Children’s mental health residential treatment is a 24-hour-a-day program. Services are provided under the clinical supervision of a mental health professional in a community setting, other than an acute-care hospital or regional treatment center.
Children’s residential treatment must be designed to:
• Prevent placement in settings that are more intensive, costly, or restrictive than necessary and appropriate to meet the child’s needs;
• Help the child improve family living and social interaction skills;
• Help the child gain the necessary skills to return to the community;
• Stabilize crisis admissions; and
• Work with families throughout the placement to improve the ability of the families to care for children with severe emotional disturbance in the home.
Providers must be facilities that are:
• Licensed by the state of Minnesota to provide children’s mental health residential treatment services;
• Under clinical supervision of a mental health professional;
• Under contract with a lead county; and
• Enrolled as MHCP providers.
To be eligible for this service, a recipient must:
• Be under age 18 years;
• Be eligible for MA or MinnesotaCare;
• Meet the criteria for severe emotional disturbance (SED); and
• Have been screened by the county, managed care organization or tribe, as applicable to the specific recipient, before placement in the facility as needing residential treatment services.
• Only counties or tribes may bill DHS for children’s mental health residential treatment.
• Use the MN–ITS 837P.
• Enter a span of dates within a month; for example, if billing for services during May and June, bill May dates on one claim and bill June dates on another claim.
• Use procedure code H0019 for the monthly negotiated rate.
• Enter the place of service code 99.
• Enter the number of units (1 unit = 1 day) based on the dates of service.
• Enter the facility’s NPI number as the rendering/treating provider.
• Enter the county or tribal mental health program’s NPI or UMPI number as the pay-to-provider.
DHS Financial Management publishes a bulletin quarterly to inform counties and eligible American Indian Child Welfare Initiative Tribes of per diems and percentage rates to use when claiming Title IV-E reimbursement for group facilities.
MS 256B.0945 Services for Children with Emotional Disturbance
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MS 245.4882 Residential Treatment Services
MS 245.4885 Screening for Inpatient and Residential Treatment