1.1 A bill for an act
1.2 relating to behavioral health; adding occupational therapy services, occupational
1.3 therapists, and occupational therapy assistants to mental health uniform service
1.4 standards, mental health services, and children's mental health grants; amending
1.5 Minnesota Statutes 2024, sections 245.4889, subdivision 1; 245I.02, by adding
1.6 subdivisions; 245I.04, by adding subdivisions; 245I.23, subdivisions 2, 4, 5;
1.7 256B.0622, subdivisions 2, 7a; 256B.0671, subdivision 3; 256B.0941, subdivision
1.8 2; 256B.0943, subdivisions 1, 2, 7, 9; 256B.0947, subdivisions 2, 3a, 5.
1.9BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.10 Section 1. Minnesota Statutes 2024, section 245.4889, subdivision 1, is amended to read:
1.11 Subdivision 1.Establishment and authority.(a) The commissioner is authorized to
1.12make grants from available appropriations to assist:
1.13 (1) counties;
1.14 (2) Indian tribes;
1.15 (3) children's collaboratives under section 142D.15 or 245.493; or
1.16 (4) mental health service providers.
1.17 (b) The following services are eligible for grants under this section:
1.18 (1) services to children with emotional disturbances as defined in section 245.4871,
1.19subdivision 15, and their families;
1.20 (2) transition services under section 245.4875, subdivision 8, for young adults under
1.21age 21 and their families;
1.22 (3) respite care services for children with emotional disturbances or severe emotional
1.23disturbances who are at risk of residential treatment or hospitalization, who are already in
1Section 1.
25-02621 as introduced01/23/25 REVISOR DTT/LJ
SENATE
STATE OF MINNESOTA
S.F. No. 1811NINETY-FOURTH SESSION
(SENATE AUTHORS: KUPEC, Abeler and Hoffman)
OFFICIAL STATUSD-PGDATE
Introduction and first reading02/24/2025
Referred to Health and Human Services 2.1out-of-home placement in family foster settings as defined in chapter 142B and at risk of
2.2change in out-of-home placement or placement in a residential facility or other higher level
2.3of care, who have utilized crisis services or emergency room services, or who have
2.4experienced a loss of in-home staffing support. Allowable activities and expenses for respite
2.5care services are defined under subdivision 4. A child is not required to have case
2.6management services to receive respite care services. Counties must work to provide access
2.7to regularly scheduled respite care;
2.8 (4) children's mental health crisis services;
2.9 (5) child-, youth-, and family-specific mobile response and stabilization services models;
2.10 (6) mental health services for people from cultural and ethnic minorities, including
2.11supervision of clinical trainees who are Black, indigenous, or people of color;
2.12 (7) children's mental health screening and follow-up diagnostic assessment and treatment;
2.13 (8) services to promote and develop the capacity of providers to use evidence-based
2.14practices in providing children's mental health services;
2.15 (9) school-linked mental health services under section 245.4901;
2.16 (10) building evidence-based mental health intervention capacity for children birth to
2.17age five;
2.18 (11) suicide prevention and counseling services that use text messaging statewide;
2.19 (12) mental health first aid training;
2.20 (13) training for parents, collaborative partners, and mental health providers on the
2.21impact of adverse childhood experiences and trauma and development of an interactive
2.22website to share information and strategies to promote resilience and prevent trauma;
2.23 (14) transition age services to develop or expand mental health treatment and supports
2.24for adolescents and young adults 26 years of age or younger;
2.25 (15) early childhood mental health consultation;
2.26 (16) evidence-based interventions for youth at risk of developing or experiencing a first
2.27episode of psychosis, and a public awareness campaign on the signs and symptoms of
2.28psychosis;
2.29 (17) psychiatric consultation for primary care practitioners; and
2.30 (18) providers to begin operations and meet program requirements when establishing a
2.31new children's mental health program. These may be start-up grants.; and
2Section 1.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 3.1 (19) occupational therapy services as defined in section 245I.02, subdivision 29b, for
3.2children with emotional disturbances.
3.3 (c) Services under paragraph (b) must be designed to help each child to function and
3.4remain with the child's family in the community and delivered consistent with the child's
3.5treatment plan. Transition services to eligible young adults under this paragraph must be
3.6designed to foster independent living in the community.
3.7 (d) As a condition of receiving grant funds, a grantee shall obtain all available third-party
3.8reimbursement sources, if applicable.
3.9 (e) The commissioner may establish and design a pilot program to expand the mobile
3.10response and stabilization services model for children, youth, and families. The commissioner
3.11may use grant funding to consult with a qualified expert entity to assist in the formulation
3.12of measurable outcomes and explore and position the state to submit a Medicaid state plan
3.13amendment to scale the model statewide.
3.14 Sec. 2. Minnesota Statutes 2024, section 245I.02, is amended by adding a subdivision to
3.15read:
3.16 Subd. 29a.Occupational therapist or occupational therapy assistant."Occupational
3.17therapist or occupational therapy assistant" means a staff person who is qualified under
3.18section 245I.04, subdivision 20.
3.19 Sec. 3. Minnesota Statutes 2024, section 245I.02, is amended by adding a subdivision to
3.20read:
3.21 Subd. 29b.Occupational therapy services."Occupational therapy services" means
3.22services related to behavioral health provided to a client within the scope of practice for
3.23occupational therapists and occupational therapy assistants under section 148.6404. A license
3.24or certification holder may offer and provide for occupational therapy services as part of a
3.25client's behavioral health assessment, treatment planning, and treatment services.
3.26Occupational therapy services include but are not limited to screening, evaluation,
3.27intervention, and consultation to develop, recover, and maintain a client's:
3.28 (1) sensory integrative, neuromuscular, motor, emotional, motivational, cognitive, or
3.29psychosocial components of performance;
3.30 (2) daily living skills;
3.31 (3) feeding and swallowing skills;
3Sec. 3.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 4.1 (4) play and leisure skills;
4.2 (5) educational participation skills;
4.3 (6) functional performance and work participation skills;
4.4 (7) community mobility; and
4.5 (8) health and wellness.
4.6 Sec. 4. Minnesota Statutes 2024, section 245I.04, is amended by adding a subdivision to
4.7read:
4.8 Subd. 20.Occupational therapist and occupational therapy assistant qualifications.In
4.9order to provide occupational therapy services in a behavioral health setting, an occupational
4.10therapist or occupational therapy assistant must:
4.11 (1) be licensed under sections 148.6401 to 148.6450;
4.12 (2) for an occupational therapist, complete at least 480 hours of supervised work
4.13experience in a behavioral health treatment setting; and
4.14 (3) for an occupational therapy assistant, complete at least 320 hours of supervised work
4.15experience in a behavioral health treatment setting.
