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Rule Chapter: 37.87
Chapter Title: CHILDREN'S MENTAL HEALTH SERVICES
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37.87 : CHILDREN'S MENTAL HEALTH SERVICES


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Rule No. Rule Title Latest
Version
Effective
Date
Subchapter 1
Definitions
Rule 37.87.101 reserved
37.87.102 MENTAL HEALTH SERVICES (MHS) FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED), DEFINITIONS access file 10/1/2015
Subchapter 2
Reserved
Subchapter 3
Serious Emotional Disturbance Criteria
Rules 37.87.301 and 37.87.302 reserved
37.87.303 YOUTH MENTAL HEALTH SERVICES, SERIOUS EMOTIONAL DISTURBANCE CRITERIA REP 9/19/2014
Subchapter 4
Reserved
Subchapter 5
Reserved
Subchapter 6
Reserved
Subchapter 7
Mental Health Center Services for Youth With Serious Emotional Disturbance (SED)
37.87.701 COMMUNITY-BASED PSYCHIATRIC REHABILITATION SUPPORT SERVICES REP 11/21/2014
37.87.702 MENTAL HEALTH CENTER SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED), DEFINITIONS access file 1/15/2011
37.87.703 MENTAL HEALTH CENTER SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED), COVERED SERVICES access file 11/15/2013
37.87.705 MENTAL HEALTH CENTER SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, NONCOVERED SERVICES access file 2/27/2009
37.87.723 MENTAL HEALTH CENTER SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED), PROVIDER REQUIREMENTS REP 10/1/2015
37.87.733 MENTAL HEALTH CENTER SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED), REIMBURSEMENT access file 11/15/2013
Subchapter 8
Targeted Case Management Services for Youth With Serious Emotional Disturbance
37.87.802 TARGETED CASE MANAGEMENT SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, DEFINITIONS access file 2/27/2009
37.87.805 TARGETED CASE MANAGEMENT SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, ELIGIBILITY access file 2/27/2009
37.87.807 CASE MANAGEMENT SERVICES, COVERED SERVICES access file 11/21/2014
37.87.808 TARGETED CASE MANAGEMENT SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, AUTHORIZATION REQUIREMENTS access file 8/26/2011
37.87.809 TARGETED CASE MANAGEMENT SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, REIMBURSEMENT access file 11/11/2016
37.87.823 TARGETED CASE MANAGEMENT SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, PROVIDER REQUIREMENTS access file 2/27/2009
Subchapter 9
Medicaid Mental Health Services for Youth
37.87.901 MEDICAID MENTAL HEALTH SERVICES FOR YOUTH, REIMBURSEMENT access file 10/1/2015
37.87.903 MEDICAID MENTAL HEALTH SERVICES FOR YOUTH, AUTHORIZATION REQUIREMENTS access file 8/6/2016
Subchapter 10
Therapeutic Group Home
37.87.1011 THERAPEUTIC GROUP HOME (TGH), PROVIDER REQUIREMENTS access file 1/15/2011
37.87.1013 THERAPEUTIC GROUP HOME (TGH), REIMBURSEMENT access file 9/19/2014
37.87.1015 THERAPEUTIC GROUP HOME (TGH), AUTHORIZATION REQUIREMENTS REP 11/15/2013
37.87.1017 THERAPEUTIC GROUP HOME (TGH), EXTRAORDINARY NEEDS AIDE (ENA) SERVICES, AND AUTHORIZATION REQUIREMENTS REP 11/15/2013
37.87.1021 THERAPEUTIC FAMILY CARE (TFC) AND THERAPEUTIC FOSTER CARE (TFOC) SERVICES REIMBURSEMENT REP 2/1/2013
37.87.1023 THERAPEUTIC FAMILY CARE (TFC) AND THERAPEUTIC FOSTER CARE (TFOC) SERVICES, AUTHORIZATION REQUIREMENTS AND COVERED SERVICES REP 2/1/2013
37.87.1025 THERAPEUTIC FAMILY CARE (TFC) AND THERAPEUTIC FOSTER CARE (TFOC) SERVICES, DEFINITION OF PERMANENCY TFOC TREATAMENT REP 2/1/2013
Subchapter 11
Reserved
Subchapter 12
Psychiatric Residential Treatment Facility Services
37.87.1201 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, PURPOSE access file 12/11/2015
37.87.1202 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, DEFINITIONS access file 12/11/2015
37.87.1203 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES access file 12/11/2015
37.87.1206 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, PARTICIPATION REQUIREMENTS access file 12/11/2015
37.87.1207 HOSPITAL-BASED PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, REQUIREMENTS access file 12/11/2015
37.87.1210 OUT-OF-STATE PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY (PRTF) SERVICE REQUIREMENTS REP 12/11/2015
37.87.1214 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, SUBSTANCE USE DISORDER ASSESSMENT AND TREATMENT REP 12/11/2015
37.87.1215 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, ASSESSMENT SERVICES access file 12/11/2015
