La. Admin. Code tit. 48 § I-5684

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-5684 - Mobile Services

A. Outreach Mobile Services

1. community outreach services (including access to specialized care;

2. prevention and awareness strategies (primary prevention);

3. screening, brief intervention and referral to treatment (SBIRT);

4. recovery support services;

5. peer recovery coaching;

6. narcan education and distribution;

7. other similar educational and outreach services; and

8. may be provided in a car, van, motor home, kiosk, etc.

B. Outreach Mobile Team

1. LMHP

2. prevention specialist

3. peer support specialist

4. Medical professional (licensed practical nurse (LPN), RN, or medical doctor (MD)

C. Behavioral Health Mobile Clinic (BHMC) Services

1. behavioral health services provided in a mobile unit that travels to various locations within the behavioral health service provider (BHSP)'s geographic service area;

2. only existing licensed LGEs shall be authorized to provide behavioral health services in a BHMC;

3. BHSP may utilize a BMHC to provide services to youth and/or adults who may be struggling to access behavioral health services through traditional means because of barriers to treatment such as transportation, family issues, child care concerns or conflicting work schedules;

4. BHSP shall ensure that services are provided in a secure, private/HIPAA compliant space and offering the same behavioral health services provided in the brick and mortar clinic;

5. BHSP shall ensure client records are maintained in a secure and confidential manner;

6. BHSP shall ensure staff is available consistent with the services provided in the BHMC; and

7. BHMC service shall be provided in a motor home/recreational vehicle type vehicle;

8. BHMC services include the following:

a. intake, assessments and enrollment of new clients;

b. medical screens for entrance into a behavioral health treatment service/program by appropriate medical professional in accordance with their scope of practice;

c. screening, brief intervention and referral to treatment;

d. counseling services;

e. coping skills;

f. case management/care coordination;

g. stress management;

h. relapse prevention;

i. individual recovery planning;

j. medication assisted treatment (MAT) services (Methadone is excluded from this mobile service); and

k. pharmacy services.

9. excluded mobile services include, but are not limited to the following:

a. Opioid Treatment Program (OTP);

b. substance use disorder residential services;

c. Medicaid home and community based services (behavioral health and waiver); and

d. crisis services.

NOTE: The provisions of this Section shall be effective upon the promulgation of this Rule and not to exceed one year as a pilot program limited only to currently licensed local governing entity (LGE) BHS providers. At the end of the one year pilot period, LDH will re-evaluate these provisions to determine whether they should continue for LGE BHS providers only, or whether to apply them to all other licensed BHS providers of mobile services.

D. Mobile Crisis Response

1. Mobile crisis response services are an initial or emergent crisis intervention response intended to provide relief, resolution, and intervention provided by a mobile crisis response team (MCRT).

2. This service shall be provided under the supervision of a licensed mental health professional (LMHP) with experience regarding this specialized mental health service. The LMHP or physician shall be available at all times to provide back-up, support and/or consultation from assessment of risk and through all services delivered during a crisis.

3. this service is not intended to be conducted or provided inside the vehicle; the vehicle is for transport of employees to the clients' location in their home/community.

La. Admin. Code tit. 48, § I-5684

Promulgated by the Department of Health, Bureau of Health Services Financing, LR 481284 (5/1/2022), Amended by the Department of Health, Health Standards Section, LR 50406 (3/1/2024).

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and R.S. 40:2151-2161.