Department of Medical Assistance Services. CHILDREN’S COMMUNITY MENTAL HEALTH SERVICES: Therapeutic Day Treatment H0035HA. WebEx Training May 2010. ************. This presentation is to facilitate training of the subject matter in portions of the Virginia Medicaid manuals
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MENTAL HEALTH SERVICES:
Therapeutic Day Treatment H0035HA
WebEx Training May 2010
This presentation is to facilitate training of the subject matter in portions of the
Virginia Medicaid manuals
Training material contains only highlights of manuals and is not meant to substitute for or take their place
For a complete copy of any manual:
the age 21 as EPSTD service)
Individual demonstrates a:
resulting in significant functional impairments in major life activities
Individuals must meet at least two on a continuing or intermittent basis (within the past 6 months) and the support for this must be clearly documented in the medical record with child-specific examples:
1. Difficulty in establishing or maintaining normal interpersonal relationships
(at risk of hospitalization or out-of-home placement because of conflicts with family/community)
2. Exhibit inappropriate behavior:
Repeated interventions required by the community
by mental health agencies
by social service agencies
by judicial system
(For example, crisis intervention services have been provided, or outside intervention for truancy has been made)
3. Exhibit difficulty in cognitive ability: such that they are unable to recognize personal danger OR significantly inappropriate social behavior
An out-of-home placement (at risk of) is defined as one or more of the following:
Have deficits in:
(These behaviors must be documented in the medical record and describing the level they significantly impact the child’s abilities to participate in activities of daily living compared to most children who are the same age)
TDT Required Activities: Developmental Services (DBHDS)
Before service initiation:
PA is not required for assessment
Direct services include individual and group activities.
Services are limited annually to 780 units per year.
Starting August 1, 2009 and each July 1st thereafter, all service limits will be set to zero.
One Unit of service is defined as a minimum of
two hours on a given day:
Children must exhibit significant functional impairments in major life activities due to a mental, behavioral, or emotional illness, which has become more disabling over time.
Must describe how meets one of the following:
Have deficits in:
Continue to have deficits in: