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 Final
Comment Period Ended on 7/27/2016
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7/25/16  1:28 pm
Commenter: Leslie Sharp, NRVCS

Crisis Intervention and MHSS changes
 

We have significant concerns relating to recent Magellan notifications about 7-day registration requirements for crisis intervention and MHSS Treatment Plan Reviews being proposed by Magellan. Magellan trainings provided included some verbal indication that providers would not only have to do a 7-day registration update, but it was also verbally stated that providers would also need to do a new SSPI and ISP every seven days for crisis intervention.  This information is not written in any of the official materials being released, nor in the Regulatory Town Hall proposed final regulations. On the most recent Magellan provider call on 7/22/16, it was stated that a new SSPI and ISP would not be required if the registration was not for a new crisis but the provider would need to determine needs and identify barriers to resolving the crisis with an update of the ISP. The latest information given on the provider call is contradictory to the training information provided regarding SSPI and ISP requirements and has caused significant confusion. It was also stated by Magellan providers that this will be instituted as a business rule as there is potential to reduce access to needed and critical crisis services by adding some burdensome requirements that prevent or reduce access to crisis services.In addition to the crisis intervention changes there is also significant confusion surrounding the MHSS requirements regarding treatment plan reviews that are to be documented in the individual's medical record no later than 15 calendar days from the date of the review. In the Magellan training this was discussed as a new requirement for MHSS but on the most recent Magellan provider call it was stated this was for all CMHRS services except for case management services. Again this is contradictory information from the webinar training regarding the upcoming trainings and given the number of CMHRS services, clarification on this requirement is a significant. 

 

CommentID: 50674