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Found 568 matches for diagnostic assessment must include a face-to-face in and 9505.0371

9505.0372 COVERED SERVICES.

Subpart 1.

Diagnostic Next Previous assessment Next .

Medical assistance covers four types of Previous diagnostic Next assessments when they are provided Previous in Next accordance with the requirements Previous in Next this subpart.

Previous A Next .

To be eligible for medical assistance payment, Previous a Next Previous diagnostic Next Previous assessment Next Previous must Next :

(1)

identify Previous a Next mental health diagnosis Previous and Next recommended mental health services, which are the factual basis to develop the recipient's mental health services Previous and Next treatment plan; or

(2)

Previous include Next Previous a Next finding that the client does not meet the criteria for Previous a Next mental health disorder.

B.

Previous A Next standard Previous diagnostic Next Previous assessment Next Previous must Next Previous include Next Previous a Next Previous face-to-face Next interview with the client Previous and Next contain Previous a Next written evaluation of Previous a Next client by Previous a Next mental health professional or practitioner working under clinical supervision as Previous a Next clinical trainee according to part Previous 9505.0371 Next , subpart 5, item C. The standard Previous diagnostic Next Previous assessment Next Previous must Next be done within the cultural context of the client Previous and Next Previous must Next Previous include Next relevant information about:

(1)

the client's current life situation, including the client's:

(b)

current living situation, including household membership Previous and Next housing status;

(c)

basic needs status including economic status;

(d)

education level Previous and Next employment status;

(e)

significant personal relationships, including the client's evaluation of relationship quality;

(f)

strengths Previous and Next resources, including the extent Previous and Next quality of social networks;

(g)

belief systems;

(h)

contextual nonpersonal factors contributing to the client's presenting concerns;

(i)

general physical health Previous and Next relationship to client's culture; Previous and Next

(j)

current medications;

(2)

the reason for the Previous assessment Next , including the client's:

( Previous a Next )

perceptions of the client's condition;

(b)

description of symptoms, including reason for referral;

(c)

history of mental health treatment, including review of the client's records;

(d)

important developmental incidents;

(e)

maltreatment, trauma, or abuse issues;

(f)

history of alcohol Previous and Next drug usage Previous and Next treatment;

(g)

health history Previous and Next family health history, including physical, chemical, Previous and Next mental health history; Previous and Next

(h)

cultural influences Previous and Next their impact on the client;

(3)

the client's mental status examination;

(4)

the Previous assessment Next of client's needs based on the client's baseline measurements, symptoms, behavior, skills, abilities, resources, vulnerabilities, Previous and Next safety needs;

(5)

the screenings used to determine the client's substance use, abuse, or dependency Previous and Next other standardized screening instruments determined by the commissioner;

(6)

Previous assessment Next methods Previous and Next use of standardized Previous assessment Next tools by the provider as determined Previous and Next periodically updated by the commissioner;

(7)

the client's clinical summary, recommendations, Previous and Next prioritization of needed mental health, ancillary or other services, client Previous and Next family participation Previous in Next Previous assessment Next Previous and Next service preferences, Previous and Next referrals to services required by statute or rule; Previous and Next

(8)

the client data that is adequate to support the findings on all axes of the current edition of the Previous Diagnostic Next Previous and Next Statistical Manual of Mental Disorders, published by the American Psychiatric Association; Previous and Next any differential diagnosis.

C.

An extended Previous diagnostic Next Previous assessment Next Previous must Next Previous include Next Previous a Next Previous face-to-face Next interview with the client Previous and Next contain Previous a Next written evaluation of Previous a Next client by Previous a Next mental health professional or practitioner working under clinical supervision as Previous a Next clinical trainee according to part Previous 9505.0371 Next , subpart 5, item C. The Previous face-to-face Next interview is conducted over three or more Previous assessment Next appointments because the client's complex needs necessitate significant additional Previous assessment Next time. Complex needs are those caused by acuity of psychotic disorder; cognitive or neurocognitive impairment; need to consider past diagnoses Previous and Next determine their current applicability; co-occurring substance abuse use disorder; or disruptive or changing environments, communication barriers, or cultural considerations as documented Previous in Next the Previous assessment Next . For child clients, the appointments may be conducted outside the diagnostician's office for Previous face-to-face Next consultation Previous and Next information gathering with family members, doctors, caregivers, teachers, Previous and Next other providers, with or without the child present, Previous and Next may involve directly observing the child Previous in Next various settings that the child frequents such as home, school, or care settings. To complete the Previous diagnostic Next Previous assessment Next with adult clients, the appointments may be conducted outside of the diagnostician's office for Previous face-to-face Next Previous assessment Next with the adult client. The appointment may involve directly observing the adult client Previous in Next various settings that the adult frequents, such as home, school, job, service settings, or community settings. The appointments may Previous include Next Previous face-to-face Next meetings with the adult client Previous and Next the client's family members, doctors, caregivers, teachers, social support network members, recovery support resource representatives, Previous and Next other providers for consultation Previous and Next information gathering for the Previous diagnostic Next Previous assessment Next . The components of an extended Previous diagnostic Next Previous assessment Next Previous include Next the following relevant information:

(1)

for children under age 5:

( Previous a Next )

utilization of the DC:0-3R Previous diagnostic Next system for young children;

(b)

an early childhood mental status exam that assesses the client's developmental, social, Previous and Next emotional functioning Previous and Next style both within the family Previous and Next with the examiner Previous and Next includes:

i.

physical appearance including dysmorphic features;

ii.

reaction to new setting Previous and Next people Previous and Next adaptation during evaluation;

iii.

self-regulation, including sensory regulation, unusual behaviors, activity level, attention span, Previous and Next frustration tolerance;

iv.

physical aspects, including motor function, muscle tone, coordination, tics, abnormal movements, Previous and Next seizure activity;

v.

vocalization Previous and Next speech production, including expressive Previous and Next receptive language;

vi.

thought, including fears, nightmares, dissociative states, Previous and Next hallucinations;

vii.

affect Previous and Next mood, including modes of expression, range, responsiveness, duration, Previous and Next intensity;

viii.

play, including structure, content, symbolic functioning, Previous and Next modulation of aggression;

ix.

cognitive functioning; Previous and Next

x.

relatedness to parents, other caregivers, Previous and Next examiner; Previous and Next

(c)

other Previous assessment Next tools as determined Previous and Next periodically revised by the commissioner;

(2)

for children ages 5 to 18, completion of other Previous assessment Next standards for children as determined Previous and Next periodically revised by the commissioner; Previous and Next

(3)

for adults, completion of other Previous assessment Next standards for adults as determined Previous and Next periodically revised by the commissioner.

D.

Previous A Next brief Previous diagnostic Next Previous assessment Next Previous must Next Previous include Next Previous a Next Previous face-to-face Next interview with the client Previous and Next Previous a Next written evaluation of the client by Previous a Next mental health professional or practitioner working under clinical supervision as Previous a Next clinical trainee according to part Previous 9505.0371 Next , subpart 5, item C. The professional or practitioner Previous must Next gather initial background information using the components of Previous a Next standard Previous diagnostic Next Previous assessment Next Previous in Next item B, subitems (1), (2), unit (b), (3), Previous and Next (5), Previous and Next draw Previous a Next provisional clinical hypothesis. The clinical hypothesis may be used to address the client's immediate needs or presenting problem. Treatment sessions conducted under authorization of Previous a Next brief Previous assessment Next may be used to gather additional information necessary to complete Previous a Next standard Previous diagnostic Next Previous assessment Next or an extended Previous diagnostic Next Previous assessment Next .

E.