4.16 Sec. 5. Minnesota Statutes 2024, section 245I.04, is amended by adding a subdivision to
4.17read:
4.18 Subd. 21.Occupational therapist and occupational therapy assistant scope of
4.19practice.(a) An occupational therapist must maintain a valid license and must only provide
4.20occupational therapy services to a client within the occupational therapist's scope of practice
4.21under section 148.6404.
4.22 (b) An occupational therapy assistant must maintain a valid license and must only provide
4.23occupational therapy services to a client within the scope of practice under section 148.6404,
4.24under the supervision of an occupational therapist pursuant to section 148.6432.
4.25 Sec. 6. Minnesota Statutes 2024, section 245I.23, subdivision 2, is amended to read:
4.26 Subd. 2.Definitions.(a) "Program location" means a set of rooms that are each physically
4.27self-contained and have defining walls extending from floor to ceiling. Program location
4.28includes bedrooms, living rooms or lounge areas, bathrooms, and connecting areas.
4.29 (b) "Treatment team" means a group of staff persons who provide intensive residential
4.30treatment services or residential crisis stabilization to clients. The treatment team includes
4Sec. 6.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 5.1mental health professionals, mental health practitioners, clinical trainees, certified
5.2rehabilitation specialists, mental health rehabilitation workers, and mental health certified
5.3peer specialists and may include occupational therapists or occupational therapy assistants.
5.4 Sec. 7. Minnesota Statutes 2024, section 245I.23, subdivision 4, is amended to read:
5.5 Subd. 4.Required intensive residential treatment services.(a) On a daily basis, the
5.6license holder must follow a client's treatment plan to provide intensive residential treatment
5.7services to the client to improve the client's functioning.
5.8 (b) The license holder must offer and have the capacity to directly provide the following
5.9treatment services to each client:
5.10 (1) rehabilitative mental health services;
5.11 (2) crisis prevention planning to assist a client with:
5.12 (i) identifying and addressing patterns in the client's history and experience of the client's
5.13mental illness; and
5.14 (ii) developing crisis prevention strategies that include de-escalation strategies that have
5.15been effective for the client in the past;
5.16 (3) health services and administering medication;
5.17 (4) co-occurring substance use disorder treatment;
5.18 (5) engaging the client's family and other natural supports in the client's treatment and
5.19educating the client's family and other natural supports to strengthen the client's social and
5.20family relationships; and
5.21 (6) making referrals for the client to other service providers in the community and
5.22supporting the client's transition from intensive residential treatment services to another
5.23setting.
5.24 (c) The license holder must include Illness Management and Recovery (IMR), Enhanced
5.25Illness Management and Recovery (E-IMR), or other similar interventions in the license
5.26holder's programming as approved by the commissioner.
5.27 (d) The license holder may also offer and have the capacity to directly provide medically
5.28necessary occupational therapy services to each client.
5Sec. 7.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 6.1 Sec. 8. Minnesota Statutes 2024, section 245I.23, subdivision 5, is amended to read:
6.2 Subd. 5.Required residential crisis stabilization services.(a) On a daily basis, the
6.3license holder must follow a client's individual crisis treatment plan to provide services to
6.4the client in residential crisis stabilization to improve the client's functioning.
6.5 (b) The license holder must offer and have the capacity to directly provide the following
6.6treatment services to the client:
6.7 (1) crisis stabilization services as described in section 256B.0624, subdivision 7;
6.8 (2) rehabilitative mental health services;
6.9 (3) health services and administering the client's medications; and
6.10 (4) making referrals for the client to other service providers in the community and
6.11supporting the client's transition from residential crisis stabilization to another setting.
6.12 (c) The license holder may also offer and have the capacity to directly provide medically
6.13necessary occupational therapy services to each client.
6.14 Sec. 9. Minnesota Statutes 2024, section 256B.0622, subdivision 2, is amended to read:
6.15 Subd. 2.Definitions.(a) For purposes of this section, the following terms have the
6.16meanings given them.
6.17 (b) "ACT team" means the group of interdisciplinary mental health staff who work as
6.18a team to provide assertive community treatment.
6.19 (c) "Assertive community treatment" means intensive nonresidential treatment and
6.20rehabilitative mental health services provided according to the assertive community treatment
6.21model. Assertive community treatment provides a single, fixed point of responsibility for
6.22treatment, rehabilitation, and support needs for clients. Services are offered 24 hours per
6.23day, seven days per week, in a community-based setting.
6.24 (d) "Individual treatment plan" means a plan described by section 245I.10, subdivisions
6.257 and 8.
6.26 (e) "Crisis assessment and intervention" means mobile crisis response services under
6.27section 256B.0624.
6.28 (f) "Individual treatment team" means a minimum of three members of the ACT team
6.29who are responsible for consistently carrying out most of a client's assertive community
6.30treatment services.
6Sec. 9.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 7.1 (g) "Primary team member" means the person who leads and coordinates the activities
7.2of the individual treatment team and is the individual treatment team member who has
7.3primary responsibility for establishing and maintaining a therapeutic relationship with the
7.4client on a continuing basis.
7.5 (h) "Certified rehabilitation specialist" means a staff person who is qualified according
7.6to section 245I.04, subdivision 8.
7.7 (i) "Clinical trainee" means a staff person who is qualified according to section 245I.04,
7.8subdivision 6.
7.9 (j) "Mental health certified peer specialist" means a staff person who is qualified
7.10according to section 245I.04, subdivision 10.
7.11 (k) "Mental health practitioner" means a staff person who is qualified according to section
7.12245I.04, subdivision 4.
7.13 (l) "Mental health professional" means a staff person who is qualified according to
7.14section 245I.04, subdivision 2.
7.15 (m) "Mental health rehabilitation worker" means a staff person who is qualified according
7.16to section 245I.04, subdivision 14.
7.17 (n) "Occupational therapist or occupational therapy assistant" means a staff person who
7.18is qualified according to section 245I.04, subdivision 20.
