Guidance for the Application of ASAM WM in PA SUD Tx System. . Pittsburgh Mercy 1200 Reedsdale Street Pittsburgh, PA 15233-2109. This includes (but may not be limited to) 55 Pa. Code 5210 (Partial Hospitalization Licensing Regulations), 55 Pa. Code 1153 (Outpatient Psychiatric Regulations) and 55 Pa. Code 1101 (General Provisions). Brights CMYK 0.000000 trailer 1 CFR 1.1 0 Assessments for group services may be completed within 30 days of initiation of service instead of 15 days, and Individual Treatment Plans (ITPs) within 45 days, instead of 30 days. CMYK CMYK Guidance for the Application of ASAM for Adults - 2/22. 0.000000 7, . X0 % 8(x Child Partial Hospitalization Program. 0.000000 The Office of Mental Health and Substance Abuse Services (OMHSAS) is responsible for the licensure of a variety of services ranging from outpatient to inpatient mental health providers. 0.000000 Hospital Programs. assignment. 0.000000 CMYK For a free screening 800-767-4411. (vi) Family counseling, the primary purpose of which is treatment of the individual's condition. DHS has suspended the requirement that a Mental Health Professional sign each individual residential service plan and service plan review. 50.000000 1 0 obj 0.000000 Additionally, the requirement in 55 Pa. Code 1153.14 that MA payment will not be made for a covered partial hospitalization service conducted over the telephone also . No changes found for this content after 1/03/2017. You can learn more about the process 39.999996 Chap. 39.999996 For MA payment for Outpatient Drug and Alcohol services provided in accordance with 55 Pa. Code Chapter 1223, DHS will allow up to 60 days of intake to complete the Initial Treatment Plans instead of 15 days. Level 2 programs provide essential addiction education and treatment components and have two gradations of intensity. 9.999103 0.000000 Additionally, a conditional plan for fire safety inspection and fire drills must be reviewed and approved by OMHSAS. 100.000000 0.000000 80.000000 85.000000 0.000000 They will be the lead clinician within the treatment environment and responsible for maintaining the integrity and efficiency of all aspects of the clinical treatment course of the therapeutic milieu. 2023 Magellan Health, Inc. All Rights Reserved. Behavioral health providers in the Commonwealth provide a comprehensive array of critical mental health and substance use disorder services that facilitate recovery for adults and resiliency for children. The requirements for a written quarterly review of the drug regimen of each resident, by a licensed pharmacist, and that the findings be submitted to the program director and prescribing physicians, have also been suspended. Payment will not be made for compensable peer support 6C ak' 5 CLkhk$;&1` F$U)0G4.g0Z>UgnS{l~6N m5+.PrD}~^amE#uU6?(->p?$Uy$^jqG0E`r4&F",*CYLCYRu)({l;@r.r D* Ofy l%6jDW'DH{bVK C=35 M=60 Y=80 K=25 100.000000 75.000000 R2. 5210.58. (7) Have the cognitive and emotional ability to participate in the active treatment process and can tolerate the intensity of the partial hospitalization program. Pittsburgh, PA 15203-1266. 1 Winding Drive, Suite 106. C=60 M=90 Y=0 K=0 5.000001 To begin the process, contact the Admissions Department at: (717) 782-6493. or (866) 746-2496. Requirements that only physicians can provide certain services (thus allowing other licensed practitioners to provide those services within their scope of practice). 54 0 obj <> endobj 0.000000 PROCESS 36864,40960,40961,37121,37122,40962,40963,37510,40964,36867,36868,33434,33437,34850,34852,34855,34856,37377,37378,37379,37380,37381,37382,37383,37384,37385,37386,37396,41483,41484,41486,41487,41488,41492,41493,41495,41728,41729,41730,41985,41986,41987,41988,41989,41990,41991,41992,41993,41994,41995,41996,42016,0,2,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,20,22,23,24,25,26,27,28,30;E272FFFE57E4B37A713DEA4DA2F5CCB0 1 PROCESS CMYK Partial hospitalization services Medicare-Medicaid plans under Amerigroup STAR+PLUS MMP (Medicare-Medicaid Plan) follow . 0.000000 115 -Medical Record ServicesChap. Map & Directions. 