Mental health rehabilitative services are defined as providing assistance in maintaining or improving functioning and may be considered rehabilitative when necessary to help a client achieve a rehabilitation goal, as defined in the treatment plan. Mental health rehabilitative services may be provided to a client with a serious mental illness as defined in the latest edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM). Mental health rehabilitative services are age-appropriate, individualized, and designed to ameliorate functional impairments that negatively affect any of the following:
- Community Integration
- Community Tenure
- Behaviors resulting from serious mental illness (SMI) or severe emotional disturbance (SED) that interfere with a client’s ability to remain in the community as a fully integrated and functioning member of that community
Mental health rehabilitative services may include:
- Medication management
- Psychosocial rehabilitative services
- Skills training and development
- Crisis intervention services
| Service Category | Procedure Codes | Modifiers |
|---|---|---|
| Crisis Intervention | H2011 | HA: child/youth |
| Skills Training and Development | H2014 | HQ: group services for adults HA: Individual services for child/youth HA/HQ: group services for child/youth |
| Psychological Rehabilitation Services | H2017 | TD: individual services provided by RN HQ: group services HQ/TD: group services provided by RN ET: individual crisis services |
Treatment planning mental health rehabilitative services are part of a client’s treatment plan and are intended to:
- Reduce a client’s functional impairments resulting from serious mental illness for adults
- Reduce a serious emotional disturbance in children
- Restore a client to his/her optimal functioning level in the community
The treatment planning process for mental health rehabilitative services requires the active participation of the Medicaid eligible client or LAR when necessary due to the client’s age or legal status. Treatment plans are based on a comprehensive assessment and must address the client’s strengths, areas of need, the client’s preferences, and descriptions of the client’s treatment goals.
Please contact us for more information.