Adult Previous diagnostic Next Previous assessment Next update includes Previous a Next Previous face-to-face Next interview with the client, Previous and Next contains Previous a Next written evaluation of the client by Previous a Next mental health professional or practitioner working under clinical supervision as Previous a Next clinical trainee according to part Previous 9505.0371 Next , subpart 5, item C, who reviews Previous a Next standard or extended Previous diagnostic Next Previous assessment Next . The adult Previous diagnostic Next Previous assessment Next update Previous must Next update the most recent Previous assessment Next document Previous in Next writing Previous in Next the following areas:

(1)

review of the client's life situation, including an interview with the client about the client's current life situation, Previous and Next Previous a Next written update of those parts where significant new or changed information exists, Previous and Next documentation where there has not been significant change;

(2)

review of the client's presenting problems, including an interview with the client about current presenting problems Previous and Next Previous a Next written update of those parts where there is significant new or changed information, Previous and Next note parts where there has not been significant change;

(3)

screenings for substance use, abuse, or dependency Previous and Next other screenings as determined by the commissioner;

(4)

the client's mental health status examination;

(5)

Previous assessment Next of client's needs based on the client's baseline measurements, symptoms, behavior, skills, abilities, resources, vulnerabilities, Previous and Next safety needs;

(6)

the client's clinical summary, recommendations, Previous and Next prioritization of needed mental health, ancillary, or other services, client Previous and Next family participation Previous in Next Previous assessment Next Previous and Next service preferences, Previous and Next referrals to services required by statute or rule; Previous and Next

(7)

the client's diagnosis on all axes of the current edition of the Previous Diagnostic Next Previous and Next Statistical Manual Previous and Next any differential diagnosis.

Subp. 2.

Neuropsychological Previous assessment Next .

Previous A Next neuropsychological Previous assessment Next Previous must Next Previous include Next Previous a Next Previous face-to-face Next interview with the client, the interpretation of the test results, Previous and Next preparation Previous and Next completion of Previous a Next report. Previous A Next client is eligible for Previous a Next neuropsychological Previous assessment Next if at least one of the following criteria is met:

Previous A Next .

There is Previous a Next known or strongly suspected brain disorder based on medical history or neurological evaluation such as Previous a Next history of significant head trauma, brain tumor, stroke, seizure disorder, multiple sclerosis, neurodegenerative disorders, significant exposure to neurotoxins, central nervous system infections, metabolic or toxic encephalopathy, fetal alcohol syndrome, or congenital malformations of the brain; or

B.

Previous In Next the absence of Previous a Next medically verified brain disorder based on medical history or neurological evaluation, there are cognitive or behavioral symptoms that suggest that the client has an organic condition that cannot be readily attributed to functional psychopathology, or suspected neuropsychological impairment Previous in Next addition to functional psychopathology. Examples Previous include Next :

(1)

poor memory or impaired problem solving;

(2)

change Previous in Next mental status evidenced by lethargy, confusion, or disorientation;

(3)

deterioration Previous in Next level of functioning;

(4)

marked behavioral or personality change;

(5)

Previous in Next children or adolescents, significant delays Previous in Next academic skill acquisition or poor attention relative to peers;

(6)

Previous in Next children or adolescents, significant plateau Previous in Next expected development of cognitive, social, emotional, or physical function, relative to peers; Previous and Next

(7)

Previous in Next children or adolescents, significant inability to develop expected knowledge, skills, or abilities as required to adapt to new or changing cognitive, social, emotional, or physical demands.

C.

If neither criterion Previous in Next item Previous A Next nor B is fulfilled, neuropsychological evaluation is not indicated.

D.

The neuropsychological Previous assessment Next Previous must Next be conducted by Previous a Next neuropsychologist with competence Previous in Next the area of neuropsychological Previous assessment Next as stated to the Minnesota Board of Psychology who:

(1)

was awarded Previous a Next diploma by the American Board of Clinical Neuropsychology, the American Board of Professional Neuropsychology, or the American Board of Pediatric Neuropsychology;

(2)

earned Previous a Next doctoral degree Previous in Next psychology from an accredited university training program:

( Previous a Next )

completed an internship, or its equivalent, Previous in Next Previous a Next clinically relevant area of professional psychology;

(b)

completed the equivalent of two full-time years of experience Previous and Next specialized training, at least one which is at the postdoctoral level, Previous in Next the study Previous and Next practices of clinical neuropsychology Previous and Next related neurosciences supervised by Previous a Next clinical neuropsychologist; Previous and Next

(c)

holds Previous a Next current license to practice psychology independently Previous in Next accordance with Minnesota Statutes, sections 148.88 to 148.98;

(3)

is licensed or credentialed by another state's board of psychology examiners Previous in Next the specialty of neuropsychology using requirements equivalent to requirements specified by one of the boards named Previous in Next subitem (1); or

(4)

was approved by the commissioner as an eligible provider of neuropsychological Previous assessment Next prior to December 31, 2010.

