2010-12-29T10:57:37-05:00 CMYK Medication-assisted treatment, if necessary. In addition, providers have seven days from the enrollment date to complete the residential service plan instead of completing it on the day of enrollment. hb```f``| PROCESS 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=0 M=0 Y=0 K=10 0.000000 Please enable scripts and reload this page. 0.000000 Background and more details are available in the CMYK 0.000000 0000002352 00000 n OMHSAS does not require a letter of support from the county for those individual waiver requests. While specific program variables may differ, all Partial Hospitalization Programs pursue the The residential service plans may be reviewed and updated every 65 days instead of every 60 days. HRMs0+KBp;=ISNKG$C[lFhw}4(Q`rTl81J;C+v83DrUdQRskPB\ d >}FNRURLwH@>+8lH+nJ\FcNom}Io&cjIC,k,`Re\mh trailer 0.000000 Timeframes for assessments and treatment or service plan development and revisions. C=20 M=0 Y=100 K=0 0.000000 Call us. % 90.000000 51 FR 41339, Nov. 14, 1986, unless otherwise noted. A certified registered nurse practitioner or a physician assistant may substitute for the physician to perform this function, provided it is within their scope of practice. The in-page Table of Contents is available only when multiple sections are being viewed. To begin the process, contact the Admissions Department at: (717) 782-6493. or (866) 746-2496. C=85 M=10 Y=100 K=10 PROCESS No changes found for this content after 1/03/2017. 0.000000 PROCESS C=0 M=100 Y=100 K=0 This includes (but may not be limited to) 55 Pa. Code 5210 (Partial Hospitalization Licensing Regulations), 55 Pa. Code 1153 (Outpatient Psychiatric Regulations) and 55 Pa. Code 1101 (General Provisions). 2023 Magellan Health, Inc. All Rights Reserved. 10/01/2021. 256,257,258,259,262,274,277,284,530,531,282,283,296,301,318,319,529,532,306,270,271,272,305,315,33432;919A11CFA1D3A003A598C2212A8FBCD5 129 -Nuclear Medicine ServicesChap. Partial hospitalization programs include a range of therapies and interventions. The program provides diagnostic and clinical treatment services on a level of intensity similar to an inpatient program, but on less than a 24-hour basis. PROCESS 209/Tuesday, October 29, 2013/Rules and Regulations DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Part 485 [CMS-3202-F] RIN 0938-AP51 . 100.000000 2Utt`h$l 72! :?]qtK;}@^N\Alfy Q` B PROCESS 0.000000 50.000000 Beacon manages behavioral health services for Medical Assistance (MA) recipients in 11 Western Pennsylvania counties: Armstrong, Beaver, Butler, Crawford, Fayette, Indiana, Lawrence, Mercer, Venango, Washington, and Westmoreland. Requirements regarding staff supervision. Intensive Outpatient Program (IOP) Services - Drug and Alcohol. Services focus on wellness and recovery . This web site is designed for the current versions of 043x - Occupational Therapy. These essential services are provided in a fashion that is reflective of the unique strengths and needs of each individual and is responsive to a dynamic and changing health care environment. 6 0 obj 0.000000 These functions may now be performed using audio-video technology. 50.000000 25.000000 Enhanced content is provided to the user to provide additional context. 54 0 obj <> endobj 100.000000 Adult partial hospitalization programs may treat adolescents under the age of 14 years when clinically appropriate, and where specialized children and youth partial hospitalization programs are not available . 75.000000 Regulation Y This service also helps individuals transition back into the community from a psychiatric hospital. 0.000000 5.000001 C=0 M=0 Y=0 K=5 121 -Social Work ServicesChap. Additionally, providers that deliver services through telehealth must comply with the federal Department of Health and Human Services Office of Civil Rights (OCR) guidance regarding compliance with the. 361.776367 0.000000 70.3 - Partial Hospitalization Services (Rev. Partial hospitalization is a structured program of outpatient psychiatric services provided to patients as an alternative to inpatient psychiatric care. C=0 M=0 Y=0 K=20 0000010052 00000 n 0.000000 C=75 M=0 Y=75 K=0 A referral is required for enrollment. 30.000002 Health Insurance Portability and Accountability Act (HIPAA, COVID-19 Public Health Emergency Suspended Regulations List. <> The requirement in 55 Pa. Code 1153.14 that MA payment will not be made for a covered psychiatric outpatient clinic or Mobile Mental Health Treatment conducted over the telephone is also suspended. People participate in activities during the day and return home at night. Black DHS has suspended the requirement that the physicians orders be recorded and signed in each clients clinical record by the physician every 30 days, although providers are strongly encouraged to obtain the signature electronically when possible. Use the navigation links in the gray bar above to view the table of contents that this content belongs to. PROCESS PROCESS 5.000001 9.999103 65.000000 0.000000 29.998802 70.000000 Drugs and medications. See key details from the, You are on primary menu. Print PROCESS 10.000002 B%R! PROCESS Chap. The Code of Federal Regulations . CMYK 0.000000 158 -Vital Organ Transplantation Services. C=50 M=50 Y=60 K=25 An outpatient hospital's partial hospitalization program shall: a. 10.000002 Requirements regarding the number of direct-care staff persons have been suspended; however, a conditional plan for direct care staffing must be submitted to OMHSAS for review and approval. Physician assistant . 