7.19 Sec. 10. Minnesota Statutes 2024, section 256B.0622, subdivision 7a, is amended to read:
7.20 Subd. 7a.Assertive community treatment team staff requirements and roles.(a)
7.21The required treatment staff qualifications and roles for an ACT team are:
7.22 (1) the team leader:
7.23 (i) shall be a mental health professional. Individuals who are not licensed but who are
7.24eligible for licensure and are otherwise qualified may also fulfill this role;
7.25 (ii) must be an active member of the ACT team and provide some direct services to
7.26clients;
7.27 (iii) must be a single full-time staff member, dedicated to the ACT team, who is
7.28responsible for overseeing the administrative operations of the team and supervising team
7.29members to ensure delivery of best and ethical practices; and
7Sec. 10.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 8.1 (iv) must be available to ensure that overall treatment supervision to the ACT team is
8.2available after regular business hours and on weekends and holidays and is provided by a
8.3qualified member of the ACT team;
8.4 (2) the psychiatric care provider:
8.5 (i) must be a mental health professional permitted to prescribe psychiatric medications
8.6as part of the mental health professional's scope of practice. The psychiatric care provider
8.7must have demonstrated clinical experience working with individuals with serious and
8.8persistent mental illness;
8.9 (ii) shall collaborate with the team leader in sharing overall clinical responsibility for
8.10screening and admitting clients; monitoring clients' treatment and team member service
8.11delivery; educating staff on psychiatric and nonpsychiatric medications, their side effects,
8.12and health-related conditions; actively collaborating with nurses; and helping provide
8.13treatment supervision to the team;
8.14 (iii) shall fulfill the following functions for assertive community treatment clients:
8.15provide assessment and treatment of clients' symptoms and response to medications, including
8.16side effects; provide brief therapy to clients; provide diagnostic and medication education
8.17to clients, with medication decisions based on shared decision making; monitor clients'
8.18nonpsychiatric medical conditions and nonpsychiatric medications; and conduct home and
8.19community visits;
8.20 (iv) shall serve as the point of contact for psychiatric treatment if a client is hospitalized
8.21for mental health treatment and shall communicate directly with the client's inpatient
8.22psychiatric care providers to ensure continuity of care;
8.23 (v) shall have a minimum full-time equivalency that is prorated at a rate of 16 hours per
8.2450 clients. Part-time psychiatric care providers shall have designated hours to work on the
8.25team, with sufficient blocks of time on consistent days to carry out the provider's clinical,
8.26supervisory, and administrative responsibilities. No more than two psychiatric care providers
8.27may share this role; and
8.28 (vi) shall provide psychiatric backup to the program after regular business hours and on
8.29weekends and holidays. The psychiatric care provider may delegate this duty to another
8.30qualified psychiatric provider;
8.31 (3) the nursing staff:
8.32 (i) shall consist of one to three registered nurses or advanced practice registered nurses,
8.33of whom at least one has a minimum of one-year experience working with adults with
8Sec. 10.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 9.1serious mental illness and a working knowledge of psychiatric medications. No more than
9.2two individuals can share a full-time equivalent position;
9.3 (ii) are responsible for managing medication, administering and documenting medication
9.4treatment, and managing a secure medication room; and
9.5 (iii) shall develop strategies, in collaboration with clients, to maximize taking medications
9.6as prescribed; screen and monitor clients' mental and physical health conditions and
9.7medication side effects; engage in health promotion, prevention, and education activities;
9.8communicate and coordinate services with other medical providers; facilitate the development
9.9of the individual treatment plan for clients assigned; and educate the ACT team in monitoring
9.10psychiatric and physical health symptoms and medication side effects;
9.11 (4) the co-occurring disorder specialist:
9.12 (i) shall be a full-time equivalent co-occurring disorder specialist who has received
9.13specific training on co-occurring disorders that is consistent with national evidence-based
9.14practices. The training must include practical knowledge of common substances and how
9.15they affect mental illnesses, the ability to assess substance use disorders and the client's
9.16stage of treatment, motivational interviewing, and skills necessary to provide counseling to
9.17clients at all different stages of change and treatment. The co-occurring disorder specialist
9.18may also be an individual who is a licensed alcohol and drug counselor as described in
9.19section 148F.01, subdivision 5, or a counselor who otherwise meets the training, experience,
9.20and other requirements in section 245G.11, subdivision 5. No more than two co-occurring
9.21disorder specialists may occupy this role; and
9.22 (ii) shall provide or facilitate the provision of co-occurring disorder treatment to clients.
9.23The co-occurring disorder specialist shall serve as a consultant and educator to fellow ACT
9.24team members on co-occurring disorders;
9.25 (5) the vocational specialist:
9.26 (i) shall be a full-time vocational specialist who has at least one-year experience providing
9.27employment services or advanced education that involved field training in vocational services
9.28to individuals with mental illness. An individual who does not meet these qualifications
9.29may also serve as the vocational specialist upon completing a training plan approved by the
9.30commissioner;
9.31 (ii) shall provide or facilitate the provision of vocational services to clients. The vocational
9.32specialist serves as a consultant and educator to fellow ACT team members on these services;
9.33and
9Sec. 10.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 10.1 (iii) must not refer individuals to receive any type of vocational services or linkage by
10.2providers outside of the ACT team;
10.3 (6) the mental health certified peer specialist:
10.4 (i) shall be a full-time equivalent. No more than two individuals can share this position.
10.5The mental health certified peer specialist is a fully integrated team member who provides
10.6highly individualized services in the community and promotes the self-determination and
10.7shared decision-making abilities of clients. This requirement may be waived due to workforce
10.8shortages upon approval of the commissioner;
10.9 (ii) must provide coaching, mentoring, and consultation to the clients to promote recovery,
10.10self-advocacy, and self-direction, promote wellness management strategies, and assist clients
10.11in developing advance directives; and
10.12 (iii) must model recovery values, attitudes, beliefs, and personal action to encourage
10.13wellness and resilience, provide consultation to team members, promote a culture where
10.14the clients' points of view and preferences are recognized, understood, respected, and
10.15integrated into treatment, and serve in a manner equivalent to other team members;
10.16 (7) the program administrative assistant shall be a full-time office-based program
10.17administrative assistant position assigned to solely work with the ACT team, providing a
10.18range of supports to the team, clients, and families; and
10.19 (8) additional staff:
10.20 (i) shall be based on team size. Additional treatment team staff may include mental
10.21health professionals; clinical trainees; certified rehabilitation specialists; mental health
10.22practitioners; or mental health rehabilitation workers; or occupational therapists or
10.23occupational therapy assistants. These individuals shall have the knowledge, skills, and
10.24abilities required by the population served to carry out rehabilitation and support functions;
10.25and
10.26 (ii) shall be selected based on specific program needs or the population served.
