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Viewing: CMP Standard 11 - Transitioning of Individuals in Crisis, 01-241

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Current Status: Active PolicyStat ID: 5105639

CMP Standard 11 - Transitioning of Individuals in Crisis, 01-241

APPLICABILITY

Community Medicaid Provider (CMP)

POLICY

In order to ensure the provision of quality services for individuals transitioning back to the community following a behavioral health crisis, this policy sets forth the key performance indicators for CMPs regarding Transitioning of Individuals in Crisis.

GUIDELINES

CMPs must establish a collaborative relationship with all Mobile Crisis Vendors, Behavioral Health Crisis Centers, Crisis Stabilization Units (CSU), and Crisis Service Centers (walk-in crisis centers co-located with CSU or stand-alone), state operated hospitals and private/public hospitals (including those with psychiatric units and those without psychiatric units that have emergency departments where individuals in behavioral health crisis may present) serving the counties for which the CMP is contracted to provide services.

CMPs must also collaborate, as needed, with crisis providers, state hospitals and public/private hospitals from outside their catchment area to assist in coordination of follow-up care for individuals enrolled in services or individuals from their catchment area after a crisis or in preparation for discharge from a CSU or inpatient stay. 

CMPs must comply with Transition Planning Process for Individuals on the ADA Ready to Discharge List, Policy 01-507

The CMP is responsible for participating with the CSU and hospital staff in the development of the discharge plan through the individualized discharge planning process and ensuring the implementation of the plan in the community. 

If necessary, the CMP assists in coordination of transportation to the follow up community appointment after discharge. For referrals from CSUs, state operated or public or private hospitals, the CMP agrees to have a mechanism to receive appointments for the individual to be seen by an appropriately licensed or credentialed professional within seven (7) business days of discharge (or sooner if clinically indicated), and with a licensed physician/psychiatrist to occur within fourteen (14) business days of discharge or sooner if clinically indicated.

KEY PERFORMANCE INDICATORS

 TOTAL WEIGHT: 14%  
 KPI   INDIVIDUAL KPI WEIGHT (IN POINTS)  DATA SOURCE 
1. 90% of individuals are scheduled to be seen by a licensed or credentialed professional (Associate or Independently Licensed Clinician, or Certified Addiction Counselor if substance use disorder is indicated) within seven (7) business days of discharge. 50 Operational Report signed by CMP
2. 90% of individuals are scheduled to be seen by a licensed physician/ psychiatrist/ physician extender within fourteen (14) business days of discharge.  50 Operational Report signed by CMP

RELATED POLICIES

Community Medicaid Provider (CMP) Standards for Georgia's Tier 2 Behavioral Health Services, 01-230

Transition Planning Process for Individuals on the ADA Ready to Discharge List, Policy 01-507

Process for Reporting Compliance with Standards for Tier 2 Community Medicaid Providers (CMPs), 01-249

Attachments:

Approval Signatures

Approver Date
Anne Akili, Psy.D.: Director, Policy Management 6/29/2018
Monica Johnson, MA, LPC: Director, Division of Behavioral Health 6/29/2018
Anne Akili, Psy.D.: Director, Policy Management 6/28/2018
Keisha Blackwell, LMSW, MBA: Policy Coordinator 6/26/2018
Older Version Approval Signatures
Approver Date
Anne Akili, Psy.D.: Director, Policy Management 6/29/2018
Monica Johnson, MA, LPC: Director, Division of Behavioral Health 6/29/2018
Anne Akili, Psy.D.: Director, Policy Management 6/28/2018
Keisha Blackwell, LMSW, MBA: Policy Coordinator 6/26/2018
Older Version Approval Signatures
Anne Akili, Psy.D.: Director, Policy Management 8/8/2017
Monica Johnson, MA, LPC: Director, Division of Behavioral Health 8/7/2017
Anne Akili, Psy.D.: Director, Policy Management 8/7/2017
Keisha Blackwell, LMSW, MBA: Policy Coordinator 8/7/2017
Anne Akili, Psy.D.: Policy Director 8/23/2016
Monica Johnson, MA, LPC: Director, Division of Behavioral Health 8/22/2016
Anne Akili, Psy.D.: Policy Director 8/19/2016
Joetta Prost, Ph.D.: DBHDD Policy Director 5/18/2015
Monica Johnson, MA, LPC: Director, Division of Behavioral Health 5/17/2015
Joetta Prost, Ph.D.: DBHDD Policy Director 4/13/2015