(a) Crisis intervention services are intensive, community-based,
one-to-one services provided to an individual who requires services
to control acute symptoms that place the individual at immediate risk
of hospitalization, incarceration, or placement in a more restrictive
treatment setting. The intervention:
(1) is in response to a crisis;
(2) seeks to reduce or manage symptoms of serious mental
illness or serious emotional disturbance; and
(3) seeks to prevent admission of the individual to
a more restrictive environment.
(b) Crisis intervention services include:
(1) an assessment of dangerousness of the individual
to self or others;
(2) the coordination of emergency care services;
(3) behavior skills training to assist the individual
in reducing distress and managing symptoms;
(4) problem-solving;
(5) reality orientation to help the individual identify
and manage his or her symptoms of serious mental illness or serious
emotional disturbance; and
(6) providing instruction, structure, and emotional
support to the individual in adapting to and coping with immediate
stressors.
(c) Crisis intervention services must be provided one-to-one
and in accordance with the requirements of the Texas Medicaid Provider
Procedures Manual (TMPPM), including all updates and revisions and
all handbooks, standards, and guidelines as determined by HHSC or
a managed care organization (MCO) with which they contract.
(d) Crisis intervention services as described in this
section may be delivered as a telemedicine medical service or a telehealth
service, including via an audio-only platform, in accordance with
the requirements and limitations of Subchapter A, Division 33 of this
chapter (relating to Advanced Telecommunications Services).
(e) Crisis intervention services must be provided by
a QMHP-CS, at a minimum.
(f) Crisis intervention services may be provided without
a recovery/treatment plan, as described in §354.2609 of this
subchapter (relating to Recovery/Treatment Planning, Recovery/Treatment
Plan Review, and Discharge Summary).
(g) Crisis intervention services may not be provided
to an individual who is currently admitted to a CSU.
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