37.87.1216 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, BENEFIT LIMITS, CERTIFICATION OF NEED, UTILIZATION REVIEW AND INSPECTIONS OF CARE REQUIREMENTS access file 12/11/2015
37.87.1217 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY (PRTF) SERVICES, TREATMENT REQUIREMENTS access file 12/11/2015
37.87.1222 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY (PRTF) SERVICES, INTERIM RATE AND COST SETTLEMENT PROCESS REP 12/31/2013
37.87.1223 IN-STATE PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY (PRTF) SERVICES, REIMBURSEMENT access file 12/11/2015
37.87.1224 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, CONTINUITY OF CARE PAYMENT access file 1/1/2009
37.87.1225 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, ADMINISTRATIVE REVIEW AND FAIR HEARING PROCEDURES access file 1/1/2009
37.87.1226 OUT-OF-STATE PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, REIMBURSEMENT access file 12/11/2015
Subchapter 13
Home and Community-Based Services for Youth With Serious Emotional Disturbance
Rules 37.87.1301 and 37.87.1302 reserved
37.87.1303 HOME AND COMMUNITY-BASED 1915(c) SERVICES BRIDGE WAIVER FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: FEDERAL AUTHORIZATION AND AUTHORITY OF STATE TO ADMINISTER PROGRAM REP 10/15/2016
Rule 37.87.1304 reserved
37.87.1305 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: ELIGIBILITY FOR PROGRAM REP 10/26/2012
37.87.1306 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: SELECTION FOR PLACEMENT REP 10/26/2012
37.87.1307 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: LOSS OF A SERVICE AND DISENROLLMENT REP 10/26/2012
Rules 37.87.1308 through 37.87.1312 reserved
37.87.1313 1915(i) HOME AND COMMUNITY-BASED SERVICES (HCBS) STATE PLAN PROGRAM FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: FEDERAL AUTHORIZATION AND AUTHORITY OF STATE TO ADMINISTER PROGRAM access file 10/1/2015
37.87.1314 1915(i) HOME AND COMMUNITY-BASED SERVICES (HCBS) STATE PLAN PROGRAM FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: REIMBURSEMENT access file 7/1/2013
37.87.1315 1915(i) HOME AND COMMUNITY BASED SERVICES (HCBS) STATE PLAN PROGRAM FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: NOTICE AND FAIR HEARING access file 2/1/2013
Rules 37.87.1316 through 37.87.1320 reserved
37.87.1321 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: THE PROVISION OF SERVICES REP 10/26/2012
Rule 37.87.1322 reserved
37.87.1323 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE AND PLANS OF CARE: PLAN MANAGEMENT REP 7/29/2011
Rule 37.87.1324 reserved
37.87.1325 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: COST OF PLAN OF CARE REP 10/26/2012
Rules 37.87.1326 through 37.87.1330 reserved
37.87.1331 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: PROVIDER REQUIREMENTS REP 10/26/2012
Rule 37.87.1332 reserved
37.87.1333 HOME AND COMMUNITY-BASED 1915(c) SERVICES BRIDGE WAIVER FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: REIMBURSEMENT REP 10/15/2016
Rule 37.87.1334 reserved
37.87.1335 HOME AND COMMUNITY-BASED 1915(c) SERVICES BRIDGE WAIVER FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: NOTICE AND FAIR HEARING REP 10/15/2016
Rules 37.87.1336 and 37.87.1337 reserved
37.87.1338 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: CONSULTATIVE CLINICAL AND THERAPEUTIC SERVICES, REQUIREMENTS REP 7/29/2011
37.87.1339 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: CUSTOMIZED GOODS AND SERVICES, REQUIREMENTS REP 7/29/2011
37.87.1340 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: EDUCATION AND SUPPORT SERVICES, REQUIREMENTS REP 7/29/2011
37.87.1341 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: HOME-BASED THERAPY SERVICES, REQUIREMENTS REP 7/29/2011
37.87.1342 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: NONMEDICAL TRANSPORTATION SERVICES REP 7/29/2011
37.87.1343 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: RESPITE CARE SERVICES REP 7/29/2011
37.87.1344 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE : FAMILY SUPPORT SPECIALIST SERVICES REP 7/29/2011
37.87.1345 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: CAREGIVER PEER-TO-PEER SUPPORT SPECIALIST SERVICES REP 7/29/2011
37.87.1346 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: WRAPAROUND FACILITATION SERVICES REP 7/29/2011
37.87.1350 INTEGRATED CO-OCCURRING TREATMENT (ICT), DEFINITIONS access file 10/15/2016
37.87.1351 INTEGRATED CO-OCCURRING TREATMENT (ICT), ELIGIBILITY access file 10/15/2016
