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U.S Code last checked for updates: Nov 22, 2024
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Title 42
Chapter 7
Subchapter XIX
§ 1396w-5. Addressing health car...
§ 1396w-7. Supporting access to ...
§ 1396w-5. Addressing health car...
§ 1396w-7. Supporting access to ...
U.S. Code
§ 1396w–6.
State option to provide qualifying community-based mobile crisis intervention services
(a)
In general
(b)
Qualifying community-based mobile crisis intervention services defined
For purposes of this section, the term “qualifying community-based mobile crisis intervention services” means, with respect to a State, items and services for which medical assistance is available under the State plan under this subchapter or a waiver of such plan, that are—
(1)
furnished to an individual otherwise eligible for medical assistance under the State plan (or waiver of such plan) who is—
(A)
outside of a hospital or other facility setting; and
(B)
experiencing a mental health or substance use disorder crisis;
(2)
furnished by a multidisciplinary mobile crisis team—
(A)
that includes at least 1 behavioral health care professional who is capable of conducting an assessment of the individual, in accordance with the professional’s permitted scope of practice under State law, and other professionals or paraprofessionals with appropriate expertise in behavioral health or mental health crisis response, including nurses, social workers, peer support specialists, and others, as designated by the State through a State plan amendment (or waiver of such plan);
(B)
whose members are trained in trauma-informed care, de-escalation strategies, and harm reduction;
(C)
that is able to respond in a timely manner and, where appropriate, provide—
(i)
screening and assessment;
(ii)
stabilization and de-escalation; and
(iii)
coordination with, and referrals to, health, social, and other services and supports as needed, and health services as needed;
(D)
that maintains relationships with relevant community partners, including medical and behavioral health providers, primary care providers, community health centers, crisis respite centers, and managed care organizations (if applicable); and
(E)
that maintains the privacy and confidentiality of patient information consistent with Federal and State requirements; and
(3)
available 24 hours per day, every day of the year.
(c)
Payments
(d)
Requirements
The requirements described in this subsection are the following:
(1)
The State demonstrates, to the satisfaction of the Secretary that it will be able to support the provision of qualifying community-based mobile crisis intervention services that meet the conditions specified in subsection (b).
(2)
The State provides assurances satisfactory to the Secretary that—
(A)
any additional Federal funds received by the State for qualifying community-based mobile crisis intervention services provided under this section that are attributable to the increased Federal medical assistance percentage under subection (c) will be used to supplement, and not supplant, the level of State funds expended for such services for the fiscal year preceding the first fiscal quarter occurring during the period described in subsection (a);
(B)
if the State made qualifying community-based mobile crisis intervention services available in a region of the State in such fiscal year, the State will continue to make such services available in such region under this section during each month occurring during the period described in subsection (a) for which the Federal medical assistance percentage under subsection (c) is applicable with respect to the State.
(e)
Funding for State planning grants
(
Aug. 14, 1935, ch. 531
, title XIX, § 1947, as added
Pub. L. 117–2, title IX, § 9813
,
Mar. 11, 2021
,
135 Stat. 213
.)
cite as:
42 USC 1396w-6
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