SECTION 340:75-11-265. Contracted residential intensive treatment services (ITS)

(a)   Contracted residential ITS are available to provide crisis stabilization interventions to children in Oklahoma Department of Human Services (DHS) custody, 8 to 18 years of age, who are experiencing a behavioral health or psychiatric crisis to avoid admission to psychiatric care and enable his or her return to community-based residential care.

(b)   Children served by ITS are diagnosed with a serious emotional disturbance, per Oklahoma Administrative Code (OAC) 340:75-11-230:

(1)   and at imminent risk of admission to acute psychiatric care or a psychiatric residential treatment center; or

(2)   with developmental disabilities or certified for services through Developmental Disabilities Services (DDS).

(c)   Contracted residential ITS are intensive, short-term, individualized, behavioral health treatment services for children, and include:

(1)   an initial period, a maximum of 72 hours, of crisis stabilization in a crisis residential bed provided by a licensed child-placing agency or a licensed residential child care facility;

(2)   crisis stabilization, behavioral health services, per Part 105 of OAC 317:30-5, available 24-hours a day, seven-calendar days a week;

(3)   24-hours a day, seven-calendar days per week access by phone to an employee of the contractor so referrals are made and services are provided in emergency situations;

(4)   development of a safety plan by the child's placement provider for implementation, upon discharge from ITS;

(5)   consultation with a psychiatrist or doctoral-level licensed, behavioral health professional 24-hours a day, seven-calendar days per week; and

(6)   24-hour on-call and on-site crisis intervention and behavior management services with the child, as needed. Emergency or crisis intervention services include face-to-face encounters with the child to resolve acute emotional dysfunction by providing intervention resolution and stabilizing functions through triage screening, planning, and documentation.

(d)   The provider:

(1)   receives referrals from the t child welfare (CW) facility liaison, CW specialists, and Child Welfare Services (CWS) Specialized Placements and Partnerships (SPPU) programs staff;

(2)   considers the age, gender, and presenting behaviors of each child in determining which children are admitted and share bedrooms to ensure the safety of all children;

(3)   completes a written incident report describing any extreme behavioral incident or major rule violation, including the provider's response, submits the copy to the child's assigned CW specialist and CW facility liaison, and files the original in the child's case record;

(4)   meets the staffing guidelines defined in the contract;

(5)   complies with children's rights per OAC 340:75-11-237;

(6)   complies with all general requirements per OAC 340:75-11-240;

(7)   complies with Part 105 of OAC 317:30-5 for residential behavior management services in group settings and non-secure diagnostic and evaluation centers;

(8)   submits monthly and annual reports to CWS SPPU program staff to provide an overview of the contractor's activities.

(A)   The monthly report includes:

(i)   significant behavior events of each child;

(ii)   each child's unapproved absence from the program and duration of the time away;

(iii)   total bed days utilized;

(iv)   total bed days not utilized;

(v)   total number of children served during the month;

(vi)   number of children served:

(I)   who are also certified for DDS services;

(II)   by county of jurisdiction;

(III)   by age;

(IV)   by gender;

(V)   by ethnicity;

(VI)   who were admitted to psychiatric care;

(VII)   in placement for three-calendar days or less, and the average length of stay; and

(VIII)   in placement for more than three-calendar days, and the average length of stay; and

(vii)   vacancies in contract mandated staffing requirements and other significant program events.

(B)   The annual report, due within 60-calendar days after the end of the contract year, includes required information in OAC 340:75-11-265(d)(8)(A) for the total contract year;

(9)   is paid by DHS at a fixed daily rate. The fixed daily rate is a blend of Title IV-E and Title XIX federal funds, per eligibility of each child served, and state funds; and

(10)   submits Form 04CB002E, CWS Claim for Purchase of Residential Care, monthly for payment to the CWS Contracting and Acquisitioning Unit.

[Source: Added at 18 Ok Reg 680, eff 1-10-01 (emergency); Added at 18 Ok Reg 2128, eff 6-11-01; Amended at 22 Ok Reg 1270, eff 5-26-05; Amended at 27 Ok Reg 1092, eff 3-26-10 (emergency); Amended at 27 Ok Reg 1865, eff 7-1-10; Amended at 33 Ok Reg 1635, eff 9-15-16]