10 Colo. Code Regs. § 2505-10-8.7548
Current through Register Vol. 47, No. 24, December 25, 2024
Section 10 CCR 2505-10-8.7548 - Substance Use Counseling8.7548.ASubstance Use Counseling Eligibility1. Substance Use Counseling is a covered benefit available to Members enrolled in the HCBS Brain Injury Waiver.8.7548.B Substance Use Counseling Definition1. Substance Use Counseling services shall be designed to support the Member in managing and/or overcoming substance use. These services are in addition to counseling services available through State Plan services and are not intended to replace these services.8.7548.CSubstance Use Counseling Inclusions1. Outpatient individual, group, and Family counseling services may be provided in the home, community, or provider's office.2. Substance abuse services are provided in a non-residential setting and must include Assessment, development of an intervention plan, implementation of the plan, ongoing education and training of the waiver Member, Family or caregivers when appropriate, periodic Reassessment, education regarding appropriate use of prescription medication, culturally responsive individual and group counseling, Family counseling for persons if directly involved in the support system of the Member, interdisciplinary care coordination meetings, and an aftercare plan staffed with the Case Manager.3. Counseling services are limited to 30 units 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 care plan.8.7548.D Substance Use Counseling Exclusions and Limitations1. Inpatient treatment is not a covered benefit.8.7548.E Substance Use Counseling Provider Agency Requirements1. Substance abuse services may be provided by any Provider Agency or individual licensed by the Behavioral Health Administration (BHA) and certified by the Department of Health Care Policy and Financing (HCPF).2. Providers must demonstrate a fully developed plan entailing the method by which coordination will occur with existing community agencies and support programs to provide ongoing support to Members with substance abuse problems. The provider shall promote training to improve the ability of the community resources to provide ongoing support to Members living with a Brain Injury.3. Counselors shall be certified at the Certified Addiction Specialist, Licensed Addictions Counselor level or a doctoral level psychologist with the same level of experience in substance abuse counseling. All counseling professionals within the substance abuse area shall receive specialized training prior to providing services to any Member with a Brain Injury or their Family Members.8.7548.FSubstance Use Counseling Reimbursement1. There are three separate counseling services allowable under HCBS-BI counseling services including Family Counseling (if the Member is present), Individual Counseling, and Group Counseling each reimbursed on a 1 unit = 1 hour basis47 CR 03, February 10, 2024, effective 3/16/202447 CR 21, November 10, 2024, effective 11/30/2024