10.27 (b) Each ACT team must clearly document schedules for all ACT team members.
10.28 (c) Each ACT team member must serve as a primary team member for clients assigned
10.29by the team leader and are responsible for facilitating the individual treatment plan process
10.30for those clients. The primary team member for a client is the responsible team member
10.31knowledgeable about the client's life and circumstances and writes the individual treatment
10.32plan. The primary team member provides individual supportive therapy or counseling, and
10.33provides primary support and education to the client's family and support system.
10Sec. 10.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 11.1 (d) Members of the ACT team must have strong clinical skills, professional qualifications,
11.2experience, and competency to provide a full breadth of rehabilitation services. Each staff
11.3member shall be proficient in their respective discipline and be able to work collaboratively
11.4as a member of a multidisciplinary team to deliver the majority of the treatment,
11.5rehabilitation, and support services clients require to fully benefit from receiving assertive
11.6community treatment.
11.7 (e) Each ACT team member must fulfill training requirements established by the
11.8commissioner.
11.9 Sec. 11. Minnesota Statutes 2024, section 256B.0671, subdivision 3, is amended to read:
11.10 Subd. 3.Adult day treatment services.(a) Medical assistance covers adult day treatment
11.11(ADT) services that are provided under contract with the county board. Adult day treatment
11.12payment is subject to the conditions in paragraphs (b) to (e). The provider must make
11.13reasonable and good faith efforts to report individual client outcomes to the commissioner
11.14using instruments, protocols, and forms approved by the commissioner.
11.15 (b) Adult day treatment is an intensive psychotherapeutic treatment to reduce or relieve
11.16the effects of mental illness on a client to enable the client to benefit from a lower level of
11.17care and to live and function more independently in the community. Adult day treatment
11.18services must be provided to a client to stabilize the client's mental health and to improve
11.19the client's independent living and socialization skills. Adult day treatment must consist of
11.20at least one hour of group psychotherapy and must include group time focused on
11.21rehabilitative interventions or other therapeutic services that a multidisciplinary team provides
11.22to each client. Adult day treatment services are not a part of inpatient or residential treatment
11.23services. The following providers may apply to become adult day treatment providers:
11.24 (1) a hospital with Centers for Medicare and Medicaid Services approved hospital
11.25accreditation and licensed under sections 144.50 to 144.55;
11.26 (2) a community mental health center under section 256B.0625, subdivision 5; or
11.27 (3) an entity that is under contract with the county board to operate a program that meets
11.28the requirements of section 245.4712, subdivision 2, and Minnesota Rules, parts 9505.0170
11.29to 9505.0475.
11.30 (c) An adult day treatment services provider must:
11.31 (1) ensure that the commissioner has approved of the organization as an adult day
11.32treatment provider organization;
11Sec. 11.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 12.1 (2) ensure that a multidisciplinary team provides ADT services to a group of clients. A
12.2mental health professional must supervise each multidisciplinary staff person who provides
12.3ADT services;
12.4 (3) make ADT services available to the client at least two days a week for at least three
12.5consecutive hours per day. ADT services may be longer than three hours per day, but medical
12.6assistance may not reimburse a provider for more than 15 hours per week;
12.7 (4) provide ADT services to each client that includes group psychotherapy by a mental
12.8health professional or clinical trainee and daily rehabilitative interventions by a mental
12.9health professional, clinical trainee, or mental health practitioner; and
12.10 (5) include ADT services in the client's individual treatment plan, when appropriate.
12.11The adult day treatment provider must:
12.12 (i) complete a functional assessment of each client under section 245I.10, subdivision
12.139;
12.14 (ii) notwithstanding section 245I.10, subdivision 8, review the client's progress and
12.15update the individual treatment plan at least every 90 days until the client is discharged
12.16from the program; and
12.17 (iii) include a discharge plan for the client in the client's individual treatment plan.
12.18 (d) An adult day treatment services provider may make skilled occupational therapy
12.19services, provided by an occupational therapist or occupational therapy assistant who is
12.20qualified according to section 245I.04, subdivision 20, available to each client.
12.21 (d) (e) To be eligible for adult day treatment, a client must:
12.22 (1) be 18 years of age or older;
12.23 (2) not reside in a nursing facility, hospital, institute of mental disease, or state-operated
12.24treatment center unless the client has an active discharge plan that indicates a move to an
12.25independent living setting within 180 days;
12.26 (3) have the capacity to engage in rehabilitative programming, skills activities, and
12.27psychotherapy in the structured, therapeutic setting of an adult day treatment program and
12.28demonstrate measurable improvements in functioning resulting from participation in the
12.29adult day treatment program;
12.30 (4) have a level of care assessment under section 245I.02, subdivision 19, recommending
12.31that the client participate in services with the level of intensity and duration of an adult day
12.32treatment program; and
12Sec. 11.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 13.1 (5) have the recommendation of a mental health professional for adult day treatment
13.2services. The mental health professional must find that adult day treatment services are
13.3medically necessary for the client.
13.4 (e) (f) Medical assistance does not cover the following services as adult day treatment
13.5services:
13.6 (1) services that are primarily recreational or that are provided in a setting that is not
13.7under medical supervision, including sports activities, exercise groups, craft hours, leisure
13.8time, social hours, meal or snack time, trips to community activities, and tours;
13.9 (2) social or educational services that do not have or cannot reasonably be expected to
13.10have a therapeutic outcome related to the client's mental illness;
13.11 (3) consultations with other providers or service agency staff persons about the care or
13.12progress of a client;
13.13 (4) prevention or education programs that are provided to the community;
13.14 (5) day treatment for clients with a primary diagnosis of a substance use disorder;
13.15 (6) day treatment provided in the client's home;
13.16 (7) psychotherapy for more than two hours per day; and
13.17 (8) participation in meal preparation and eating that is not part of a clinical treatment
13.18plan to address the client's eating disorder.