Subp. 3.

Neuropsychological testing.

Previous A Next .

Medical assistance covers neuropsychological testing when the client has either:

(1)

Previous a Next significant mental status change that is not Previous a Next result of Previous a Next metabolic disorder that has failed to respond to treatment;

(2)

Previous in Next children or adolescents, Previous a Next significant plateau Previous in Next expected development of cognitive, social, emotional, or physical function, relative to peers;

(3)

Previous in Next children or adolescents, significant inability to develop expected knowledge, skills, or abilities, as required to adapt to new or changing cognitive, social, physical, or emotional demands; or

(4)

Previous a Next significant behavioral change, memory loss, or suspected neuropsychological impairment Previous in Next addition to functional psychopathology, or other organic brain injury or one of the following:

( Previous a Next )

traumatic brain injury;

(b)

stroke;

(c)

brain tumor;

(d)

substance abuse or dependence;

(e)

cerebral anoxic or hypoxic episode;

(f)

central nervous system infection or other infectious disease;

(g)

neoplasms or vascular injury of the central nervous system;

(h)

neurodegenerative disorders;

(i)

demyelinating disease;

(j)

extrapyramidal disease;

(k)

exposure to systemic or intrathecal agents or cranial radiation known to be associated with cerebral dysfunction;

(l)

systemic medical conditions known to be associated with cerebral dysfunction, including renal disease, hepatic encephalopathy, cardiac anomaly, sickle cell disease, Previous and Next related hematologic anomalies, Previous and Next autoimmune disorders such as lupus, erythematosis, or celiac disease;

(m)

congenital genetic or metabolic disorders known to be associated with cerebral dysfunction, such as phenylketonuria, craniofacial syndromes, or congenital hydrocephalus;

(n)

severe or prolonged nutrition or malabsorption syndromes; or

(o)

Previous a Next condition presenting Previous in Next Previous a Next manner making it difficult for Previous a Next clinician to distinguish between:

i.

the neurocognitive effects of Previous a Next neurogenic syndrome such as dementia or encephalopathy; Previous and Next

ii.

Previous a Next major depressive disorder when adequate treatment for major depressive disorder has not resulted Previous in Next improvement Previous in Next neurocognitive function, or another disorder such as autism, selective mutism, anxiety disorder, or reactive attachment disorder.

B.

Neuropsychological testing Previous must Next be administered or clinically supervised by Previous a Next neuropsychologist qualified as defined Previous in Next subpart 2, item D.

C.

Neuropsychological testing is not covered when performed:

(1)

primarily for educational purposes;

(2)

primarily for vocational counseling or training;

(3)

for personnel or employment testing;

(4)

as Previous a Next routine battery of psychological tests given at inpatient admission or continued stay; or

(5)

for legal or forensic purposes.

Subp. 4.

Psychological testing.

Psychological testing Previous must Next meet the following requirements:

Previous A Next .

The psychological testing Previous must Next :

(1)

be administered or clinically supervised by Previous a Next licensed psychologist with competence Previous in Next the area of psychological testing as stated to the Minnesota Board of Psychology; Previous and Next

(2)

be validated Previous in Next Previous a Next Previous face-to-face Next interview between the client Previous and Next Previous a Next licensed psychologist or Previous a Next mental health practitioner working as Previous a Next clinical psychology trainee as required by part Previous 9505.0371 Next , subpart 5, item C, under the clinical supervision of Previous a Next licensed psychologist according to part Previous 9505.0371 Next , subpart 5, item Previous A Next , subitem (2).

B.

The administration, scoring, Previous and Next interpretation of the psychological tests Previous must Next be done under the clinical supervision of Previous a Next licensed psychologist when performed by Previous a Next technician, psychometrist, or psychological assistant or as part of Previous a Next computer-assisted psychological testing program.