1/1.1 10.000002 (5) Services furnished to SNF residents as defined in 411.15(p) of this chapter. CMYK partial hospitalization program (PHP) services that are in accordance with regulations at 424.24(e). Proudly founded in 1681 as a place of tolerance and freedom. CMYK Signature requirements have been suspended; however, verbal consent must be documented in the medical record at the time of service and providers are strongly encouraged to obtain signatures electronically when possible. 149 -Central Supply ServicesChap. Health Insurance Portability and Accountability Act (HIPAA, COVID-19 Public Health Emergency Suspended Regulations List. %PDF-1.5 2010-12-29T10:57:37-05:00 95.000000 25.000000 50.000000 The original memorandum issued on August 14, 2020, required that signatures of individuals be obtained for treatment and service plans that were created or updated during the disaster emergency declaration period within 60 days after the end of the disaster emergency declaration period. 3 0 obj BC_DVG\| VR{E\vkwlR*C$M|H=|6mIV;Z`ZM{3+. Points Chap. will bring you directly to the content. C=100 M=90 Y=0 K=0 0.000000 25.000000 C=40 M=65 Y=90 K=35 xmp.iid:F77F1174072068118A6DF0C37545496F here. partial hospitalization programs may treat adolescents 14 years of age and older when . PROCESS Call us. The services include medical and nursing, but at less intensity than that provided in a hospital setting. PROCESS 0.000000 These services include therapeutic milieu; nursing . PROCESS The requirements for signatures of consumers and case managers in case notes, encounter forms and service plans have been suspended. When the partial . C=0 M=0 Y=0 K=20 7, 2000; 72 FR 66399, Nov. 27, 2007; 73 FR 68811, Nov. 18, 2008]. PA 19047. 59.999104 C=100 M=100 Y=25 K=25 PROCESS On March 6, 2020, Governor Tom Wolf issued a Proclamation of Disaster Emergency (the Disaster Proclamation), which was renewed for 90 days on June 3, 2020, to enable agencies to respond promptly to the pandemic. Providers are strongly encouraged to obtain signatures electronically when possible. 100.000000 contact the publishing agency. Requirements regarding the right of individuals to receive visitors in a facility. 10.000002 PHPs provide structured, comprehensive care while allowing people to live outside . 0.000000 partial hospitalization programs, psychiatric clinics, residential programs, drug and alcohol programs, social and vocational programs and . (00p7mma~l*PxRF 1 MyhmX8BK)Kq6Di 6;0ZTF8D1,* *E;6LS{Q%qECfc. CMYK :4sqYu4S^5HLJ_#mMIhrFm:gm}FqQok8%q6FkqC(6xR|WK^7P(NG50!-~~|siXe[teu`6PM|ur>.o8$C+G&mV9UcQ_a+1-DQ!S1b]-;M0A3I0Z]_9c9n[ng:dc c WY@Bf6*3'K3p-c}3mC+K Please enable scripts and reload this page. PROCESS PROCESS 19.999998 Level 2.1 intensive outpatient programs provide 9-19 hours of weekly [59 FR 6577, Feb. 11, 1994, as amended at 65 FR 18536, Apr. Mountville, PA 17554 P: 877.907.7970 P: 717.285.7121 F: 717.285.2658 0.000000 The psychiatrist may instead perform or supervise the services via telehealth if clinically appropriate to do so. 129 -Nuclear Medicine ServicesChap. 0.000000 You can 100.000000 147 -Environmental ServicesChap. CMYK Yellow 0.000000 PROCESS 45.000000 For Emergency Situations, Always Call 911. 0.000000 Pennsylvania Code (Rules and Regulations) . PROCESS 1 2010-12-29T10:57:37-05:00 PROCESS CMYK 10. DHS also suspended the prohibition against the use of seclusion in the LTSR, only if there is a documented reason to believe the resident has a communicable disease or COVID-19-related symptoms. 0000000016 00000 n Mental Health Procedures under 55 Pa. Code Chapter 5100: The right of individuals to have visitors of their own choice in-person has been suspended. 5.000001 121 -Social Work ServicesChap. 35.000004 PROCESS 0.000000 Requirements for fire inspections and fire drills. hbbd```b``+@$8dL U~"ol/I &Fu`q ` vn White 50.000000 endstream endobj 55 0 obj <> endobj 56 0 obj <> endobj 57 0 obj <>/Font<>/ProcSet[/PDF/Text]>> endobj 58 0 obj <> endobj 59 0 obj <> endobj 60 0 obj <> endobj 61 0 obj <> endobj 62 0 obj <> endobj 63 0 obj <>stream Based on the annual ICD-10 updates for 2022, R45.88 was added to ICD-10 Codes that Support Medical Necessity, Group 1. HS has suspended the requirement related to the frequency of the fire safety inspection; however, the CRR must take due diligence to obtain the fire safety inspection within the required time frame. 