The Intense Plus Service Level consists of the highest degree
of structure, and meets all of the requirements in §700.2361
of this title (relating to What is the description of the Intense
Service Level?), in addition to the requirements of this section.
Services and treatment at the Intense Plus Level must be provided
in a therapeutic residential setting by caregivers with specialized
training as further outlined in contract for the provision of services
to a child at the Intense Plus Service Level. In addition to any such
contractual requirements, a provider serving a child at the Intense
Plus Service Level must:
(1) offer single child and sibling group placement;
(2) deliver an appropriate number of medical and therapeutic
services that are research-supported, reimbursable by Medicaid or
other funding sources, and readily available in the community, including
but not limited to daily therapy sessions, individual and group therapy,
and specialized therapies such as Eye Movement Desensitization and
Reprocessing Therapy, Applied Behavior Analysis (certified); and Treatment
for Anorexia/Bulimia/Eating Disorders, and others as appropriate;
(3) provide continued care for a child following psychiatric
or medical hospitalization; and
(4) offer "step down" from the Intense Plus Service
Level, which includes long-term discharge and aftercare planning.
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