfare and Institutions Code. Reference: Sections 14021, 14021.3 and 14021.5, Welfare and Institutions Code.
1. Amendment filed 6-29-84 as an emergency; designated effective 7-1-84 (Register 84, No. 28). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 10-30-84. For prior history, see Registers 76, No. 2 and 75, No. 40.
2. Order of Repeal of 6-29-84 emergency language filed 11-26-84 by OAL pursuant to Government Code Section 11349.6(b) (Register 84, No. 48).
3. Amendment filed 1-31-85 as an emergency; designated effective 2-1-85 (Register 85, No. 7). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 6-3-85.
4. Certificate of Compliance transmitted to OAL 5-17-85 and filed 6-14-85 (Register 85, No. 24).
5. New subsections (b)(10) and (c)(3)-(4) and amendment of Note filed 10-5-93 as an emergency; operative 10-5-93 (Register 93, No. 41). A Certificate of Compliance must be transmitted to OAL by 2-2-94 or emergency language will be repealed by operation of law on the following day.
6. Certificate of Compliance as to 10-5-93 order transmitted to OAL 2-2-94 and filed 3-15-94 (Register 94, No. 11).
7. Repealer and new subsections (b)(2)-(10) and new subsections (b)(11)-(12) filed 10-2-95 as an emergency; operative 10-2-95 (Register 95, No. 40). A Certificate of Compliance must be transmitted to OAL by 1-30-96 or emergency language will be repealed by operation of law on the following day.
8. Amendment of section heading, subsection (a) and repealer of subsections (c)-(c)(4) filed 12-14-95 as an emergency; operative 12-14-95 (Register 95, No. 50). A Certificate of Compliance must be transmitted to OAL by 4-12-96 or emergency language will be repealed by operation of law on the following day.
9. Certificate of Compliance as to 10-2-95 order including amendment of subsection (b)(4) transmitted to OAL 1-26-96 and filed 3-7-96 (Register 96, No. 10).
10. Reinstatement of subsections as they existed prior to emergency amendment filed 12-14-95 by operation of Government Code section 11346.1 (Register 96, No. 16).
11. Amendment of section heading, subsection (a) and repealer of subsections (c)-(c)(4) filed 4-16-96 as an emergency; operative 4-16-96 (Register 96, No. 16). A Certificate of Compliance must be transmitted to OAL by 8-14-96 or emergency language will be repealed by operation of law on the following day.
12. Certificate of Compliance as to 4-16-96 order transmitted to OAL 8-13-96 and filed 9-25-96 (Register 96, No. 39).