Regulation .12 Covered Services — Intensive In-Home Services.
Regulation .12 Covered Services — Intensive In-Home Services.LinkCopy Citation
A.
Intensive In-Home Services (IIHS):
(1)
Are strengths-based interventions with the child and his or her identified family that includes a series of components, such as:
(a)
Functional assessments and treatment planning;
(b)
Individualized interventions;
(c)
Crisis response and intervention; or
(d)
Transition support;
(2)
May be provided to the child alone, to other family members, or to the child and family members together;
(3)
Are intended to support a child to remain in his or her home and reduce hospitalizations and out-of-home placements or changes of living arrangements through focused intervention in the home and community; and
(4)
May be used in situations such as the start of a child's enrollment in the 1915(i), upon discharge from a hospital or residential treatment center, or to prevent or stabilize after a crisis situation.
B.
Types of IIHS Providers. The Department may approve two types of IIHS providers:
(1)
Evidence-Based Practice (EBP)-IIHS providers, to include providers of EBPs as determined by the Department; and
(2)
Promising Practice IIHS providers (non-EBP), to include providers of the In-Home Intervention Program for Children (IHIP-C) and other promising practices, as determined by the Department.
C.
An EBP-IIHS provider shall have a certificate or letter from the national or intermediate surveyor or developer of the particular evidence-based practice to demonstrate that the EBP-IIHS provider meets all requirements for Department-approved EBP-IIHS, to include participating in all fidelity monitoring activities.
D.
A Non-EBP IIHS provider shall:
(1)
Be a Department-approved IHIP-C provider or have a certificate or letter from a national or intermediate purveyor or developer of another promising practice; and
(2)
Meet the requirements of §E of this regulation.
E.
All non-EBP IIHS providers not approved by the Department as IHIP-C providers shall:
(1)
Ensure that there are Clinical Supervisors and staff who are responsible for creating, implementing, and managing the treatment plan with the child and family and the CFT;
(2)
Provide crisis response services for the participants on the IIHS provider's caseload and ensure that on-call and crisis intervention services are:
(a)
Provided by a licensed mental health professional trained in the intervention;
(b)
Available 24-hours per day, 7 days per week, during the hours the provider is not open to the individual enrolled in the treatment; and
(c)
In compliance with staffing, supervision, training, data collection, and fidelity monitoring requirements set forth by the purveyor, developer, or MDH and approved by the Department;
(3)
Employ Clinical Supervisors who:
(a)
Have a current license under the Health Occupations Article, Annotated Code of Maryland, as a:
(i)
Licensed certified social worker-clinical (LCSW-C);
(ii)
Licensed clinical professional counselor (LCPC);
(iii)
Psychologist;
(iv)
Psychiatrist;
(v)
Nurse psychotherapist; or
(vi)
Advanced practice registered nurse/psychiatric mental health (APRN-PMH); and
(b)
Have at least 3 years of experience in providing mental health treatment to children and families;
(4)
Employ mental health professionals who:
(a)
Have a current license under the Health Occupations Article, Annotated Code of Maryland, as a:
(i)
Licensed certified social worker (LCSW);
(ii)
LCSW-C;
(iii)
LCPC;
(iv)
Psychologist;
(v)
Psychiatrist;
(vi)
Nurse psychotherapist; or
(vii)
APRN-PMH.
(b)
Are supervised by a clinical lead supervisor;
(c)
See the child in-person at least once per 7 days while receiving IIHS services;
(5)
Employ in-home stabilizers who:
(a)
Support the implementation of the treatment plan, but are not responsible for creating it or modifying it;
(b)
Are at least 21 years old;
(c)
Have at least a high school diploma or equivalency; and
(d)
Have completed relevant, comprehensive, appropriate training before providing services, as outlined by the purveyor, developer, or the Department and approved by the Department;
(6)
Provide a minimum of one face-to-face contact with the participant per week of service;
(7)
Ensure a minimum of 50 percent of the mental health professionals' contacts with the participant or family, or both, is face-to-face; and
(8)
Ensure that a minimum of 50 percent of the mental health professionals' time is spent working outside the agency's office and in the participant's home or community, as documented in case notes.