C.

The report resulting from the psychological testing Previous must Next be:

(1)

signed by the psychologist conducting the Previous face-to-face Next interview;

(2)

placed Previous in Next the client's record; Previous and Next

(3)

released to each person authorized by the client.

Subp. 5.

Explanations of findings.

To be eligible for medical assistance payment, the mental health professional providing the explanation of findings Previous must Next obtain the authorization of the client or the client's representative to release the information as required Previous in Next part Previous 9505.0371 Next , subpart 6. Explanation of findings is provided to the client, client's family, Previous and Next caregivers, or to other providers to help them understand the results of the testing or Previous diagnostic Next Previous assessment Next , better understand the client's illness, Previous and Next provide professional insight needed to carry out Previous a Next plan of treatment. An explanation of findings is not paid separately when the results of psychological testing or Previous a Next Previous diagnostic Next Previous assessment Next are explained to the client or the client's representative as part of the psychological testing or Previous a Next Previous diagnostic Next Previous assessment Next .

Subp. 6.

Psychotherapy.

Medical assistance covers psychotherapy as conducted by Previous a Next mental health professional or Previous a Next mental health practitioner as defined Previous in Next part Previous 9505.0371 Next , subpart 5, item C, as provided Previous in Next this subpart.

Previous A Next .

Individual psychotherapy is psychotherapy designed for one client.

B.

Family psychotherapy is designed for the client Previous and Next one or more family members or the client's primary caregiver whose participation is necessary to accomplish the client's treatment goals. Family members or primary caregivers participating Previous in Next Previous a Next therapy session do not need to be eligible for medical assistance. For purposes of this subpart, the phrase "whose participation is necessary to accomplish the client's treatment goals" does not Previous include Next shift or facility staff members at the client's residence. Medical assistance payment for family psychotherapy is limited to Previous face-to-face Next sessions at which the client is present throughout the family psychotherapy session unless the mental health professional believes the client's absence from the family psychotherapy session is necessary to carry out the client's individual treatment plan. If the client is excluded, the mental health professional Previous must Next document the reason for Previous and Next the length of time of the exclusion. The mental health professional Previous must Next also document the reason or reasons why Previous a Next member of the client's family is excluded.

C.

Group psychotherapy is appropriate for individuals who because of the nature of their emotional, behavioral, or social dysfunctions can derive mutual benefit from treatment Previous in Next Previous a Next group setting. For Previous a Next group of three to eight persons, one mental health professional or practitioner is required to conduct the group. For Previous a Next group of nine to 12 persons, Previous a Next team of at least two mental health professionals or two mental health practitioners or one mental health professional Previous and Next one mental health practitioner is required to co-conduct the group. Medical assistance payment is limited to Previous a Next group of no more than 12 persons.

D.

Previous A Next multiple-family group psychotherapy session is eligible for medical assistance payment if the psychotherapy session is designed for at least two but not more than five families. Multiple-family group psychotherapy is clearly directed toward meeting the identified treatment needs of each client as indicated Previous in Next client's treatment plan. If the client is excluded, the mental health professional or practitioner Previous must Next document the reason for Previous and Next the length of the time of the exclusion. The mental health professional or practitioner Previous must Next document the reasons why Previous a Next member of the client's family is excluded.

Subp. 7.

Medication management.

The determination or evaluation of the effectiveness of Previous a Next client's prescribed drug Previous must Next be carried out by Previous a Next physician or by an advanced practice registered nurse, as defined Previous in Next Minnesota Statutes, sections 148.171 to 148.285, who is qualified Previous in Next psychiatric nursing.

Subp. 8.

Adult day treatment.

Adult day treatment payment limitations Previous include Next the following conditions.

Previous A Next .

Adult day treatment Previous must Next consist of at least one hour of group psychotherapy, Previous and Next Previous must Next Previous include Next group time focused on rehabilitative interventions, or other therapeutic services that are provided by Previous a Next multidisciplinary staff. Adult day treatment is an intensive psychotherapeutic treatment. The services Previous must Next stabilize the client's mental health status, Previous and Next develop Previous and Next improve the client's independent living Previous and Next socialization skills. The goal of adult day treatment is to reduce or relieve the effects of mental illness so that an individual is able to benefit from Previous a Next lower level of care Previous and Next to enable the client to live Previous and Next function more independently Previous in Next the community. Day treatment services are not Previous a Next part of inpatient or residential treatment services.

