(1) To be eligible to provide services under
this administrative regulation, a residential crisis stabilization unit shall:
(a) Be currently enrolled in the Kentucky
Medicaid Program in accordance with
907
KAR 1:672;
(b) Except as established in subsection (3)
of this section, be currently participating in the Kentucky Medicaid Program in
accordance with
907
KAR 1:671;
(c) Be licensed as a residential crisis
stabilization unit in accordance with
902
KAR 20:440;
(e) Have:
1.
For each service it provides, the capacity to provide the full range of the
service as established in this administrative regulation;
2. Demonstrated experience in serving
individuals with behavioral health disorders;
3. The administrative capacity to ensure
quality of services;
4. A financial
management system that provides documentation of services and costs;
and
5. The capacity to document and
maintain individual case records;
(f) Be a community-based, residential program
that offers an array of services including:
1.
Screening;
2. Assessment;
3. Treatment planning;
4. Individual therapy;
5. Group therapy;
6. Psychiatric services;
7. Family therapy at the option of the
residential crisis stabilization unit;
8. Peer support at the option of the
residential crisis stabilization unit;
9. Medically monitored withdrawal management
if treating substance use disorders; or
10. Medication assisted treatment if treating
substance use disorders;
(g) Provide services in order to:
1. Stabilize a crisis and divert an
individual from a higher level of care;
2. Stabilize an individual and provide
treatment for acute withdrawal, if applicable; and
3. Re-integrate an individual into the
individual's community or other appropriate setting in a timely
fashion;
(h) Not be part
of a hospital;
(i) Be used when an
individual:
1. Is experiencing a behavioral
health crisis that cannot be safely accommodated within the individual's
community; and
2. Needs overnight
care that is not hospitalization;
(j) Except as established in subsection
(2)(a) of this section, not contain more than sixteen (16) beds;
(k) Except as established in subsection
(2)(b) of this section, not be part of multiple units comprising one (1)
facility with more than sixteen (16) beds in aggregate;
(l) Agree to provide services in compliance
with federal and state laws regardless of age, sex, race, creed, religion,
national origin, handicap, or disability;
(m) Comply with the Americans with
Disabilities Act (42 U.S.C.
12101 et seq.) and any amendments to the
Act;
(n) Have the capacity to
employ staff authorized to provide treatment services in accordance with this
section and to coordinate the provision of services among team
members;
(o) Have the capacity to
provide the full range of residential crisis stabilization services as stated
in Section 3(2) of this administrative regulation and on a twenty-four (24)
hour a day, seven (7) day a week, every day of the year basis;
(p) Have access to a board certified or
board-eligible psychiatrist twenty-four (24) hours a day, seven (7) days a
week, every day of the year;
(q)
Have knowledgeable staff regarding mental health, substance use, or
co-occurring disorders based on the population being served; and
(r) For the treatment or stabilization of
withdrawal management symptoms for substance use disorder or co-occurring
disorders:
1. Meet all requirements
established by the most recent version of the American Society for Addiction
Medicine (ASAM) relating to level of care certification for medically monitored
intensive inpatient services for adults and medically monitored high-intensity
inpatient services for adolescents, currently described by ASAM as a 3.7 level
of care; and
2. Have:
a. A planned and structured regimen of
twenty-four (24) hour professionally directed evaluation, observation, medical
monitoring, and addiction treatment;
b. Twenty-four (24) hour nursing care,
including a comprehensive assessment at admission by a registered
nurse;
c. Twenty-four (24) hour
access to a psychiatrist, including availability within eight (8) hours by
telephone and within twenty-four (24) hours in person;
d. Twenty-four (24) hour access to a
physician, advanced practice registered nurse, or a physician assistant, to
include:
(i) An assessment and physical
examination in person within twenty-four (24) hours of admission, and after
admission as medically necessary; and
(ii) Responsibility for overseeing the
treatment of each recipient; and
e. Clinical staff:
(i) Knowledgeable about the biological and
psychosocial dimensions of addiction and other behavioral health disorders with
training in behavior management techniques and evidence-based practices;
and
(ii) Able to provide
twenty-four (24) hour professionally directed evaluation, care, and treatment
services.