Section 405 IAC 5-21.5-6 - Skills training and developmentAuthority: IC 12-15
Affected: IC 12-13-7-3
Sec. 6.
(a) The services reimbursable as individual or group skills training and development involve face-to-face contact that results in the development of skills directed toward eliminating psychosocial barriers. The development of skills is provided through structured interventions for attaining goals identified in the individualized integrated care plan and the monitoring of the member's progress in achieving those skills. Requirements for individual or group skills training and development shall be as follows:(1) Services may be provided for members of all ages.(2) Services may be provided in an individual setting or group setting.(3) Providers must meet any of the following qualifications: (A) A licensed professional.(4) Programming standards shall be as follows: (A) The service requires face-to-face contact with the member.(B) Members are expected to show a benefit from services, with the understanding that improvement may be incremental.(C) Services must result in demonstrated movement towards, or achievement of, the member's treatment goals identified in the individualized integrated care plan.(D) Services are rehabilitative in nature and time limited.(E) The member is the focus of the service.(F) Documentation must support how the service benefits the member, including when the service is provided in a group setting.(G) When provided in a group setting, services must be provided in an age appropriate setting for a member less than eighteen (18) years of age.(5) Exclusions shall be as follows: (A) Services that are habilitative in nature, except for the achievement of developmental milestones for members less than eighteen (18) years of age that would have occurred absent an emotional disturbance.(B) Skill building activities not identified in the individualized integrated care plan.(D) Activities purely for recreation or diversion.(6) Individual and group skills training and development services are not reimbursable if delivered on the same day as child and adolescent intensive rehabilitative services or adult intensive rehabilitative services.(b) The services reimbursable as family or couple skills training and development with or without the member present involve face-to-face contact with family members or nonprofessional caregivers that result in the development of skills for the member directed toward eliminating psychosocial barriers. The development of skills is provided through structured interventions for attaining goals identified in the individualized integrated care plan and the monitoring of progress in achieving those skills. Requirements for these services without the member present shall be as follows: (1) Services may be provided for family members or other nonprofessional caregivers supporting a member.(2) Services may be provided in an individual or group setting.(3) Providers must meet any of the following qualifications:(A) A licensed professional.(4) Programming standards shall be as follows:(A) The services require face-to-face contact with family members or nonprofessional caregivers on behalf of the member.(B) Members are expected to show benefit from services, with the understanding that improvement may be incremental.(C) Services must result in demonstrated movement towards, or achievement of, the member's treatment goals identified in the individualized integrated care plan.(D) Services must be rehabilitative in nature and time limited.(E) The member is the focus of the service.(F) Documentation must support how the service benefits the member, including when the member is not present and when the service is provided in a group setting.(G) When provided in a group setting, services must be provided in an age appropriate setting for members less than eighteen (18) years of age.(5) Exclusions shall be as follows: (A) Skills training that is habilitative in nature, except for the achievement of developmental milestones for members less than eighteen (18) years of age that would have occurred absent an emotional disturbance.(B) Skill building activities not identified in the individualized integrated care plan.(D) Activities purely for recreation or diversion.(F) Services may not be provided to professional caregivers.Office ofthe Secretary of Family and Social Services; 405 IAC 5-21.5-6; filed May 27, 2010, 9:15 a.m.: 20100623-IR-405100045FRA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFAFiled 8/1/2016, 3:44 p.m.: 20160831-IR-405150418FRAReadopted filed 7/28/2022, 2:21 p.m.: 20220824-IR-405220205RFAReadopted filed 5/30/2023, 11:54 a.m.: 20230628-IR-405230292RFA