B.

To be eligible for medical assistance payment, Previous a Next day treatment program Previous must Next :

(1)

be reviewed by Previous and Next approved by the commissioner;

(2)

be provided to Previous a Next group of clients by Previous a Next multidisciplinary staff under the clinical supervision of Previous a Next mental health professional;

(3)

be available to the client at least two days Previous a Next week for at least three consecutive hours per day. The day treatment may be longer than three hours per day, but medical assistance Previous must Next not reimburse Previous a Next provider for more than 15 hours per week;

(4)

Previous include Next group psychotherapy done by Previous a Next mental health professional, or mental health practitioner qualified according to part Previous 9505.0371 Next , subpart 5, item C, Previous and Next rehabilitative interventions done by Previous a Next mental health professional or mental health practitioner daily;

(5)

be included Previous in Next the client's individual treatment plan as necessary Previous and Next appropriate. The individual treatment plan Previous must Next Previous include Next attainable, measurable goals as they relate to services Previous and Next Previous must Next be completed before the first day treatment session. The vendor Previous must Next review the recipient's progress Previous and Next update the treatment plan at least every 30 days until the client is discharged Previous and Next Previous include Next an available discharge plan for the client Previous in Next the treatment plan; Previous and Next

(6)

document the interventions provided Previous and Next the client's response daily.

C.

To be eligible for adult day treatment, Previous a Next recipient Previous must Next :

(1)

be 18 years of age or older;

(2)

not be residing Previous in Next Previous a Next nursing facility, hospital, institute of mental disease, or regional treatment center, unless the recipient has an active discharge plan that indicates Previous a Next move to an independent living arrangement within 180 days;

(3)

have Previous a Next diagnosis of mental illness as determined by Previous a Next Previous diagnostic Next Previous assessment Next ;

(4)

have the capacity to engage Previous in Next the rehabilitative nature, the structured setting, Previous and Next the therapeutic parts of psychotherapy Previous and Next skills activities of Previous a Next day treatment program Previous and Next demonstrate measurable improvements Previous in Next the recipient's functioning related to the recipient's mental illness that would result from participating Previous in Next the day treatment program;

(5)

have at least three areas of functional impairment as determined by Previous a Next functional Previous assessment Next with the domains prescribed by Minnesota Statutes, section 245.462, subdivision 11a;

(6)

have Previous a Next level of care determination that supports the need for the level of intensity Previous and Next duration of Previous a Next day treatment program; Previous and Next

(7)

be determined to need day treatment by Previous a Next mental health professional who Previous must Next deem the day treatment services medically necessary.

D.

The following services are not covered by medical assistance if they are provided by Previous a Next day treatment program:

(1)

Previous a Next service that is primarily recreation-oriented or that is provided Previous in Next Previous a Next setting that is not medically supervised. This includes: sports activities, exercise groups, craft hours, leisure time, social hours, meal or snack time, trips to community activities, Previous and Next tours;

(2)

Previous a Next social or educational service that does not have or cannot reasonably be expected to have Previous a Next therapeutic outcome related to the client's mental illness;

(3)

consultation with other providers or service agency staff about the care or progress of Previous a Next client;

(4)

prevention or education programs provided to the community;

(5)

day treatment for recipients with primary diagnoses of alcohol or other drug abuse;

(6)

day treatment provided Previous in Next the client's home;

(7)

psychotherapy for more than two hours daily; Previous and Next

(8)

participation Previous in Next meal preparation Previous and Next eating that is not part of Previous a Next clinical treatment plan to address the client's eating disorder.

Subp. 9.

Partial hospitalization.