13.19Sec. 12. Minnesota Statutes 2024, section 256B.0941, subdivision 2, is amended to read:
13.20 Subd. 2.Services.(a) Psychiatric residential treatment facility service providers must
13.21offer and have the capacity to provide the following services:
13.22 (1) development of the individual plan of care, review of the individual plan of care
13.23every 30 days, and discharge planning by required members of the treatment team according
13.24to Code of Federal Regulations, title 42, sections 441.155 to 441.156;
13.25 (2) any services provided by a psychiatrist or physician for development of an individual
13.26plan of care, conducting a review of the individual plan of care every 30 days, and discharge
13.27planning by required members of the treatment team according to Code of Federal
13.28Regulations, title 42, sections 441.155 to 441.156;
13.29 (3) active treatment seven days per week that may include individual, family, or group
13.30therapy as determined by the individual care plan;
13.31 (4) individual therapy, provided a minimum of twice per week;
13Sec. 12.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 14.1 (5) family engagement activities, provided a minimum of once per week;
14.2 (6) consultation with other professionals, including case managers, primary care
14.3professionals, community-based mental health providers, school staff, occupational therapists
14.4or occupational therapy assistants who are qualified according to section 245I.04, subdivision
14.520, if the provider offers occupational therapy services under paragraph (b), or other support
14.6planners;
14.7 (7) coordination of educational services between local and resident school districts and
14.8the facility;
14.9 (8) 24-hour nursing; and
14.10 (9) direct care and supervision, supportive services for daily living and safety, and
14.11positive behavior management.
14.12 (b) Psychiatric residential treatment facility service providers may offer and have the
14.13capacity to provide occupational therapy services under section 245I.02, subdivision 29b.
14.14Sec. 13. Minnesota Statutes 2024, section 256B.0943, subdivision 1, is amended to read:
14.15 Subdivision 1.Definitions.(a) For purposes of this section, the following terms have
14.16the meanings given them.
14.17 (b) "Children's therapeutic services and supports" means the flexible package of mental
14.18health services for children who require varying therapeutic and rehabilitative levels of
14.19intervention to treat a diagnosed emotional disturbance, as defined in section 245.4871,
14.20subdivision 15, or a diagnosed mental illness, as defined in section 245.462, subdivision
14.2120. The services are time-limited interventions that are delivered using various treatment
14.22modalities and combinations of services designed to reach treatment outcomes identified
14.23in the individual treatment plan.
14.24 (c) "Clinical trainee" means a staff person who is qualified according to section 245I.04,
14.25subdivision 6.
14.26 (d) "Crisis planning" has the meaning given in section 245.4871, subdivision 9a.
14.27 (e) "Culturally competent provider" means a provider who understands and can utilize
14.28to a client's benefit the client's culture when providing services to the client. A provider
14.29may be culturally competent because the provider is of the same cultural or ethnic group
14.30as the client or the provider has developed the knowledge and skills through training and
14.31experience to provide services to culturally diverse clients.
14Sec. 13.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 15.1 (f) "Day treatment program" for children means a site-based structured mental health
15.2program consisting of psychotherapy for three or more individuals and individual or group
15.3skills training provided by a team, under the treatment supervision of a mental health
15.4professional.
15.5 (g) "Direct service time" means the time that a mental health professional, clinical trainee,
15.6mental health practitioner, or mental health behavioral aide spends face-to-face with a client
15.7and the client's family or providing covered services through telehealth as defined under
15.8section 256B.0625, subdivision 3b. Direct service time includes time in which the provider
15.9obtains a client's history, develops a client's treatment plan, records individual treatment
15.10outcomes, or provides service components of children's therapeutic services and supports.
15.11Direct service time does not include time doing work before and after providing direct
15.12services, including scheduling or maintaining clinical records.
15.13 (h) "Direction of mental health behavioral aide" means the activities of a mental health
15.14professional, clinical trainee, or mental health practitioner in guiding the mental health
15.15behavioral aide in providing services to a client. The direction of a mental health behavioral
15.16aide must be based on the client's individual treatment plan and meet the requirements in
15.17subdivision 6, paragraph (b), clause (7).
15.18 (i) "Emotional disturbance" has the meaning given in section 245.4871, subdivision 15.
15.19 (j) "Individual treatment plan" means the plan described in section 245I.10, subdivisions
15.207 and 8.
15.21 (k) "Mental health behavioral aide services" means medically necessary one-on-one
15.22activities performed by a mental health behavioral aide qualified according to section
15.23245I.04, subdivision 16, to assist a child retain or generalize psychosocial skills as previously
15.24trained by a mental health professional, clinical trainee, or mental health practitioner and
15.25as described in the child's individual treatment plan and individual behavior plan. Activities
15.26involve working directly with the child or child's family as provided in subdivision 9,
15.27paragraph (b), clause (4).
15.28 (l) "Mental health certified family peer specialist" means a staff person who is qualified
15.29according to section 245I.04, subdivision 12.
15.30 (m) "Mental health practitioner" means a staff person who is qualified according to
15.31section 245I.04, subdivision 4.
15.32 (n) "Mental health professional" means a staff person who is qualified according to
15.33section 245I.04, subdivision 2.
15Sec. 13.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 16.1 (o) "Mental health service plan development" includes:
16.2 (1) development and revision of a child's individual treatment plan; and
16.3 (2) administering and reporting standardized outcome measurements approved by the
16.4commissioner, as periodically needed to evaluate the effectiveness of treatment.
16.5 (p) "Mental illness," for persons at least age 18 but under age 21, has the meaning given
16.6in section 245.462, subdivision 20, paragraph (a).
16.7 (q) "Occupational therapist or occupational therapy assistant" means a staff person who
16.8is qualified according to section 245I.04, subdivision 20.
16.9 (r) "Occupational therapy services" has the meaning given in section 245I.02, subdivision
16.1029b.
16.11 (q) (s) "Psychotherapy" means the treatment described in section 256B.0671, subdivision
16.1211.
16.13 (r) (t) "Rehabilitative services" or "psychiatric rehabilitation services" means interventions
16.14to: (1) restore a child or adolescent to an age-appropriate developmental trajectory that had
16.15been disrupted by a psychiatric illness; or (2) enable the child to self-monitor, compensate
16.16for, cope with, counteract, or replace psychosocial skills deficits or maladaptive skills
16.17acquired over the course of a psychiatric illness. Psychiatric rehabilitation services for
16.18children combine coordinated psychotherapy to address internal psychological, emotional,
16.19and intellectual processing deficits, and skills training to restore personal and social
16.20functioning. Psychiatric rehabilitation services establish a progressive series of goals with
16.21each achievement building upon a prior achievement.
