10 Colo. Code Regs. § 2505-10-8.747
Current through Register Vol. 47, No. 11, June 10, 2024
Section 10 CCR 2505-10-8.747 - SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT SERVICES8.747.1DEFINITIONSBrief Intervention means a provider interaction with a client that is intended to induce a positive change in a health-related behavior. Brief intervention may include an initial intervention, a follow-up intervention and/or a referral.
Brief Screen or Pre-screen means several short questions related to the client's substance use. A brief screen or pre-screen is designed to determine if a full screen is necessary.
Follow-up Intervention means services to reassess a client's status, assess progress and promote or sustain a reduction in substance use. Follow-up services may also be used to assess a client's need for additional services.
Full Screen means the use of a Colorado Medicaid approved evidence-based screening tool to identify clients at risk for substance abuse problems.
Screening, Brief Intervention and Referral to Treatment (SBIRT) means comprehensive, integrated public health approach to the delivery of early intervention and treatment services for persons with substance use disorders, as well as those who are at risk of developing these disorders. Primary care centers, hospital emergency rooms, trauma centers, and other community settings provide opportunities for early intervention with at-risk substance users before more severe consequences occur.
8.747.2CLIENT ELIGIBILITY8.747.2.A. All clients 12 years of age and older are eligible to receive this service.8.747.3PROVIDER REQUIREMENTS8.747.3.A. Screening, Brief Intervention and Referral to Treatment services must be provided by, or under the supervision of, a licensed health care professional.8.747.3.B. The following licensed professionals are eligible to provide services or supervise staff that are providing services: 5. Psychologist with PhD. or PsyD.6. Licensed Clinical Social Worker (LCSW)7. Marriage and Family Therapist8. Licensed Professional Counselor (LPC)9. Licensed Addiction Counselor (LAC)10. Certified Addictions Counselor III8.747.3.C. All licensed individuals must be trained in order to provide or supervise individuals providing Screening, Brief Intervention and Referral to Treatment services. 1. A minimum of four (4) hours Screening, Brief Intervention and Referral to Treatment training is required.8.747.3.D. All non-licensed individuals must be trained in Screening, Brief Intervention and Referral to Treatment services in order to provide services; including the following requirements:1. Be under the supervision of a licensed and trained Screening, Brief Intervention and Referral to Treatment services provider.2. Complete a minimum of 60 hours professional experience such as coursework, internship, practicum, education or professional work within their respective field. This experience should include a minimum of 4 hours of training that is directly related to Screening, Brief Intervention and Referral to Treatment services.3. Complete a minimum of 30 hours of face-to-face client contact within their respective field. This may include internships, on the job training, or professional experience. This contact may include, but does not have to be directly related to Screening, Brief Intervention and Referral to Treatment services training.8.747.4COVERED SERVICES8.747.4.A Screening, Brief Intervention and Referral to Treatment services are covered for risky substance use or abuse including alcohol and drugs.1. A full screen, using a Colorado Medicaid approved screening tool, shall be limited to two (2) per client per state fiscal year.8.747.4.B. Brief intervention services may be provided on the same date of service as the full screen, or on subsequent days. 1. The Brief Intervention shall be limited to two (2) sessions per client per state fiscal year. Each session is limited to two (2) units per session, at 15 minutes per unit.8.747.5NON-COVERED SERVICES8.747.5.A Non-covered services include: 1. Pre-screen or brief screen.8.747.6REIMBURSEMENT8.747.6.A Providers may submit for reimbursement under either CPT or HCPC codes, but not both.8.747.6.B Screening, Brief Intervention and Referral to Treatment services provided by Federally Qualified Health Centers under supervision, as defined in Section 8.700.1, will be reimbursed in the encounter rate. 8.747.6.C Screening, Brief Intervention and Referral to Treatment services may be provided on the same day as other Evaluation & Management services.8.747.6.D Any claims reimbursed for more than the maximum units per year are subject to recovery by the Department.