10 Colo. Code Regs. § 2505-10-8.7517
Current through Register Vol. 47, No. 8, April 25, 2024
Section 10 CCR 2505-10-8.7517 - Day Treatment8.7517.ADay Treatment Eligibility1. Day Treatment is a covered benefit available to Members enrolled in the HCBS Brain Injury Waiver. 8.7517.BDay Treatment Definition1. Day Treatment means intensive therapeutic services scheduled on a regular basis for two or more hours per day, one or more days per week directed at the ongoing development of community living skills. Services take place in a non-residential setting separate from the home in which the Member lives. 8.7517.CDay Treatment Inclusions1. Day Treatment includes the following components: a. Social skills training, sensory motor development, reduction/elimination of maladaptive behavior and services aimed at preparing the individual for community reintegration (reaching concepts such as compliance, attending, task completion, problem solving, safety, money management).b. Professional services including occupational therapy, physical therapy, speech therapy, vocational counseling, nursing, social work, recreational therapy, Case Management, and neuropsychology should be directly available from the provider or available as contracted services when deemed medically necessary by the treatment plan.2. Certified occupational therapy aides, physical therapy aides, and communication aides may be used in lieu of direct therapy with fully licensed therapists to the extent allowed in existing state statute.3. The provider shall coordinate with other community-based resources and providers.a. Counseling and Referrals to appropriate professionals when Crisis situations occur with the Member and Family or staff.b. Behavioral programming which contains specific guidelines on treatment parameters and methods.4. Transportation between therapeutic tasks in the community shall be included in the rate for day treatment. 8.7517.DDay Treatment Provider Agency Requirements1. Directors of day treatment programs shall have professional licensure in a health-related program in combination with at least 2 years of experience in head trauma rehabilitation programming.2. Providers are required to have regular contact and meetings with the Members and their families to discuss Person-Centered Support Plan progress and revision. 8.7517.EDay Treatment Provider Reimbursement Requirements1. Day treatment services will be paid on a per diem basis at a rate to be determined by the Department. In order for a provider to be paid for a day of treatment, a Member must have attended and received day treatment services for a minimum of 2 hours per day.47 CR 03, February 10, 2024, effective 3/16/2024