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Services Grid

LEVEL OF CARE	AGE	ELIGIBILITY ADULTS	ELIGIBILITY CHILDREN	PROVIDED BY
INPATIENT SERVICES
Acute (Mental Health) Inpatient Hospitalization	Children & Adults	Medicaid & Indigent MH/SMI	Medicaid & All Indigent	Licensed Facilities
Sub-Acute (Mental Health) Inpatient Hospitalization	Children & Adults	Medicaid &Indigent SMI Only	Medicaid & All Indigent	Licensed Facilities
CRISIS SERVICES
Mobile Crisis	Children & Adults	Medicaid & All Indigent	Medicaid & All Indigent	Credentialed Providers
Crisis Stabilization (Hospital-based, 1-3 days)	Children & Adults	Medicaid & Indigent SMI	Medicaid & All Indigent	Credentialed Providers
Crisis Stabilization (Community-based, 1-3 days)	Children & Adults	Medicaid & Indigent SMI	Medicaid & All Indigent	Credentialed Providers
23 Hour Observation/Treatment (Hospital-based)	Children & Adults	Medicaid & Indigent SMI	Medicaid & All Indigent	Licensed Facilities
RESIDENTIAL SERVICES
Intensive Crisis Residential (1 – 14 days)	Children & Adults	Medicaid & Indigent SMI	Medicaid & All Indigent	SPN & Licensed Facilities
Residential Treatment Centers	Children & Adults	Medicaid & Indigent SMI	Medicaid & All Indigent	SPN & Licensed Facilities
Personal Care Homes / Assisted Living	Adults	Medicaid & SMI Only	N/A	SPN
DAY SERVICES
Partial Hospital	Children & Adults	Medicaid & Indigent SMI	Medicaid & All Indigent	Credentialed Providers
Day Treatment for Acute Needs - Rehabilitative	Adults	Medicaid & SMI Only	Medicaid & All Indigent	SPN
Intensive Outpatient Programs	Children & Adults	Medicaid & SMI Only	Medicaid & All Indigent
SPECIALTY PROVIDER COMMUNITY BASED SERVICES
Routine Case Management	Children & Adults	Medicaid & SMI Only	Medicaid & All Indigent	SPN
Intensive Case Management	Children	Medicaid & SMI Only	Medicaid & All Indigent	SPN
Supported Employment	Adults	Medicaid & SMI Only	Medicaid & All Indigent	SPN
Early Intervention	Children 3-5	N/A	Medicaid & All Indigent	SPN
Assertive Community Treatment	Adults	Medicaid & SMI Only	N/A	SPN
PLACEMENT SERVICES
Respite Care	Children & Adults	Medicaid & SMI Only	Medicaid & All Indigent	SPN
Therapeutic Foster Care	Children	N/A	Medicaid & All Indigent	SPN
Adult Foster Care	Adults	Medicaid & SMI Only	N/A	SPN
SPECIALTY CHILDRENS’ PROGRAMS
Specialty Program - Early Childhood Pre-School Day Treatment (Ages 3-5)	Children Ages 3-5	N/A	Medicaid & All Indigent	Existing Specialty Provider Only
Specialty Program - Children and Youth Wrap – around	Children Ages 10-17	N/A	Medicaid & All Indigent	Existing Specialty Provider Only
Specialty Program - Mental Health Services-Birth to Age Six	Children Ages 0 – 6	N/A	Medicaid & All Indigent	Existing Specialty Provider Only
Specialty Program – Treatment Foster Care	Children	N/A	Medicaid & All Indigent	Existing Specialty Provider Only
OUTPATIENT SERVICES
Diagnostic Interview/Clinical Assessment	Children & Adults	Medicaid & All Indigent	Medicaid & All Indigent	Credentialed Providers
Medication Management	Children & Adults	Medicaid & SMI Only	Medicaid & All Indigent	Credentialed Providers
Walk-in Crisis/Assessment	Children & Adults	Medicaid & All Indigent	Medicaid & All Indigent	Credentialed Providers
Home-based Behavioral Health Treatment	Children & Adults	Medicaid & All Indigent	Medicaid & All Indigent	Credentialed Providers
Psychological Testing / Neurological Testing Battery	Children & Adults	Medicaid & SMI Only	Medicaid & All Indigent	Credentialed Providers
Outpatient Treatment Modalities – Counseling services	Children & Adults	Medicaid & MDD w/GAF <50	Medicaid & All Indigent	Credentialed Providers
Narcosynthesis	Adult	Medicaid & SMI Only	N/A	Credentialed Providers
ADDITIONAL VALUE-ADDED SERVICES
Consumer-Run Drop in Centers	Adults	Medicaid & All Indigent	N/A	Providers under contract
Minority and Specialty Populations Outreach and Advocacy	Adults and Children	Medicaid & All Indigent	Medicaid & All Indigent	Providers under contract