16.22 (s) (u) "Skills training" means individual, family, or group training, delivered by or under
16.23the supervision of a mental health professional, designed to facilitate the acquisition of
16.24psychosocial skills that are medically necessary to rehabilitate the child to an age-appropriate
16.25developmental trajectory heretofore disrupted by a psychiatric illness or to enable the child
16.26to self-monitor, compensate for, cope with, counteract, or replace skills deficits or
16.27maladaptive skills acquired over the course of a psychiatric illness. Skills training is subject
16.28to the service delivery requirements under subdivision 9, paragraph (b), clause (2).
16.29 (t) (v) "Standard diagnostic assessment" means the assessment described in section
16.30245I.10, subdivision 6.
16.31 (u) (w) "Treatment supervision" means the supervision described in section 245I.06.
16Sec. 13.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 17.1 Sec. 14. Minnesota Statutes 2024, section 256B.0943, subdivision 2, is amended to read:
17.2 Subd. 2.Covered service components of children's therapeutic services and
17.3supports.(a) Subject to federal approval, medical assistance covers medically necessary
17.4children's therapeutic services and supports when the services are provided by an eligible
17.5provider entity certified under and meeting the standards in this section. The provider entity
17.6must make reasonable and good faith efforts to report individual client outcomes to the
17.7commissioner, using instruments and protocols approved by the commissioner.
17.8 (b) The service components of children's therapeutic services and supports are:
17.9 (1) patient and/or family psychotherapy, family psychotherapy, psychotherapy for crisis,
17.10and group psychotherapy;
17.11 (2) individual, family, or group skills training provided by a mental health professional,
17.12clinical trainee, or mental health practitioner;
17.13 (3) crisis planning;
17.14 (4) mental health behavioral aide services;
17.15 (5) direction of a mental health behavioral aide;
17.16 (6) mental health service plan development; and
17.17 (7) children's day treatment.; and
17.18 (8) medically necessary occupational therapy services, provided by an occupational
17.19therapist or occupational therapy assistant.
17.20Sec. 15. Minnesota Statutes 2024, section 256B.0943, subdivision 7, is amended to read:
17.21 Subd. 7.Qualifications of individual and team providers.(a) An individual or team
17.22provider working within the scope of the provider's practice or qualifications may provide
17.23service components of children's therapeutic services and supports that are identified as
17.24medically necessary in a client's individual treatment plan.
17.25 (b) An individual provider must be qualified as a:
17.26 (1) a mental health professional;
17.27 (2) a clinical trainee;
17.28 (3) a mental health practitioner;
17.29 (4) a mental health certified family peer specialist; or
17.30 (5) a mental health behavioral aide.; or
17Sec. 15.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 18.1 (6) an occupational therapist or occupational therapy assistant, for medically necessary
18.2occupational therapy services.
18.3 (c) A day treatment team must include one mental health professional or clinical trainee.
18.4 Sec. 16. Minnesota Statutes 2024, section 256B.0943, subdivision 9, is amended to read:
18.5 Subd. 9.Service delivery criteria.(a) In delivering services under this section, a certified
18.6provider entity must ensure that:
18.7 (1) the provider's caseload size should reasonably enable the provider to play an active
18.8role in service planning, monitoring, and delivering services to meet the client's and client's
18.9family's needs, as specified in each client's individual treatment plan;
18.10 (2) site-based programs, including day treatment programs, provide staffing and facilities
18.11to ensure the client's health, safety, and protection of rights, and that the programs are able
18.12to implement each client's individual treatment plan; and
18.13 (3) a day treatment program is provided to a group of clients by a team under the treatment
18.14supervision of a mental health professional. The day treatment program must be provided
18.15in and by: (i) an outpatient hospital accredited by the Joint Commission on Accreditation
18.16of Health Organizations and licensed under sections 144.50 to 144.55; (ii) a community
18.17mental health center under section 245.62; or (iii) an entity that is certified under subdivision
18.184 to operate a program that meets the requirements of section 245.4884, subdivision 2, and
18.19Minnesota Rules, parts 9505.0170 to 9505.0475. The day treatment program must stabilize
18.20the client's mental health status while developing and improving the client's independent
18.21living and socialization skills. The goal of the day treatment program must be to reduce or
18.22relieve the effects of mental illness and provide training to enable the client to live in the
18.23community. The remainder of the structured treatment program may include patient and/or
18.24family or group psychotherapy, and individual or group skills training, if included in the
18.25client's individual treatment plan. Day treatment programs are not part of inpatient or
18.26residential treatment services. When a day treatment group that meets the minimum group
18.27size requirement temporarily falls below the minimum group size because of a member's
18.28temporary absence, medical assistance covers a group session conducted for the group
18.29members in attendance. A day treatment program may provide fewer than the minimally
18.30required hours for a particular child during a billing period in which the child is transitioning
18.31into, or out of, the program.
18Sec. 16.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 19.1 (b) To be eligible for medical assistance payment, a provider entity must deliver the
19.2service components of children's therapeutic services and supports in compliance with the
19.3following requirements:
19.4 (1) psychotherapy to address the child's underlying mental health disorder must be
19.5documented as part of the child's ongoing treatment. A provider must deliver or arrange for
19.6medically necessary psychotherapy unless the child's parent or caregiver chooses not to
19.7receive it or the provider determines that psychotherapy is no longer medically necessary.