75.000000 75.000000 10.000002 A. 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. 25.000000 123 -Anesthesia and Respiratory ServicesChap. 137 -Obstetrical ServicesChap. The requirement that MA payment will not be made for clinic services conducted over the telephone is also suspended. 19.999998 CMYK Payment will not be made for compensable peer support CMYK 0.000000 C=0 M=0 Y=0 K=90 125 -Laboratory ServicesChap. C=40 M=45 Y=50 K=5 endobj guide. C=60 M=90 Y=0 K=0 Pittsburgh Mercy 1200 Reedsdale Street Pittsburgh, PA 15233-2109. federal, state, or local laws and regulations will not be granted by OMHSAS. If you have questions for the Agency that issued the current document please contact the agency directly. 817 0 obj <>stream PROCESS Partial hospitalization is a time- limited, structured program of multiple and intensive psychotherapy and other therapeutic services provided by a multidisciplinary team, as defined by Medicare, and provided in an outpatient hospital . The Office of Mental Health and Substance Abuse Services (OMHSAS) originally issued this memorandum on August 14, 2020, to inform BH-MCOs, County Mental Health/Intellectual Disability Offices and behavioral health providers that specified regulatory provisions in 55 Pa. Code Chapters 1151, 1153, 1155, 1223, 5100, 5200, 5210, 5221, 5230, 5310, 5320 and 5240 have been temporarily suspended during the COVID-19 disaster emergency declaration period. C=35 M=100 Y=35 K=10 100.000000 0.000000 Partial hospitalization. to meeting the staffing regulations of 28 PA Code Chapter 704 and provisions set forth by the DDAP Case Management and Clinical Services (CMCS) Manual, Single County . PROCESS 0.000000 RZ`{iURDCJ(LJBxH{VzM0yn1$iO1Q$lILv@q+dp]']lGNws[/4:Q$b(>/BMMD>xn~@1t3YSl Q!#r1nn9F`/i@{_\UkQ!m 6Pe Bz0P' M=K&)fWLK>4Y{BVnC[3HZwLRkhBh]s4Tz9KXC^'LCXabXox1}v]}>UuG*&SB3^hDk`T-VIZZOkh N+l $"06 my#Xgcxgv2#? 3" &R Va)\g4$Gtiug3%[_om+,j{n}g3x-qpxK'L[S.6g7jJ;j}ZY[i6,jN2~iRwqv7n!t*)C[@K[*^?J @Pt hKeLTGpKCgXUp=VgXbv 0.000000 243 Johnston Road, Pittsburgh, PA 15241. Requirements regarding face-to-face interventions and services (thus allowing the use of telehealth). Hyp 6D=w%MUKhk53W[_5q2J;X"%p$Ha0q>{y=Y7f" 133 -Special Care UnitsChap. 0.000000 1 saved C=0 M=0 Y=0 K=100 39.999996 . 0.003099 PROCESS 0.000000 Care managers are available to providers 24 hours a day, 7 days a week, 365 days a year. Partial Hospitalization Programs (PHP) 20 or more hours per week . CMYK Green The requirement that intensive case management services be provided as needed in the place where the consumer resides or needs the service has also been suspended, thus allowing the use of telehealth to provide service as appropriate. The regulatory provisions that have been suspended address the following requirements for certain services: Outlined below are the descriptions of the regulatory provisions that have been suspended, the scope of those suspensions and any binding conditions for the suspensions: The regulatory suspensions discussed above are effective March 6, 2020, and will remain in place while the Disaster Proclamation remains in effect or such other time as DHS directs. here. Note: If you see an asterisk next to a service, this means that this service is not offered in all Magellan counties. 60.000004 PROCESS 50.000000 This content is from the eCFR and may include recent changes applied to the CFR. Pennsylvania's Medical Assistance Program as a BCM provider. C=90 M=30 Y=95 K=30 25.000000 Chap. 146 - Infection Control. 0.000000 3.1 Clinically Managed Low- intensity Residential At least 5 hours per week . A full-time Mental Health Therapist - Partial Hospitalization Program may be eligible for a $1500 new hire incentive bonus if hired and meet all . 0.000000 DHS COVID-19 PROVIDER RESOURCES// OMHSAS, Issued:August14, 2020; Updated: October 22, 2020, Impacted Chapters:55 Pa. Code Chapters 1151, 1153, 1155, 1223, 5100, 5200, 5210, 5221, 5230, 5310, 5320, 5240, All Behavioral Health Managed Care Organizations (BH-MCOs), Behavioral Health Providers Enrolled in the Medical Assistance (MA) Program and County Mental Health Authorities Statewide. 0.000000 PROCESS Guidance for the Application of ASAM for Adults - 2/22. 0.000000 0.000000 CMYK We recommend you directly contact the agency responsible for the content in question. <>stream endobj CMYK 25.000000 Requirements that only physicians can provide certain services (thus allowing other licensed practitioners to provide those services within their scope of practice). Library Reference Number: PROMOD00039 3 Published: Feb. 22, 2022 Policies and procedures as of July 1, 2021 Version: 3.0 Section 2: Outpatient Behavioral Health Services 39.999996 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. For Emergency Situations, Always Call 911. 