Family Support Groups	Adults and Children	Medicaid & All Indigent	Medicaid & All Indigent	Providers under contract
Peer Education, Support and Counseling	Adults	Medicaid & All Indigent	N/A	Providers under contract
School-based Services	Children	N/A	Medicaid & All Indigent	Providers under contract
Dual Diagnosis Support Groups	Adults and Children	Medicaid & All Indigent	Medicaid & All Indigent	Providers under contract
Telephonic Recordings of Publications and Event Notification	Adults and Children	Medicaid & All Indigent	Medicaid & All Indigent	Providers under contract
Transportation	Adults and Children	TBD	TBD	Providers under contract

CD SERVICES
Scope of Chemical Dependency Treatment Benefits
Clinical Screening	A brief informational process in which basic information is obtained to determine if a potential chemical dependency problem exists and a chemical dependency assessment or treatment may be warranted
Clinical Assessment	Clinical process of obtaining and evaluating historical, social, functional, psychiatric, developmental, substance use or other information from the Enrollee and family to determine treatment needs
Hospital Inpatient Services (Medicaid enrollees only)	Medically necessary services ordinarily furnished by a Medicaid general acute hospital under the direction of a physician. Includes DRGs 433-438 (alcohol/drug dependence rehabilitation and detoxification)
Medically Monitored 24 Hour Residential Detoxification	Non-hospital residential service that provides a planned, structured, and organized physician-supervised detoxification program to treat individuals with a diagnosis of chemical dependency
Medically Monitored Outpatient Detoxification	An intensive outpatient program combined with a physician-supervised detoxification program.
24 Hour Residential Rehabilitation Program	Non-hospital residential service that provides a planned, structured and organized program to treat chemical dependency
Partial Hospitalization Rehabilitation Program	A planned, structured program that provides 20 or more hours per week of clinically intensive chemical dependency services
Intensive Outpatient Rehabilitation Program	A planned, structured program that provides 10 or more hours per week of clinically intensive chemical dependency services
Outpatient Program	A planned, structured service that provides an average of 2 hours per week of chemical dependency counseling by a QCC
Outpatient Service	A service that provides at least one hour of chemical dependency counseling every two weeks by a QCC
Pharmacological Maintenance Therapy	A maintenance program for opiate dependent clients supervised by a physician following State and Federal regulations
Specialized Female Services	Traditional DSHS funded specialized services for pregnant and post-partum women and women with dependent children (inclusive of females in treatment who are attempting to regain custody of their children) that, in addition to gender-specific residential and outpatient chemical dependency treatment, include primary medical care for non-Medicaid females receiving treatment; other therapeutic interventions for females that may address issues of relationships, sexual and physical abuse and parenting; childcare while females are receiving services; therapeutic interventions for children with potential for substance abuse, and their issues of sexual and physical abuse and neglect; referrals for appropriate medical care for women and their children; and sufficient case management and transportation services to ensure that female clients and their children have access to the services described above
Dual Diagnosis Services	Integration of all levels of chemical dependency and mental health services for persons who have concurrent diagnoses which meet DSM-IV criteria for substance abuse or dependency and a major mental disorder