19.8When a provider determines that psychotherapy is no longer medically necessary, the
19.9provider must update required documentation, including but not limited to the individual
19.10treatment plan, the child's medical record, or other authorizations, to include the
19.11determination. When a provider determines that a child needs psychotherapy but
19.12psychotherapy cannot be delivered due to a shortage of licensed mental health professionals
19.13in the child's community, the provider must document the lack of access in the child's
19.14medical record;
19.15 (2) individual, family, or group skills training is subject to the following requirements:
19.16 (i) a mental health professional, clinical trainee, occupational therapist or occupational
19.17therapy assistant, or mental health practitioner shall provide skills training;
19.18 (ii) skills training delivered to a child or the child's family must be targeted to the specific
19.19deficits or maladaptations of the child's mental health disorder and must be prescribed in
19.20the child's individual treatment plan;
19.21 (iii) group skills training may be provided to multiple recipients who, because of the
19.22nature of their emotional, behavioral, or social dysfunction, can derive mutual benefit from
19.23interaction in a group setting, which must be staffed as follows:
19.24 (A) one mental health professional, clinical trainee, occupational therapist or occupational
19.25therapy assistant, or mental health practitioner must work with a group of three to eight
19.26clients; or
19.27 (B) any combination of two mental health professionals, clinical trainees, or mental
19.28health practitioners must work with a group of nine to 12 clients;
19.29 (iv) a mental health professional, clinical trainee, occupational therapist or occupational
19.30therapy assistant, or mental health practitioner must have taught the psychosocial skill before
19.31a mental health behavioral aide may practice that skill with the client; and
19.32 (v) for group skills training, when a skills group that meets the minimum group size
19.33requirement temporarily falls below the minimum group size because of a group member's
19Sec. 16.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 20.1temporary absence, the provider may conduct the session for the group members in
20.2attendance;
20.3 (3) crisis planning to a child and family must include development of a written plan that
20.4anticipates the particular factors specific to the child that may precipitate a psychiatric crisis
20.5for the child in the near future. The written plan must document actions that the family
20.6should be prepared to take to resolve or stabilize a crisis, such as advance arrangements for
20.7direct intervention and support services to the child and the child's family. Crisis planning
20.8must include preparing resources designed to address abrupt or substantial changes in the
20.9functioning of the child or the child's family when sudden change in behavior or a loss of
20.10usual coping mechanisms is observed, or the child begins to present a danger to self or
20.11others;
20.12 (4) mental health behavioral aide services must be medically necessary treatment services,
20.13identified in the child's individual treatment plan.
20.14To be eligible for medical assistance payment, mental health behavioral aide services must
20.15be delivered to a child who has been diagnosed with an emotional disturbance or a mental
20.16illness, as provided in subdivision 1, paragraph (a). The mental health behavioral aide must
20.17document the delivery of services in written progress notes. Progress notes must reflect
20.18implementation of the treatment strategies, as performed by the mental health behavioral
20.19aide and the child's responses to the treatment strategies; and
20.20 (5) mental health service plan development must be performed in consultation with the
20.21child's family and, when appropriate, with other key participants in the child's life by the
20.22child's treating mental health professional or clinical trainee or by a mental health practitioner
20.23and approved by the treating mental health professional. Treatment plan drafting consists
20.24of development, review, and revision by face-to-face or electronic communication. The
20.25provider must document events, including the time spent with the family and other key
20.26participants in the child's life to approve the individual treatment plan. Medical assistance
20.27covers service plan development before completion of the child's individual treatment plan.
20.28Service plan development is covered only if a treatment plan is completed for the child. If
20.29upon review it is determined that a treatment plan was not completed for the child, the
20.30commissioner shall recover the payment for the service plan development.; and
20.31 (6) occupational therapy services must be medically necessary treatment services,
20.32identified in the child's individual treatment plan.
20Sec. 16.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 21.1 Sec. 17. Minnesota Statutes 2024, section 256B.0947, subdivision 2, is amended to read:
21.2 Subd. 2.Definitions.For purposes of this section, the following terms have the meanings
21.3given them.
21.4 (a) "Intensive nonresidential rehabilitative mental health services" means child
21.5rehabilitative mental health services as defined in section 256B.0943, except that these
21.6services are provided by a multidisciplinary staff using a total team approach consistent
21.7with assertive community treatment, as adapted for youth, and are directed to recipients
21.8who are eight years of age or older and under 21 years of age who require intensive services
21.9to prevent admission to an inpatient psychiatric hospital or placement in a residential
21.10treatment facility or who require intensive services to step down from inpatient or residential
21.11care to community-based care.
21.12 (b) "Co-occurring mental illness and substance use disorder" means a dual diagnosis of
21.13at least one form of mental illness and at least one substance use disorder. Substance use
21.14disorders include alcohol or drug abuse or dependence, excluding nicotine use.
21.15 (c) "Standard diagnostic assessment" means the assessment described in section 245I.10,
21.16subdivision 6.
21.17 (d) "Medication education services" means services provided individually or in groups,
21.18which focus on:
21.19 (1) educating the client and client's family or significant nonfamilial supporters about
21.20mental illness and symptoms;
21.21 (2) the role and effects of medications in treating symptoms of mental illness; and
21.22 (3) the side effects of medications.
21.23Medication education is coordinated with medication management services and does not
21.24duplicate it. Medication education services are provided by physicians, pharmacists, or
21.25registered nurses with certification in psychiatric and mental health care.
21.26 (e) "Mental health professional" means a staff person who is qualified according to
21.27section 245I.04, subdivision 2.
21.28 (f) "Provider agency" means a for-profit or nonprofit organization established to
21.29administer an assertive community treatment for youth team.
21.30 (g) "Substance use disorders" means one or more of the disorders defined in the diagnostic
21.31and statistical manual of mental disorders, current edition.
21.32 (h) "Transition services" means:
21Sec. 17.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 22.1 (1) activities, materials, consultation, and coordination that ensures continuity of the
22.2client's care in advance of and in preparation for the client's move from one stage of care
22.3or life to another by maintaining contact with the client and assisting the client to establish
22.4provider relationships;
22.5 (2) providing the client with knowledge and skills needed posttransition;
22.6 (3) establishing communication between sending and receiving entities;
22.7 (4) supporting a client's request for service authorization and enrollment; and
22.8 (5) establishing and enforcing procedures and schedules.
22.9 (i) "Treatment team" means all staff who provide services to recipients under this section.
22.10 (j) "Family peer specialist" means a staff person who is qualified under section
22.11256B.0616.
22.12 (k) "Occupational therapist or occupational therapy assistant" means a staff person who
22.13is qualified according to section 245I.04, subdivision 20.
22.14 (l) "Occupational therapy services" has the meaning given in section 245I.02, subdivision
22.1529b.
