Medicaid waiver for mental health crisis lines and mobile crisis outreach teams.

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Affected by 63I-1-226 on 7/1/2023

Effective 5/12/2020
26-18-418. Medicaid waiver for mental health crisis lines and mobile crisis outreach teams.
  • (1) As used in this section:
    • (a) "Local mental health crisis line" means the same as that term is defined in Section 62A-15-1301.
    • (b) "Mental health crisis" means:
      • (i) a mental health condition that manifests itself in an individual by symptoms of sufficient severity that a prudent layperson who possesses an average knowledge of mental health issues could reasonably expect the absence of immediate attention or intervention to result in:
        • (A) serious danger to the individual's health or well-being; or
        • (B) a danger to the health or well-being of others; or
      • (ii) a mental health condition that, in the opinion of a mental health therapist or the therapist's designee, requires direct professional observation or the intervention of a mental health therapist.
    • (c)
      • (i) "Mental health crisis services" means direct mental health services and on-site intervention that a mobile crisis outreach team provides to an individual suffering from a mental health crisis, including the provision of safety and care plans, prolonged mental health services for up to 90 days, and referrals to other community resources.
      • (ii) "Mental health crisis services" includes:
        • (A) local mental health crisis lines; and
        • (B) the statewide mental health crisis line.
    • (d) "Mental health therapist" means the same as that term is defined in Section 58-60-102.
    • (e) "Mobile crisis outreach team" or "MCOT" means a mobile team of medical and mental health professionals that, in coordination with local law enforcement and emergency medical service personnel, provides mental health crisis services.
    • (f) "Statewide mental health crisis line" means the same as that term is defined in Section 62A-15-1301.
  • (2) In consultation with the Department of Human Services and the Behavioral Health Crisis Response Commission created in Section 63C-18-202, the department shall develop a proposal to amend the state Medicaid plan to include mental health crisis services, including the statewide mental health crisis line, local mental health crisis lines, and mobile crisis outreach teams.
  • (3) By January 1, 2019, the department shall apply for a Medicaid waiver with CMS, if necessary to implement, within the state Medicaid program, the mental health crisis services described in Subsection (2).




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