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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 2505-10-8.7557 - Wraparound Services

10 Colo. Code Regs. § 2505-10-8.7557

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Current through Register Vol. 47, No. 24, December 25, 2024
Section 10 CCR 2505-10-8.7557 - Wraparound Services
8.7557.AWraparound Services Eligibility
1. Wraparound Services are available as a covered benefit to Members enrolled in the HCBS Children's Habilitation Residential Program Waiver
8.7557.BWraparound Services Description and Definition
1. Wraparound services align strategies, interventions, and supports for the Member and family, to prevent the need for out of home placement. This service may be utilized in maintaining stabilization, preventing Crisis situations, and/or de-escalation of a Crisis.
2. Wraparound services include Wraparound Plan and Prevention and Monitoring which are billed separately.
3. A Crisis may be self-identified, Family identified, and/or identified by an outside party.
4. Wraparound Service may be provided individually, or in conjunction with the Child and Youth Mentorship service, defined at 8.7512.
8.7557.CCHRP Wraparound Plan
1. The Wraparound Facilitator is responsible for the development of a Wraparound Plan with action steps to implement support strategies, prevent, and/or manage a future Crisis to include, but not limited to:
a. The unique strengths, abilities, preferences, desires, needs, expectations, and goals of the Member and family.
b. Environmental modifications.
c. Support needs in the Family home.
d. Respite services.
e. Strategies to prevent Crisis triggers.
f. Strategies for Predictive and/or Increased Risk Factors.
g. Learning new adaptive or life skills.
h. Behavioral or other therapeutic interventions to further stabilize the Member emotionally and behaviorally and to decrease the frequency and duration of any future behavioral Crisis.
i. Medication management and stabilization.
j. Physical health.
k. Identification of training needs and connection to training for Family Members, natural supports, and paid staff.
l. Determination of criteria to achieve stabilization in the Family home.
m. Identification of how the plan will be phased out once the Member has stabilized.
n. Contingency plan for out of home placement.
o. Wraparound Support Team may include Family caregivers, other Family Members, service providers, natural supports, professionals, and Case Managers required to implement the Wraparound Plan.
p. Dissemination of the Wraparound Plan to all individuals involved in plan implementation.
2. Revision of strategies shall be a continuous process by the Wraparound Support Team in collaboration with the Member, until the Member is stable and there is no longer a need for Wraparound Support Services.
3. On-going monitoring after completion of the Wraparound Plan may be provided if there is a need to support the Member and their Family in connecting to any additional resources needed to prevent a future Crisis.
8.7557.DPrevention and Monitoring
1. Follow-up services include monitoring to ensure that triggers to the Crisis have been addressed in order to maintain stabilization and prevent a future Crisis.
2. Monitoring of the Wraparound Plan shall occur at a frequency determined by the Member's needs and include at a minimum, visits to the Member's home, review of documentation, and coordination with other Professionals and/or Members of the Wraparound Support Team to determine progress.
3. Services include a review of the Member's stability and monitoring of Increased Risk Factors that could indicate a repeat Crisis.
4. Revision of the Wraparound Plan shall be completed as necessary to avert a Crisis or Crisis escalation.
5. Services include ensuring that follow-up appointments are made and kept.
8.7557.EWraparound Services Provider Agency Requirements
1. Individuals providing Wraparound Services shall meet the following criteria:
a. The Wraparound Plan Facilitator shall:
i. Have a Bachelor's degree in a human behavioral science or related field of study; or
ii. Have experience working with Long-Term Services and Supports (LTSS) populations, in a private or public social services Agency which may substitute for the required education on a year for year basis
1) When using a combination of experience and education to qualify, the education shall have a strong emphasis in a human behavioral science field.
iii. Have received Certification through a Nationally Accredited Wraparound Program.
1) Training and Certification must encompass all of the following:
a) Trauma informed care.
b) Youth mental health first aid.
c) Crisis support and planning.
d) Positive Behavior Supports, behavior intervention, and deescalation techniques.
e) Cultural and linguistic competency.
f) Family and youth servicing systems.
g) Family engagement.
h) Child and adolescent development.
i) Accessing community resources and services.
j) Conflict resolution.
k) Intellectual and Developmental Disabilities.
l) Mental health topics and services.
m) Substance abuse topics and services.
n) Psychotropic medications.
o) Motivational interviewing.
p) Prevention, detection and reporting of mistreatment, abuse, neglect, and exploitation.
iv. Complete re-certification in wraparound training at least every other year or as dictated by wraparound training program.

10 CCR 2505-10-8.7557

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