Partial hospitalization is Previous a Next covered service when it is an appropriate alternative to inpatient hospitalization for Previous a Next client who is experiencing an acute episode of mental illness that meets the criteria for an inpatient hospital admission as specified Previous in Next part 9505.0520, subpart 1, Previous and Next who has the family Previous and Next community resources necessary Previous and Next appropriate to support the client's residence Previous in Next the community. Partial hospitalization consists of multiple intensive short-term therapeutic services provided by Previous a Next multidisciplinary staff to treat the client's mental illness.

Subp. 10.

Dialectical behavior therapy (DBT).

Dialectical behavior therapy (DBT) treatment services Previous must Next meet the following criteria:

Previous A Next .

DBT Previous must Next be provided according to this subpart Previous and Next Minnesota Statutes, section 256B.0625, subdivision 5l.

B.

DBT is an outpatient service that is determined to be medically necessary by either: (1) Previous a Next mental health professional qualified according to part Previous 9505.0371 Next , subpart 5, or (2) Previous a Next mental health practitioner working as Previous a Next clinical trainee according to part Previous 9505.0371 Next , subpart 5, item C, who is under the clinical supervision of Previous a Next mental health professional according to part Previous 9505.0371 Next , subpart 5, item D, with specialized skill Previous in Next dialectical behavior therapy. The treatment recommendation Previous must Next be based upon Previous a Next comprehensive evaluation that includes Previous a Next Previous diagnostic Next Previous assessment Next Previous and Next functional Previous assessment Next of the client, Previous and Next review of the client's prior treatment history. Treatment services Previous must Next be provided pursuant to the client's individual treatment plan Previous and Next provided to Previous a Next client who satisfies the criteria Previous in Next item C.

C.

To be eligible for DBT, Previous a Next client Previous must Next :

(1)

have mental health needs that cannot be met with other available community-based services or that Previous must Next be provided concurrently with other community-based services;

(2)

meet one of the following criteria:

( Previous a Next )

have Previous a Next diagnosis of borderline personality disorder; or

(b)

have multiple mental health diagnoses Previous and Next exhibit behaviors characterized by impulsivity, intentional self-harm behavior, Previous and Next be at significant risk of death, morbidity, disability, or severe dysfunction across multiple life areas;

(3)

understand Previous and Next be cognitively capable of participating Previous in Next DBT as an intensive therapy program Previous and Next be able Previous and Next willing to follow program policies Previous and Next rules ensuring safety of self Previous and Next others; Previous and Next

(4)

be at significant risk of one or more of the following if DBT is not provided:

( Previous a Next )

mental health crisis;

(b)

requiring Previous a Next more restrictive setting such as hospitalization;

(c)

decompensation; or

(d)

engaging Previous in Next intentional self-harm behavior.

D.

The treatment components of DBT are individual therapy Previous and Next group skills as follows:

(1)

Individual DBT combines individualized rehabilitative Previous and Next psychotherapeutic interventions to treat suicidal Previous and Next other dysfunctional behaviors Previous and Next reinforce the use of adaptive skillful behaviors. The therapist Previous must Next :

( Previous a Next )

identify, prioritize, Previous and Next sequence behavioral targets;

(b)

treat behavioral targets;

(c)

generalize DBT skills to the client's natural environment through telephone coaching outside of the treatment session;

(d)

measure the client's progress toward DBT targets;

(e)

help the client manage crisis Previous and Next life-threatening behaviors; Previous and Next

(f)

help the client learn Previous and Next apply effective behaviors when working with other treatment providers.

(2)

Individual DBT therapy is provided by Previous a Next mental health professional or Previous a Next mental health practitioner working as Previous a Next clinical trainee, according to part Previous 9505.0371 Next , subpart 5, item C, under the supervision of Previous a Next licensed mental health professional according to part Previous 9505.0371 Next , subpart 5, item D.

(3)

Group DBT skills training combines individualized psychotherapeutic Previous and Next psychiatric rehabilitative interventions conducted Previous in Next Previous a Next group format to reduce the client's suicidal Previous and Next other dysfunctional coping behaviors Previous and Next restore function by teaching the client adaptive skills Previous in Next the following areas:

( Previous a Next )

mindfulness;

(b)

interpersonal effectiveness;

(c)

emotional regulation; Previous and Next

(d)

distress tolerance.

