12 Va. Admin. Code § 30-50-420

Current through Register Vol. 41, No. 9, December 16, 2024

Section 12VAC30-50-420 - [Effective 1/2/2025] Case management services for seriously mentally ill adults and emotionally disturbed children

A. Target group for case management services for seriously mentally ill adults and emotionally disturbed children. The Medicaid-eligible individual shall meet the definition for "serious mental illness" pursuant to 42 CFR 483.102(b)(1) or "serious emotional disturbance in children and adolescents" pursuant to Appendix A of the Department of Behavioral Health and Developmental Services (DBHDS) Core Services Taxonomy 7.3.

1. An active client for case management shall mean an individual for whom there is a plan of care in effect that requires regular direct or client-related contacts or communication or activity with the client, family, service providers, significant others, and others, including at least one face-to-face contact every 90 days. Billing can be submitted for an active client only for months in which direct or client-related contacts, activity, or communications occur. Authorization is required for Medicaid reimbursement.

2. There shall be no maximum service limits for case management services. In accordance with 42 CFR 441.18(a)(8)(vii), reimbursement is allowed for case management services for Medicaid-eligible individuals who are in institutions, with the exception of individuals who are 22 years of age to 64 years of age and are served in institutions of mental diseases (IMDs) and individuals of any age who are inmates of public institutions. An IMD is a facility that is primarily engaged in the treatment of mental illness and has more than 16 beds in accordance with § 1905(i) of the Social Security Act.

3. For individuals who are 22 years of age to 64 years of age, services rendered during the same month as the admission to the IMD are reimbursable as long as the service was rendered prior to the date of the admission.

4. Case management services for individuals who are younger than 22 years of age or older than 64 years of age in an IMD may be billed 30 calendar days prior to discharge as long as the case management services do not duplicate other services provided by the institution.

B. Services for seriously mentally ill adults and emotionally disturbed children will be provided to the entire state.

C. Comparability of case management services for seriously mentally ill adults and emotionally disturbed children. Services are not comparable in amount, duration, or scope. Authority of § 1915(g)(1) of the Social Security Act is invoked to provide services without regard to the requirements of § 1902(a)(10)(B) of the Social Security Act.

D. Definition of case management services for seriously mentally ill adults and emotionally disturbed children. Case management services assist individual children and adults in accessing needed medical, psychiatric, social, educational, vocational, and other supports essential to meeting basic needs. Services to be provided include:

1. Assessment and planning services, to include developing an individual service plan (ISP) (does not include performing medical and psychiatric assessment but does include referral for such assessment);

2. Linking the individual to services and supports specified in the ISP;

3. Assisting the individual directly for the purpose of locating, developing, or obtaining needed services and resources;

4. Coordinating services and service planning with other agencies and providers involved with the individual;

5. Enhancing community integration by contacting other entities to arrange community access and involvement, including opportunities to learn community living skills and use vocational, civic, and recreational services;

6. Making collateral contacts with the individual's significant others to promote implementation of the service plan and community adjustment;

7. Follow-up and monitoring to assess ongoing progress and to ensure services are delivered; and

8. Education and counseling that guides the client and develops a supportive relationship that promotes the service plan.

E. Qualifications of providers of case management services for seriously mentally ill adults and emotionally disturbed children.

1. Services are not comparable in amount, duration, or scope. Authority of § 1915(g)(1) of the Social Security Act is invoked to limit case management providers for individuals with a developmental disability and individuals with serious or chronic mental illness to the Community Services Boards only to enable them to provide services to individuals with a developmental disability or serious or chronic mental illness without regard to the requirements of § 1902(a)(10)(B) of the Social Security Act.

2. To qualify as a provider of services through DMAS for rehabilitative mental health case management, the provider of the services must meet the following criteria:

a. The provider must have the administrative and financial management capacity to meet state and federal requirements;

b. The provider must have the ability to document and maintain individual case records in accordance with state and federal requirements;

c. The services shall be in accordance with the Virginia Comprehensive State Plan;

d. The provider must be licensed as a provider of case management services by DBHDS;

e. Persons providing case management services must have knowledge of:

(1) Services, systems, and programs available in the community, including primary health care, support services, eligibility criteria and intake processes, generic community resources, and mental health, developmental disability, and substance abuse treatment programs;

(2) The nature of serious mental illness, developmental disability, and substance abuse depending on the population served, including clinical and developmental issues;

(3) Different types of assessments, including functional assessments, and their uses in service planning;

(4) Treatment modalities and intervention techniques, such as behavior management, independent living skills training, supportive counseling, family education, crisis intervention, discharge planning, and service coordination;

(5) The service planning process and major components of a service plan;

(6) The use of medications in the care or treatment of the population served; and

(7) All applicable federal and state laws, state regulations, and local ordinances;

f. Persons providing case management services must have skills in:

(1) Identifying and documenting an individual's needs for resources, services, and other supports;

(2) Using information from assessments, evaluations, observation, and interviews to develop ISPs;

(3) Identifying services and resources within the community and established service system to meet the individual's needs and documenting how resources, services, and natural supports, such as family, can be utilized to achieve an individual's personal habilitative or rehabilitative and life goals; and

(4) Coordinating the provision of services by public and private providers; and

g. Persons providing case management services must have abilities to:

(1) Work as team members, maintaining effective inter-agency and intra-agency working relationships;

(2) Work independently, performing position duties under general supervision; and

(3) Engage in and sustain ongoing relationships with individuals receiving services.

3. Providers may bill Medicaid for mental health case management only when the services are provided by qualified mental health case managers.

F. The state ensures that the provision of case management services will not restrict an individual's free choice of providers in violation of § 1902(a)(23) of the Social Security Act.

1. Eligible recipients will have free choice of the providers of case management services.

2. Eligible recipients will have free choice of the providers of other medical care under the plan.

G. Payment for case management services under the plan shall not duplicate payments made to public agencies or private entities under other program authorities for this same purpose.

H. Case management services may not be billed concurrently with intensive community treatment services, treatment foster care case management services, or intensive in-home services for children and adolescents.

12 Va. Admin. Code § 30-50-420

Derived from VR460-03-3.1102 §2, eff. May 1, 1994; amended, Virginia Register Volume 20, Issue 7, eff. February 1, 2004; Volume 27, Issue 10, eff. February 16, 2011; Amended, Virginia Register Volume 41, Issue 7, eff. 1/2/2025.

Statutory Authority: § 32.1-325 of the Code of Virginia.