Provider Requirements and Service Limitations
From The May 2010 Florida Medicaid Provider Handbook
Specialized Mental Health- Requirements To Receive
Specialized mental health services for persons with developmental disabilities are services provided to maximize the reduction of a recipient’s mental illness and restoration to the best possible functional level. Specialized mental health services focus on the unique treatment of psychiatric disorders and rehabilitation for impairments for persons with developmental disabilities and mental illness. These services include specialized individual, group and family therapy provided to recipients using techniques appropriate to this population.
Specialized mental health services include information gathering and assessment, diagnosis, development of a plan of care (treatment plan) in coordination with the recipient’s support plan, mental health interventions designed to help the recipient meet the goals identified on the support plan, medication management and discharge planning. This specialized treatment will integrate the mental health interventions with the overall service and supports to enhance emotional and behavioral functions.
This service is not available to individuals enrolled on the DD Waiver – Tier Four.
Specialized Mental Health Services Provider Requirements
Providers of specialized mental health services shall be:
- Psychiatrists licensed in accordance with Chapter 458 or 459, F.S.;
- Psychologists licensed in accordance with Chapter 490, F.S.; or
- Clinical social workers, marriage and family therapists or mental health counselors licensed in accordance with Chapter 491, F.S.
Providers of specialized mental health services shall have two years experience working with recipients dually diagnosed with mental illness and developmental disabilities.
The provider is responsible for all training requirements outlined in the Core Assurances.
Note: Refer to the Core Assurances in Appendix A for the provider training requirements.