1:10 . CMYK <>stream Displaying title 42, up to date as of 4/27/2023. 100.000000 Patients, family members and friends. 100.000000 For more information about our Partial Hospitalization Program, or to schedule an appointment, please call 717-632-4900 and select Option 2 to speak with one of our Customer Service Specialists. Click to skip to content, You are on secondary menu. 0.000000 PROCESS 0000001222 00000 n In partial hospitalization, the patient continues to reside at home, but commutes to a treatment center up to seven days a week. (v) Individualized activity therapies that are not primarily recreational or diversionary. C=0 M=90 Y=85 K=0 Group 1 Paragraph. DHS has suspended the maximum percentage limit on psychiatric time that can be provided via telehealth, allowing 100% of psychiatric services delivered via telehealth, if clinically appropriate to do so. Additionally, required psychiatrist time per week may now be 15 minutes instead of the required 30 minutes. For Intensive Case Management licensed under 55 Pa. Code Chapter 5221, DHS suspended the requirements for caseload size, supervisor-to-staff ratio, and supervisory contact. 3 0 obj For regulations that have not been suspended, entities may submit a waiver request to OMHSAS to request temporary relief from other regulatory requirements to be considered on a case-by-case basis. Timeframes for assessments and treatment or service plan development and revisions. PROCESS C=75 M=0 Y=75 K=0 0.000000 0.000000 The ASAM Transition Website Changes document describes the changes made during this process. 0.000000 Requirements regarding face-to-face interventions and services (thus allowing the use of telehealth). ZELIENOPLE CAMPUS - Zelienople, PA Position Type Full Time Job Category Nonprofit - Social Services Description *Work for a company that cares and receive a bonus! 0.000000 0.000000 The goal of the partial hospitalization program is to resolve or stabilize an acute episode of mental illness. % Partial hospitalization is a structured program of outpatient psychiatric services provided to patients as an alternative to inpatient psychiatric care. CMYK 043x - Occupational Therapy. PROCESS Comments and questions regarding this Memorandum should be directed to OMHSAS Field Offices: Central Field Office 717-705-8395; Northeast Field Office 570-963-4335; Southeast Field Office 610-313-5844; Southwest Field Office 412-565-5226. 65.000000 Due to HIPAA regulations, our staff is unable to . The requirement to conduct fire drills is also suspended; however, the CRR must take due diligence to conduct fire drills within the required timeframe. (3) Nurse practitioner and clinical nurse specialist services, as defined in section 1861(s)(2)(K)(ii) of the Act. PROCESS CMYK 0.000000 PROCESS . The requirements regarding the minimum number of hours for a Psychiatric Rehab director to be present in each facility, as well as the requirement for face-to-face supervisory time with staff for both individual and group supervisions, are also suspended. The residential service plans may be reviewed and updated every 65 days instead of every 60 days. or existing codification. endstream endobj startxref C=50 M=0 Y=100 K=0 False Providers may utilize telehealth to develop the initial service plan and for the subsequent reviews of the plan. A referral is required for enrollment. formatting. Level 2: Intensive Outpatient and Partial Hospitalization Programs . 0914 - Individual Therapy. CMYK Initially called "day hospitals," these programs were designed in the 1960s to help those who needed an intensive level of psychiatric care but who would also benefit from living in the larger . Adobe Illustrator CS5 A full-time Mental Health Therapist - Partial Hospitalization Program may be eligible for a $1500 new hire incentive bonus if hired and meet all qualifications.