Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
 
Board
Board of Medical Assistance Services
 
chapter
Amount, Duration, and Scope of Medical and Remedial Care and Services [12 VAC 30 ‑ 50]
Action Mental Health Skill-building Services
Stage Emergency/NOIRA
Comment Period Ended on 12/11/2013
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12/6/13  8:43 am
Commenter: Michael O'Connor

greater flexibility
 

While I generally support regualitons that assure that these services are targeted to those with a serious mental illness, I fear that the qualifying criteria are too absolute and rigid given current day practice aimed at promoting recovery and preventing hospitalization. There should be the ability to grant exceptions when there is ample evidence that there is a serious mental illness and the functional defitis that justify the services even when an individual has ben helped to avoid hospitalization. The regulaitons also  need to take into account that many persons with a serious mental illness, early in their illness, may require extensive efforts at engagement and trust building before actual skills will be able to be addressed. The smae flexibility is required so that  the allowable activities and measures for service continuation undertsand that longer term assistance with various life skills is needed for some individuals and that completed skill acquisition will be elusive for some and ongoing services will be necessary for sustained community tenure.

CommentID: 29533