Statutes, codes, and regulations
Colorado Administrative Code
Department 2505 - Department of Health Care Policy and FinancingDivision 2505 - Medical Services Board (Volume 8; Medical Assistance, Children's Health Plan)
Rule 10 CCR 2505-10-8.7000 - CREATION OF MEDICAL ASSISTANCE ACT SECTION 7.000 CONCERNING CASE MANAGEMENT, MEMBER RIGHTS AND RESPONSIBILITIES HOME AND COMMUNITY BASED SERVICES AND PROVIDER AGENCY REQUIREMENTS
Section 10 CCR 2505-10-8.7516 - Counseling Services

10 Colo. Code Regs. § 2505-10-8.7516

Download
PDF
Current through Register Vol. 47, No. 24, December 25, 2024
Section 10 CCR 2505-10-8.7516 - Counseling Services
8.7516.A Counseling Services Eligibility
1. Counseling Services is a service available to Members enrolled in the HCBS Brain Injury Waiver.
8.7516.BCounseling Services Definition
1. Counseling services mean individualized services designed to assist Members and their support systems to more effectively manage stress related situations due to a Brain Injury diagnosis.
8.7516.CCounseling Services Inclusions
1. Counseling is available to the Member's Family and support network in conjunction with the Member if they:
a) have a significant role in supporting the Member or
b) live with or provide care to the Member. "Family" and "support network" includes a Parent, spouse, child, relative, foster family, in-laws, or other person who may have significant ongoing interaction with the Member.
2. Services may be provided in the Member's residence, in community settings, or in the provider's office.
3. Intervention may be provided in either a group or individual setting: however, charges for group and individual therapy shall reflect differences.
4. The need for all Counseling Services must be documented in the Person-Centered Support Plan.
5. All Counseling Services must be provided by enrolled HCBS Provider Agencies.
6. Family training/counseling must be carried out for the direct benefit of the Members of the HCBS-Brain Injury program.
6. Family training is considered an integral part of the continuity of care in transition to home and community environments. Services are directed towards instruction about treatment regimens and use of equipment specified in the service plan and shall include updates as may be necessary to safely maintain the Member at home.
7. The service is limited to thirty 30 visits of individual, group, family, or a combination of counseling services. The Department may authorize additional units based on needs identified in the Person- Centered Support Plan or Provider Care Plan.
8.7516.DCounseling Services Exclusions and Limitations
1. Family training is not available to individuals who are employed to care for the Member.
8.7516.ECounseling Services Provider Agency Requirements
1. Professionals providing Counseling Services must hold the appropriate license or certification for their discipline according to state law or federal regulations and represent one of the following professional categories: Licensed Clinical Social Worker, Certified Rehabilitation Counselor, Licensed Professional Counselor, or Licensed Clinical Psychologist. Master's or doctoral level counselors who meet experiential and educational requirements but lack the certification or credentialing as described above, may submit their professional qualifications via curriculum vitae or resume for consideration.
2. All professionals applying as Provider Agencies of Counseling Services must demonstrate or document a minimum of two years of experience in providing counseling to Members with a Brain Injury and their families.
8.7516.FCounseling Services Reimbursement
1. Reimbursement will be on an hourly basis per type of counseling service as established by the Department. Three distinct counseling services are allowable for Members enrolled in the HCBS-Brain Injury Waiver: Counseling Services including Family Counseling, Individual Counseling, and Group Counseling.

10 CCR 2505-10-8.7516

47 CR 03, February 10, 2024, effective 3/16/2024
47 CR 21, November 10, 2024, effective 11/30/2024