Section 5160-27-12 - Behavioral health crisis intervention provided by unlicensed practitioners(A) For the purpose of medicaid reimbursement, behavioral health crisis intervention is a timely intervention with medicaid recipients who are experiencing a life threatening or complex emergent situation related to mental illness or a substance use disorder. (1) The goals of crisis intervention are to ease the crisis, re-establish safety and institute interventions to minimize psychological trauma.(2) Activities may include but are not limited to: emergent care, assessment, immediate stabilization, de-escalation, counseling, care planning and resolution.(B) In order to provide behavioral health crisis intervention, practitioners must meet the requirements in paragraph (A)(6) of rule 5160-27-01 of the Administrative Code. (1) For the purposes of this rule, the following unlicensed practitioners are excluded: care management specialist and peer recovery supporter. (2) Practitioners of crisis intervention shall have current certification in first aid and cardio-pulmonary resuscitation (CPR).(C) Limitations: crisis intervention will not be reimbursed when a recipient is enrolled in assertive community treatment (ACT), intensive home based treatment (IHBT) or receiving services in a substance use disorder (SUD) residential treatment facility.(D) Providers shall adhere to documentation requirements set forth in rules 5160-1-27 and 5160-8-05 of the Administrative Code.(E) Crisis psychotherapy rendered by licensed practitioners is authorized in rule 5160-8-05 of the Administrative Code and as defined by the American medical association's current procedural terminology book.Ohio Admin. Code 5160-27-12
Effective: 1/1/2021
Five Year Review (FYR) Dates: 1/1/2023
Promulgated Under: 119.03
Statutory Authority: 5162.02, 5162.05, 5164.02
Rule Amplifies: 5164.03, 5164.02
Prior Effective Dates: 01/01/2018, 06/12/2020 (Emer.)