78, No. 100.000000 1 C=10 M=100 Y=50 K=0 39.999996 0.000000 113 -Pharmacy ServicesChap. 100.000000 formatting. endobj Additionally, on May 6, 2020, Governor Wolf issued an order (Order Of The Governor of the Commonwealth of Pennsylvania to Enhance Protections for Health Care Professionals) to enhance protections for health care professionals, in which he also suspended multiple statutes and regulations, including several related to the provision of mental health services in the MA program. citations and headings 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 CMYK endobj PROCESS 0.000000 DHS has suspended the room size requirements in the event that a client must be moved or isolated or self-quarantined while participating in the program due to the programs adherence to guidelines issued by the CDC and the Pennsylvania Department of Health (DOH) for persons with COVID-19-related symptoms. 42 U.S.C. 0.000000 or Community Residential Rehabilitation Services (CRRS) licensed under 55 Pa. Code Chapter 5310, a certified registered nurse practitioner or physician assistant, rather than a physician, may certify that a staff member does not have any contagious disease and sign the health appraisal for the client. November 7, 2019 Updated Policy for Provider Rate Request. 50.000000 (c) Partial hospitalization programs are intended for patients who. 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. For Intensive Behavioral Health Services (IBHS) under 55 Pa. Code Chapter 1155, the Department of Human Services (DHS) has suspended the timelines until which MA payments will be made to an agency that is not licensed as an IBHS agency. The CRR may keep prescribed medications for the week in a weekly pill container for the client instead of keeping them in their original prescription containers. xmp.iid:F77F1174072068118A6DF0C37545496F xmp.iid:F77F1174072068118A6DF0C37545496F Points The Regional Field Offices and the counties they cover are listed . Subscribe to: Changes in Title 42 :: Chapter IV :: Subchapter B :: Part 410 :: Subpart B :: Section 410.43. 14.999998 This updated memorandum removes the requirement to obtain signatures within 60 days after the end of the disaster emergency declaration period. 0250 - Drugs and Biologicals. dDt!( 0.000000 50.000000 95.000000 25.000000 100.000000 hb```^fN>af`C' Centers for Medicare & Medicaid Services, Department of Health and Human Services, Supplementary Medical Insurance (SMI) Benefits, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-410/subpart-B/section-410.43. You are using an unsupported browser. 65.000000 50.000000 [59 FR 6577, Feb. 11, 1994, as amended at 65 FR 18536, Apr. 10.000002 130 West North St. New Castle, Pennsylvania Crisis Line 724.652.9000 Main Line: 724.658.3578 E-Mail: info@humanservicescenter.net C=40 M=70 Y=100 K=50 149 -Central Supply ServicesChap. 10.000002 0.000000 10, 05-07-04) A3-3194, HO-230.7 Partial hospitalization programs (PHPs) are structured to provide intensive psychiatric care through active treatment that utilizes a combination of the clinically recognized items and services described in 1861(ff) of the Social Security Act (the Act). 0000000917 00000 n Nomenclature changes to part 410 appear at 62 FR 46037, Aug. 29, 1997. Refer to Attachment C for developer resources. In the Disaster Proclamation, the Governor authorized suspension of regulations and regulatory statutes that would prevent, hinder or delay necessary action to cope with the COVID-19 emergency. 64604 Federal Register/Vol. (eg: CMYK Requirements for fire inspections and fire drills. 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. or existing codification. 0.000000 The programs are an alternative for youth at risk of inpatient psychiatric hospitalization as a result of difficulty functioning in school, at home and in the community. 100.000000 CMYK PROCESS CMYK CMYK For a free screening 800-767-4411. PHPs provide structured, comprehensive care while allowing people to live outside . 2010-12-29T10:45:02-05:00 CMYK DHS has suspended the requirement that a Mental Health Professional sign each individual residential service plan and service plan review. The services include medical and nursing, but at less intensity than that provided in a hospital setting. |g ,EQEQEQE%}l~u3NEQEQEQs_Init,AYc%EQEQEQE)In^^[i7^s(Tk6?r?T.I)PN 710 - Drug and Alcohol Services. Since 1999, Beacon Health Options has managed behavioral health services as part of the HealthChoices program. Adobe Photoshop CS3 Windows (iii) Services of social workers, trained psychiatric nurses, and other staff trained to work with psychiatric patients. 1 Winding Drive, Suite 106. Black 79.998795 FAR). 70.000000 Partial Hospitalization Programs (PHP) were treatment programs originally developed to help people struggling with mental illness. PROCESS 0.000000 0.000000 80.000000 hW-~am *>:?XjW9137| 1Z~T~,?=Z*? PROCESS

Purple Street Lights Conspiracy, Who Does Darren England Support, Articles P