Section 7 AAC 138.400 - Community-based support services and payment conditions(a) The department will pay a provider who meets the requirements of 7 AAC 138.020 for one or more of the following substance use disorder 1115 waiver community-based support services provided to an eligible recipient under this chapter: (1) community recovery support services that are provided to promote recipient recovery, through skill building and counseling, and provided to (A) assist the recipient to build social, cognitive, daily living, employment, and self-management skills;(B) educate and train the recipient and the recipient's family on behavioral health topics related to the recipient's treatment and recovery; (C) help the recipient access necessary treatment and social support services;(D) help the recipient participate in traditional healing or spiritual activities;(E) facilitate level-of-care transitions; or(F) assist the recipient with recovery through support, mentoring, or coaching, and the services listed in (A) - (E) of this paragraph provided by a peer support specialist who (i) must have lived experience of an substance use disorder or co-occurring mental health disorder or is a family member of an individual with lived experience;(ii) must work under the supervision of a mental health professional clinician or a substance use disorder counselor; and(iii) is competent to provide services through supervised experience or formal training;(2) substance use disorder care coordination services that must be provided to a recipient receiving medication-assisted treatment in an outpatient care setting or an inpatient residential care setting, and are provided to (A) integrate a recipient's behavioral health treatment with primary care and specialty medical services through interdisciplinary care planning and monitoring of treatment progress and outcomes;(B) connect the recipient with appropriate community resources and social support services;(C) help the recipient with level-of-care transition; and(D) help the recipient develop skills needed for the self-management of treatment needs and the self-maintenance of long-term social supports;(3) intensive case management services that are used to establish, organize, integrate, and modify the treatment and social support services and resources required to meet recipient needs, and are provided in collaboration with the recipient to (A) facilitate provision of community-based social, educational, vocational, legal, and financial resources;(B) obtain medical, behavioral health, or other specialized treatment services and social support services;(C) monitor the safety and stability of the recipient and connect the recipient with crisis intervention services;(D) coordinate the provision of services and exchange of information between treatment providers and social services agencies to help achieve the goals listed in the recipient's treatment plan;(E) help the recipient engage in social relationships and natural community-based supports that enhance the recipient's quality of life; and(F) help the recipient resolve conflicts and mediate solutions to problems with treatment providers, social support agencies, or natural community-based supports.(b) Services provided under (a)(1) of this section may be provided concurrently with: (1) any 1115 waiver service listed in 7 AAC 138.250;(2) ambulatory withdrawal management services under the 1115 waiver listed in 7 AAC 138.350(a); and(3) a community-based support service listed in (a)(2) and (a)(3) of this section if the recipient is receiving services listed in (1) and (2) of this subsection.(c)Substance use disorder care coordination services may be provided concurrently with any 1115 waiver service listed in 7 AAC 138.250 - 7 AAC 138.350.(d) Intensive case management services may be provided concurrently with any service under 1115 waiver listed in 7 AAC 138.250 - 7 AAC 138.350.(e) In this section, "lived experience" means that an individual lias experienced or was treated for a substance use related disorder or a co-occurring mental health disorder, or is a family member who lived with a person with such a condition. In this section, "family member" means a parent, step-parent, sibling, step-sibling, spouse, grandparent, aunt or uncle. Eff. 7/1/2019, Register 231, July 2019; am 11/10/2019, Register 232, January 2020Authority:AS 47.05.010
AS 47.07.030