(4)

Group DBT skills training is provided by two mental health professionals, or by Previous a Next mental health professional cofacilitating with Previous a Next mental health practitioner.

(5)

The need for individual DBT skills training Previous must Next be determined by Previous a Next mental health professional or Previous a Next mental health practitioner working as Previous a Next clinical trainee, according to part Previous 9505.0371 Next , subpart 5, item C, under the supervision of Previous a Next licensed mental health professional according to part Previous 9505.0371 Next , subpart 5, item D.

E.

Previous A Next program Previous must Next be certified by the commissioner as Previous a Next DBT provider. To qualify for certification, Previous a Next provider Previous must Next :

(1)

hold current accreditation as Previous a Next DBT program from Previous a Next nationally recognized certification body approved by the commissioner or submit to the commissioner's inspection Previous and Next provide evidence that the DBT program's policies, procedures, Previous and Next practices will continuously meet the requirements of this subpart;

(2)

be enrolled as Previous a Next MHCP provider;

(3)

collect Previous and Next report client outcomes as specified by the commissioner; Previous and Next

(4)

have Previous a Next manual that outlines the DBT program's policies, procedures, Previous and Next practices which meet the requirements of this subpart.

F.

The DBT treatment team Previous must Next consist of persons who are trained Previous in Next DBT treatment. The DBT treatment team may Previous include Next persons from more than one agency. Professional Previous and Next clinical affiliations with the DBT team Previous must Next be delineated:

(1)

Previous A Next DBT team leader Previous must Next :

( Previous a Next )

be Previous a Next mental health professional employed by, affiliated with, or contracted by Previous a Next DBT program certified by the commissioner;

(b)

have appropriate competencies Previous and Next working knowledge of the DBT principles Previous and Next practices; Previous and Next

(c)

have knowledge of Previous and Next ability to apply the principles Previous and Next DBT practices that are consistent with evidence-based practices.

(2)

DBT team members who provide individual DBT or group skills training Previous must Next :

( Previous a Next )

be Previous a Next mental health professional or be Previous a Next mental health practitioner, who is employed by, affiliated with, or contracted with Previous a Next DBT program certified by the commissioner;

(b)

have or obtain appropriate competencies Previous and Next working knowledge of DBT principles Previous and Next practices within the first six months of becoming Previous a Next part of the DBT program;

(c)

have or obtain knowledge of Previous and Next ability to apply the principles Previous and Next practices of DBT consistently with evidence-based practices within the first six months of working at the DBT program;

(d)

participate Previous in Next DBT consultation team meetings; Previous and Next

(e)

require mental health practitioners to have ongoing clinical supervision by Previous a Next mental health professional who has appropriate competencies Previous and Next working knowledge of DBT principles Previous and Next practices.

Subp. 11.

Noncovered services.

The mental health services Previous in Next items Previous A Next to J are not eligible for medical assistance payment under this part:

Previous A Next .

Previous a Next mental health service that is not medically necessary;

B.

Previous a Next neuropsychological Previous assessment Next carried out by Previous a Next person other than Previous a Next neuropsychologist who is qualified according to part 9505.0372, subpart 2, item D;

C.

Previous a Next service ordered by Previous a Next court that is solely for legal purposes Previous and Next not related to the recipient's diagnosis or treatment for mental illness;

D.

services dealing with external, social, or environmental factors that do not directly address the recipient's physical or mental health;

E.

Previous a Next service that is only for Previous a Next vocational purpose or an educational purpose that is not mental health related;

F.

staff training that is not related to Previous a Next client's individual treatment plan or plan of care;

G.

child Previous and Next adult protection services;

H.

fund-raising activities;

I.

community planning; Previous and

J.

client transportation.

Statutory Authority:

MS s 245.484; 256B.04

History:

35 SR 1967; 46 SR 162

NOTE: This part is repealed by Laws 2021, chapter 30, article 17, section 113, effective July 1, 2022, or upon federal approval, whichever is later.

Published Electronically:

October 11, 2021

Official Publication of the State of Minnesota
Revisor of Statutes