10 Colo. Code Regs. § 2505-10-8.7508
Current through Register Vol. 47, No. 24, December 25, 2024
Section 10 CCR 2505-10-8.7508 - Behavioral Programming/Behavioral Management and Education8.7508.ABehavioral Programming/Behavioral Management and Education Eligibility1. Behavioral Programming/Behavioral Management and Education is a covered benefit available to Members enrolled in the HCBS Brain Injury Waiver.8.7508.BBehavioral Programming/Behavioral Management and Education Definition1. Behavioral programming and education means individually developed interventions designed to decrease/control the Member's severe maladaptive behaviors which, if not modified or prevented, will interfere with the Member's ability to remain integrated in the community.8.7508.CBehavioral Programming/Behavioral Management and Education Inclusions1. Programs should consist of a comprehensive Assessment of behaviors, development of a structured behavioral intervention plan, and ongoing training of Family and caregivers for feedback about plan effectiveness and revision. Consultation with other providers may be necessary to ensure comprehensive application of the program in all facets of the Member's environment.2. Behavioral programs may be provided in the community, or in the Member's residence unless the residence is a Transitional Living Program which provides behavioral intervention as a treatment component.3. All behavioral programming must be documented in the Member's Provider Care Plan and may not exceed 30 units of service. The Department may authorize additional units based on needs identified in the Member's Person-Centered Support Plan or Provider Care Plan.8.7508.DBehavioral Programming/Behavioral Management and Education Provider Agency Requirements1. The program should have as its director a Licensed Psychologist who has one year of experience in providing neuro behavioral services or services to persons with brain injury or a healthcare professional such as a Licensed Clinical Social Worker, Registered Occupational Therapist, Registered Physical Therapist, Speech Language Pathologist, Registered Nurse or Master's level Psychologist with three years of experience in caring for persons with neurobehavioral difficulties. Behavioral specialists who directly implement the program shall have two years of related experience in the implementation of behavioral management concepts.2. Behavioral specialists will complete a 24-hour training program dealing with unique aspects of caring for and working with individuals with Brain Injury if their work experience does not include at least one year of the same.8.7508.EBehavioral Programming/Behavioral Management and Education Reimbursement1. The Case Manager must document the behavioral programming service on the Member's Person-Centered Support Plan and include the number of service units on the Member's Prior Authorization Request (PAR).2. Behavioral programming services will be reimbursed on an hourly basis as established by the Department.47 CR 03, February 10, 2024, effective 3/16/202447 CR 21, November 10, 2024, effective 11/30/2024