Current through September, 2024
Section 17-1720-14 - Specialized behavioral health services(a) In addition to services included in the standard benefits package under section 17-1720-10 and based on clinical eligibility and medical necessity, the following specialized behavioral health services may be provided for an enrollee with a severe and persistent mental illness, serious mental illness, or requiring support for emotional and behavioral development: (1) Biopsychosocial rehabilitation;(3) Community based residential programs;(5) Crisis residential services;(6) Financial management;(7) Hospital-based residential services;(8) Intensive case management;(9) Intensive family intervention;(10) Intensive outpatient hospital services;(12) Substance abuse treatment provided by a licensed or a certified substance abuse counselor;(13) Supportive employment;(14) Supported housing; and(15) Therapeutic living supports and therapeutic foster care supports.(b) An enrollee who is age eighteen years or older and certified by an independent clinical evaluator as diagnosed with severe and persistent mental illness or serious mental illness shall receive behavioral health services through the adult mental health division within the department of health, the health plan in which the enrollee is enrolled or community care services program as determined by the department.(c) An enrollee who is three to twenty years of age, and who is diagnosed with a severe emotional or behavioral disorder by an independent clinical evaluator, shall be referred to the child and adolescent mental health division within the department of health for behavioral health services. Haw. Code R. § 17-1720-14
[Eff 09/30/13] (Auth: HRS § 346-14; 42 C.F.R. §430.25 ) (Imp: HRS § 346-14; 42 C.F.R. §430.25 )