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Updates to the Mental Health Services Manual

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Effective Date:

All Providers of Behavioral Health Services, Commonwealth Coordinated Care (CCC) Plus Managed Care Plans and Medallion 4 Managed Care Plans
Cheryl J. Roberts, Director Department of Medical Assistance Services (DMAS)

The purpose of this memorandum is to notify providers of changes to the Covered Services and Limitations Chapter (Chapter IV) and the Intensive Community Based Support - Youth Appendix (Appendix D) of the Mental Health Services Manual. Appendix D includes service specific requirements for Multisystemic Therapy (MST), Functional Family Therapy (FFT) and Applied Behavior Analysis (ABA). 

In addition to clarifications and a reorganization of existing language in Appendix D, the following changes were made:

Appendix D - MST and FFT sections

  • Language detailing specific provider requirements of MST Services, Inc and FFT, LLC have been removed. 

    • MST providers are required to maintain an active certification and follow all certification requirements of MST Services, Inc. but should refer to MST Services, Inc. for details of these requirements.  

    • FFT providers are required to maintain an active certification with FFT, LLC. and follow all certification requirements of FFT, LLC. but should refer to FFT, LLC for details of these requirements. 

  • MST and FFT specific assessments approved by DMAS were added as an allowed alternative to the comprehensive needs assessment.  MST and FFT specific assessments that do not meet all the requirements of a comprehensive needs assessment can only be used as an assessment for that service and cannot be used as a comprehensive needs assessment for other services.

Appendix D - ABA

  • Clarifications were made to staff supervision requirements, supervision requirements of services by the licensed professional and billing requirements.

  • Updates were made to the ABA CPT codes allowed in Psychiatric Residential Treatment Facility (PRTF) and Therapeutic Group Home (TGH) settings to include coverage of CPT codes provided by licensed professionals.

  • Language related to general provider requirements for assessments, individual service plans (ISPs) and care coordination was removed as this language is contained in Chapter IV of this manual.

Chapter IV – Comprehensive Needs Assessment section

  • Language in this section was updated to reflect the allowance of a DMAS approved MST or FFT assessment for these services in place of the comprehensive needs assessment.

Language was added to clarify that in-person assessment requirements cannot be met through a comprehensive needs assessment conducted through telemedicine.



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