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Viewing: CMP Standard 6 - Substance Use Disorder Treatment & Supports, 01-236

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Current Status: Active PolicyStat ID: 5439371

CMP Standard 6 - Substance Use Disorder Treatment & Supports, 01-236

CORRECTED SEPTEMBER 25, 2018

APPLICABILITY

Community Medicaid Provider (CMP)

POLICY

DBHDD providers deliver Substance Use Disorder treatment and supports in line with the CMP standards and consistent with DBHDD's philosophy as per Guiding Principles Regarding Co-Occurring Mental Health and Addictive Diseases Disorders, 04-109, and maintain the individual's right to privacy as detailed in Confidentiality and HIPAA, 23-100. This policy details the expectations of all Community Medicaid Providers (CMPs).

GUIDELINES FOR CMP - ADULT

A CMP must provide a clinically appropriate level of care for individuals with substance use disorders. A minimum of 9 hours per week of substance use disorder treatment services and supports must be available. These 9 hours may be comprised of Group Counseling and Group Training but a minimum of at least 5 hours must be Group Counseling.

KEY PERFORMANCE INDICATORS - ADULT

TOTAL WEIGHT: 10%  
KPI INDIVIDUAL KPI WEIGHT (IN POINTS) DATA SOURCE

1. A minimum of 9 hours, of which at least 50% is group counseling, per week of substance use disorder treatment services and supports are available for individuals diagnosed to have a substance use disorder.

20 Weekly Programming Schedule.

2. A minimum of 80% of individuals with primary or co-occurring SUD diagnosis are receiving group counseling services. This is defined by an individual with at least 5 encounters of group counseling that addresses SUD issues within the reporting period.

30 Operational report signed by provider.

GUIDELINES FOR CMP - CHILDREN, YOUNG ADULTS & FAMILIES

A CMP must provide a clinically appropriate level of care for individuals with substance use disorders. A minimum of 5 hours per week of substance use disorder treatment services and supports must be available. These 5 hours may be comprised of Group Counseling and Group Training but a minimum of at least 3 hours must be Group Counseling.

Any additional programming content hours can be Group Counseling and/or Group Training.

KEY PERFORMANCE INDICATORS - CHILDREN, YOUNG ADULTS & FAMILIES

TOTAL WEIGHT   
KPI (CHILD & ADOLESCENT) INDIVIDUAL KPI WEIGHT (IN POINTS) DATA SOURCE

1. A minimum of 5 hours, of which at least 50% is group counseling, per week of substance use disorder treatment services and supports are available for individuals diagnosed to have a substance use disorder.

20 Weekly Programming Schedule.

2. A minimum of 80% of individuals with primary or co-occurring SUD diagnosis are receiving group counseling services. This is defined by an individual with at least 5 encounters of group counseling that addresses SUD issues within the reporting period.

30 Operational report signed by provider.

RELATED POLICIES

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

Confidentiality and HIPAA, 23-100

Guiding Principles Regarding Co-Occurring Mental Health and Addictive Diseases Disorders, 04-109

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 9/25/2018
Monica Johnson, MA, LPC: Director, Division of Behavioral Health 9/25/2018
Anne Akili, Psy.D.: Director, Policy Management 9/25/2018
Keisha Blackwell, LMSW, MBA: Policy Coordinator 9/25/2018
Older Version Approval Signatures
Approver Date
Anne Akili, Psy.D.: Director, Policy Management 9/25/2018
Monica Johnson, MA, LPC: Director, Division of Behavioral Health 9/25/2018
Anne Akili, Psy.D.: Director, Policy Management 9/25/2018
Keisha Blackwell, LMSW, MBA: Policy Coordinator 9/25/2018
Older Version Approval Signatures
Anne Akili, Psy.D.: Director, Policy Management 6/28/2018
Monica Johnson, MA, LPC: Director, Division of Behavioral Health 6/26/2018
Anne Akili, Psy.D.: Director, Policy Management 6/25/2018
Keisha Blackwell, LMSW, MBA: Policy Coordinator 6/25/2018
Anne Akili, Psy.D.: Director, Policy Management 8/8/2017
Monica Johnson, MA, LPC: Director, Division of Behavioral Health 8/8/2017
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 8/22/2016
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