22.16Sec. 18. Minnesota Statutes 2024, section 256B.0947, subdivision 3a, is amended to read:
22.17 Subd. 3a.Required service components.(a) Intensive nonresidential rehabilitative
22.18mental health services, supports, and ancillary activities that are covered by a single daily
22.19rate per client must include the following, as needed by the individual client:
22.20 (1) individual, family, and group psychotherapy;
22.21 (2) individual, family, and group skills training, as defined in section 256B.0943,
22.22subdivision 1, paragraph (u);
22.23 (3) crisis planning as defined in section 245.4871, subdivision 9a;
22.24 (4) medication management provided by a physician, an advanced practice registered
22.25nurse with certification in psychiatric and mental health care, or a physician assistant;
22.26 (5) mental health case management as provided in section 256B.0625, subdivision 20;
22.27 (6) medication education services as defined in this section;
22.28 (7) care coordination by a client-specific lead worker assigned by and responsible to the
22.29treatment team;
22Sec. 18.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 23.1 (8) psychoeducation of and consultation and coordination with the client's biological,
23.2adoptive, or foster family and, in the case of a youth living independently, the client's
23.3immediate nonfamilial support network;
23.4 (9) clinical consultation to a client's employer or school or to other service agencies or
23.5to the courts to assist in managing the mental illness or co-occurring disorder and to develop
23.6client support systems;
23.7 (10) coordination with, or performance of, crisis intervention and stabilization services
23.8as defined in section 256B.0624;
23.9 (11) transition services;
23.10 (12) co-occurring substance use disorder treatment as defined in section 245I.02,
23.11subdivision 11; and
23.12 (13) housing access support that assists clients to find, obtain, retain, and move to safe
23.13and adequate housing. Housing access support does not provide monetary assistance for
23.14rent, damage deposits, or application fees.
23.15 (b) Intensive nonresidential rehabilitative mental health services, supports, and ancillary
23.16activities covered by the single daily rate per client may also include medically necessary
23.17occupational therapy services.
23.18 (b) (c) The provider shall ensure and document the following by means of performing
23.19the required function or by contracting with a qualified person or entity: client access to
23.20crisis intervention services, as defined in section 256B.0624, and available 24 hours per
23.21day and seven days per week.
23.22Sec. 19. Minnesota Statutes 2024, section 256B.0947, subdivision 5, is amended to read:
23.23 Subd. 5.Standards for intensive nonresidential rehabilitative providers.(a) Services
23.24must meet the standards in this section and chapter 245I as required in section 245I.011,
23.25subdivision 5.
23.26 (b) The treatment team must have specialized training in providing services to the specific
23.27age group of youth that the team serves. An individual treatment team must serve youth
23.28who are: (1) at least eight years of age or older and under 16 years of age, or (2) at least 14
23.29years of age or older and under 21 years of age.
23.30 (c) The treatment team for intensive nonresidential rehabilitative mental health services
23.31comprises both permanently employed core team members and client-specific team members
23.32as follows:
23Sec. 19.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 24.1 (1) Based on professional qualifications and client needs, clinically qualified core team
24.2members are assigned on a rotating basis as the client's lead worker to coordinate a client's
24.3care. The core team must comprise at least four full-time equivalent direct care staff and
24.4must minimally include:
24.5 (i) a mental health professional who serves as team leader to provide administrative
24.6direction and treatment supervision to the team;
24.7 (ii) an advanced-practice registered nurse with certification in psychiatric or mental
24.8health care or a board-certified child and adolescent psychiatrist, either of which must be
24.9credentialed to prescribe medications;
24.10 (iii) a mental health certified peer specialist who is qualified according to section 245I.04,
24.11subdivision 10, and is also a former children's mental health consumer; and
24.12 (iv) a co-occurring disorder specialist who meets the requirements under section
24.13256B.0622, subdivision 7a, paragraph (a), clause (4), who will provide or facilitate the
24.14provision of co-occurring disorder treatment to clients.
24.15 (2) The core team may also include any of the following:
24.16 (i) additional mental health professionals;
24.17 (ii) a vocational specialist;
24.18 (iii) an educational specialist with knowledge and experience working with youth
24.19regarding special education requirements and goals, special education plans, and coordination
24.20of educational activities with health care activities;
24.21 (iv) a child and adolescent psychiatrist who may be retained on a consultant basis;
24.22 (v) a clinical trainee qualified according to section 245I.04, subdivision 6;
24.23 (vi) a mental health practitioner qualified according to section 245I.04, subdivision 4;
24.24 (vii) a case management service provider, as defined in section 245.4871, subdivision
24.254;
24.26 (viii) a housing access specialist; and
24.27 (ix) a family peer specialist as defined in subdivision 2, paragraph (j).; and
24.28 (x) an occupational therapist or occupational therapy assistant.
24.29 (3) A treatment team may include, in addition to those in clause (1) or (2), ad hoc
24.30members not employed by the team who consult on a specific client and who must accept
24.31overall clinical direction from the treatment team for the duration of the client's placement
24Sec. 19.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 25.1with the treatment team and must be paid by the provider agency at the rate for a typical
25.2session by that provider with that client or at a rate negotiated with the client-specific
25.3member. Client-specific treatment team members may include:
25.4 (i) the mental health professional treating the client prior to placement with the treatment
25.5team;
25.6 (ii) the client's current substance use counselor, if applicable;
25.7 (iii) a lead member of the client's individualized education program team or school-based
25.8mental health provider, if applicable;
25.9 (iv) a representative from the client's health care home or primary care clinic, as needed
25.10to ensure integration of medical and behavioral health care;
25.11 (v) the client's probation officer or other juvenile justice representative, if applicable;
25.12and
25.13 (vi) the client's current vocational or employment counselor, if applicable.
25.14 (d) The treatment supervisor shall be an active member of the treatment team and shall
25.15function as a practicing clinician at least on a part-time basis. The treatment team shall meet
25.16with the treatment supervisor at least weekly to discuss recipients' progress and make rapid
25.17adjustments to meet recipients' needs. The team meeting must include client-specific case
25.18reviews and general treatment discussions among team members. Client-specific case
25.19reviews and planning must be documented in the individual client's treatment record.
25.20 (e) The staffing ratio must not exceed ten clients to one full-time equivalent treatment
25.21team position.
25.22 (f) The treatment team shall serve no more than 80 clients at any one time. Should local
25.23demand exceed the team's capacity, an additional team must be established rather than
25.24exceed this limit.
25.25 (g) Nonclinical staff shall have prompt access in person or by telephone to a mental
25.26health practitioner, clinical trainee, or mental health professional. The provider shall have
25.27the capacity to promptly and appropriately respond to emergent needs and make any
25.28necessary staffing adjustments to ensure the health and safety of clients.
25.29 (h) The intensive nonresidential rehabilitative mental health services provider shall
25.30participate in evaluation of the assertive community treatment for youth (Youth ACT) model
25.31as conducted by the commissioner, including the collection and reporting of data and the
25.32reporting of performance measures as specified by contract with the commissioner.
25Sec. 19.
25-02621 as introduced01/23/25 REVISOR DTT/LJ 26.1 (i) A regional treatment team may serve multiple counties.
26Sec. 19.
25-02621 as introduced01/23/25 REVISOR DTT/LJ