Section 7 AAC 135.160 - Short-term crisis intervention services(a) The department will pay a community behavioral health services provider or mental health physician clinic for short-term crisis intervention services, provided by a mental health professional clinician to a recipient, if that mental health professional clinician provides an initial assessment of the (1) nature of the short-term crisis;(2) recipient's mental, emotional, and behavioral status; and(3) recipient's overall functioning in relation to the short-term crisis.(b) The mental health professional clinician may order and deliver, as a crisis intervention service, a medically necessary and clinically appropriate behavioral health clinic service, rehabilitation service, or intervention service under 7 AAC 135.010 that (1) is included in the crisis plan to (A) reduce the symptoms of the acute mental, emotional, or behavioral disorder;(B) prevent harm to the recipient or others;(C) prevent further relapse or deterioration of the recipient's condition; or(D) stabilize the recipient within the family system, if one exists.(2) does not exceed 22 hours of the total short-term crisis intervention services provided to a recipient during a state fiscal year.(c) Short-term crisis intervention includes the following treatment and supports: (1) individual or family psychotherapy needed in response to the short-term crisis;(2) individual or family training and education related to resolving the existing short-term crisis and preventing a future crisis;(3) monitoring the recipient for safety purposes.(d) The mental health professional clinician is responsible for (1) planning all behavioral health services needed to respond to the short-term crisis;(2) writing the short-term crisis intervention plan that contains (A) treatment goals derived from the assessment performed under (a) of this section of the crisis; and(B) a description of the medically necessary and clinically appropriate services provided under this chapter that the recipient requires to resolve the existing short-term crisis; and(3) directing all services that are ordered in the short-term crisis intervention plan except for pharmacologic management services.(e) The department will separately pay a community behavioral health services provider for pharmacologic management services provided in accordance with 7 AAC 135.010(b) (2) and for the behavioral health clinic and rehabilitation services and interventions ordered and delivered under a short-term crisis intervention plan developed under (b) of this section if the bill for each service is separately submitted to the department.(f) Notwithstanding any behavioral health treatment plan in effect for the recipient at the onset of a short-term crisis, if a recipient is receiving short-term crisis intervention services, the department will only pay for the behavioral health services identified in the short-term crisis intervention plan for the duration of the short-term crisis intervention service.(g) Short-term crisis intervention must be documented in a progress note in accordance with 7 AAC 105.230 and include an evidence-based risk assessment and follow-up disposition. The services that are ordered by the mental health professional clinician in the short-term crisis intervention plan, but provided by others, must be documented by the individual who provided the service. All documentation under this subsection must be filed in the recipient's clinical record.(h) Short-term crisis intervention may be provided in any appropriate outpatient or community setting, including (1) a hospital emergency room, if the recipient has not been admitted to the hospital;(2) a facility designated for crisis respite purposes; and(3) the recipient's place of residence, workplace, or school.Eff. 10/1/2011, Register 199; am 12/23/2022, Register 244, January 2023; am 2/2/2024, Register 249, April 2024Authority:AS 47.05.010
AS 47.07.030