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(a) The division will reimburse a community mental health clinic for day treatment services provided to a recipient in accordance with 7 AAC 43.470(f) .
(b) Day treatment services must be provided as a mental health service within a school district program that combines both therapeutic and academic activities. The therapeutic component may be reimbursed if recommended as required in 7 AAC 43.734(d) (2), according to the recipient's individualized treatment plan. The academic component must be provided by appropriately trained and experienced school district staff, according to the recipient's individualized education program developed under 4 AAC 52.140. The individualized treatment plan must include specific short-term goals to increase the recipient's ability to adapt to the school environment and progress academically.
(c) The community mental health clinic providing day treatment services must establish with the local school district a written agreement that specifies the day treatment program's goals, eligibility guidelines, admission and discharge criteria and procedures, roles and responsibilities of the parties to the agreement and the resources contributed by each of the parties to the agreement.
(d) Day treatment services must be provided within the recipient's school setting.
(e) The division will not reimburse a provider for day treatment services that exceed 30 full days of service or 60 half days of service per recipient per calendar year, without prior authorization under 7 AAC 43.484.
History: Eff. 8/6/92, Register 123; am 12/31/92, Register 124; am 12/31/94, Register 132; am 3/13/96, Register 137; readopt 8/7/96, Register 139; am 11/1/2000, Register 156
Authority: AS 47.05.010
Editor's note: 7 AAC 43.476 originally took effect as emergency regulation 7 AAC 43.460 as set out in Register 123, October 1992. Before this section was made permanent in Register 124, January 1993, it was revised and renumbered to 7 AAC 43.476.
Effective 8/7/96, Register 139, the Department of Health and Social Services readopted 7 AAC 43.476 in its entirety, without change, under AS 47.05 and AS 47.07. Executive Order No. 72 transferred certain rate-setting authority to the department.
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Last modified 7/05/2006