37.87.1352 INTEGRATED CO-OCCURRING TREATMENT (ICT), REQUIREMENTS access file 10/15/2016
37.87.1353 INTEGRATED CO-OCCURRING TREATMENT (ICT), REIMBURSEMENT AND AUTHORIZATION access file 10/15/2016
Subchapter 14
Home Support Services, Therapeutic Foster Care, Therapeutic Foster Care - Permanency
37.87.1401 HOME SUPPORT SERVICES AND THERAPEUTIC FOSTER CARE, SERVICES REIMBURSEMENT access file 11/15/2013
37.87.1402 HOME SUPPORT SERVICES (HSS) AND THERAPEUTIC FOSTER CARE (TFC), DEFINITIONS access file 2/1/2013
37.87.1404 HOME SUPPORT SERVICES (HSS) AND THERAPEUTIC FOSTER CARE (TFC), INDIVIDUALIZED TREATMENT PLAN access file 11/15/2013
37.87.1405 HOME SUPPORT SERVICES (HSS) AND THERAPEUTIC FOSTER CARE (TFC), ASSESSMENTS access file 11/15/2013
37.87.1407 HOME SUPPORT SERVICES (HSS) AND THERAPEUTIC FOSTER CARE (TFC), PROVISIONS OF SERVICE access file 11/15/2013
37.87.1408 HOME SUPPORT SERVICES (HSS) AND THERAPEUTIC FOSTER CARE (TFC), DISCHARGE PLANNING AND DOCUMENTATION access file 2/1/2013
37.87.1410 HOME SUPPORT SERVICES (HSS) AND THERAPEUTIC FOSTER CARE (TFC), PROVIDER REQUIREMENTS access file 5/13/2017
37.87.1411 THERAPEUTIC FOSTER CARE PERMANENCY SERVICES, AUTHORIZATION REQUIREMENTS AND COVERED SERVICES REP 11/15/2013
37.87.1413 THERAPEUTIC FOSTER CARE PERMANENCY SERVICES, PROVIDER PARTICIPATION access file 2/1/2013
Subchapter 15
Mental Health Services Plan Member Eligibility
Rules 37.87.1501 and 37.87.1502 reserved
37.87.1503 MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, ELIGIBILITY REP 5/1/2013
Rules 37.87.1504 through 37.87.1512 reserved
37.87.1513 MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, LIMITATIONS REP 5/1/2013
Subchapter 16
Alternatives to Out-of-State Placement
37.87.1601 ALTERNATIVES TO OUT-OF-STATE PLACEMENT, PURPOSE access file 10/26/2012
37.87.1602 ALTERNATIVES TO OUT-OF-STATE PLACEMENT, DEFINITIONS access file 10/26/2012
Rule 37.87.1603 reserved
37.87.1604 ALTERNATIVES TO OUT-OF-STATE PLACEMENT, PROVIDER REQUIREMENTS access file 10/26/2012
Rule 37.87.1605 reserved
37.87.1606 ALTERNATIVES TO OUT-OT-STATE PLACEMENT, PROVIDER PARTICIPATION AND PROCEDURES access file 10/26/2012
Subchapter 17
Mental Health Services Plan Covered Services
Rules 37.87.1701 and 37.87.1702 reserved
37.87.1703 MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, COVERED SERVICES REP 5/1/2013
Rules 37.87.1704 through 37.87.1722 reserved
37.87.1723 MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, PROVIDER PARTICIPATION REP 5/1/2013
Rules 37.87.1724 through 37.87.1732 reserved
37.87.1733 MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, PROVIDER REIMBURSEMENT REP 5/1/2013
Subchapter 18
Comprehensive School and Community Treatment Program (CSCT)
37.87.1801 COMPREHENSIVE SCHOOL AND COMMUNITY TREATMENT PROGRAM: REFERRALS access file 7/1/2013
37.87.1802 COMPREHENSIVE SCHOOL AND COMMUNITY TREATMENT PROGRAM: CONTRACT REQUIREMENTS access file 7/1/2013
37.87.1803 COMPREHENSIVE SCHOOL AND COMMUNITY TREATMENT PROGRAM: REIMBURSEMENT access file 9/24/2016
Subchapter 19
Authorization/Certificate of Need Requirements Mental Health Services Plan
Rules 37.87.1901 and 37.87.1902 reserved
37.87.1903 MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, AUTHORIZATION REQUIREMENTS REP 5/1/2013
Rules 37.87.1904 through 37.87.1914 reserved
37.87.1915 MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, PREMIUM PAYMENTS AND COPAYMENTS REP 5/1/2013
Subchapter 20
Reserved
Subchapter 21
Grievance, Rights, Member Notice Mental Health Services Plan
Rules 37.87.2101 and 37.87.2102 reserved
37.87.2103 MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, NOTICE, GRIEVANCE AND RECONSIDERATION, AND RIGHTS REP 5/1/2013
Subchapter 22
Youth System of Care Account
Rule 37.87.2201 reserved
37.87.2202 MENTAL HEALTH SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED) RESPITE CARE SERVICES, DEFINITION REP 10/1/2015
37.87.2203 NON-MEDICAID SERVICES PROGRAM access file 10/1/2015
37.87.2205 MENTAL HEALTH SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED) NON-MEDICAID RESPITE CARE SERVICES, LIMITATIONS REP 10/1/2015
37.87.2225 MENTAL HEALTH SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED) NON-MEDICAID RESPITE CARE SERVICES, PROVIDER PARTICIPATION REP 10/1/2015
37.87.2233 MENTAL HEALTH SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED) RESPITE CARE SERVICES, PROVIDER REIMBURSEMENT REP 10/1/2015
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