Effective immediately, the maximum limits and defaults for specific MHRS services are changed. The Department of Mental Health has determined that it will change these settings as follows:

Medication/Somatic Service - All requests for units of service on an authorization plan for Medication/Somatic will default to 12 units on a 90-day treatment plan. Providers may decrease the units or increase units to a maximum of 32. Requests above 32 units will follow the procedures previously outlined. Requests for 33 or more units of Medication/Somatic Service on a 90-day treatment plan requires the following clinical documentation:

• Copy of the most recent diagnostic assessment.
• Copy of the most recent IRP/IPC and ISSP.
• Copy of encounter notes from the last three Medication/Somatic visits.
• Written justification demonstrating medical necessity for the requested units.

Community Support - All requests for units of service on an authorization plan for Community Support will default to 48 units on a 90-day treatment plan. Providers may decrease or increase units to a maximum of 300 units in a 90-day treatment period. This does not represent a change.

Counseling - All requests for units of service on an authorization plan for Counseling will default to 52 units in a 90-day treatment plan. Providers may decrease the units or increase units to a maximum of 80 units on a 90-day treatment period. Requests for 81 units or more of counseling on a 90-day treatment plan require the following clinical documentation:

• Copy of the most recent diagnostic assessment.
• Copy of the most recent IRP/IPC and ISSP.
• Copy of progress notes from the last three counseling sessions.
• Written justification demonstrating medical necessity for the requested units.

Community-Based Intervention (CBI) - All requests for units of service on an authorization plan for Community-Based Intervention will default to 500 units on a 90-day treatment plan. Providers may decrease units on the plan. Providers may not increase units. Requests for 501 or more units of CBI on a 90-day treatment plan requires the following clinical documentation:

• Copy of the most recent diagnostic assessment.
• Copy of the most recent IRP/IPC and ISSP.
• Copy of progress notes from the last month of service or monthly summary of services, interventions and continued service needs.
• Written justification demonstrating medical necessity for the requested units.

Assertive Community Treatment (ACT) - All requests for units of service on an authorization plan for Assertive Community Treatment will default to 500 units on a 90-day treatment plan. Providers may decrease units on the plan. Providers may not increase units. Requests for 501 or more units of ACT on a 90-day treatment plan requires the following:

• Copy of the most recent diagnostic assessment.
• Copy of the most recent IRP/IPC and ISSP.
• Copy of progress notes for the last month of service or monthly summary of services including interventions and continued service needs.
• Written justification demonstrating medical necessity for the requested units.