Rule Chapter: 37.87
	Chapter Title: CHILDREN'S MENTAL HEALTH SERVICES

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	37.87 : CHILDREN'S MENTAL HEALTH SERVICES

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Rule No. Rule Title Latest Version Effective Date Subchapter 1 Definitions Rule 37.87.101 reserved 37.87.102 MENTAL HEALTH SERVICES (MHS) FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED), DEFINITIONS 3/27/2021 Subchapter 2 Reserved Subchapter 3 Serious Emotional Disturbance Criteria Rules 37.87.301 and 37.87.302 reserved 37.87.303 YOUTH MENTAL HEALTH SERVICES, SERIOUS EMOTIONAL DISTURBANCE CRITERIA REP 9/19/2014 Subchapter 4 Reserved Subchapter 5 Reserved Subchapter 6 Reserved Subchapter 7 Mental Health Center Services for Youth With Serious Emotional Disturbance (SED) 37.87.701 COMMUNITY-BASED PSYCHIATRIC REHABILITATION SUPPORT SERVICES REP 11/21/2014 37.87.702 MENTAL HEALTH CENTER SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED), DEFINITIONS 3/27/2021 37.87.703 MENTAL HEALTH CENTER SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED), COVERED SERVICES 3/23/2024 37.87.705 MENTAL HEALTH CENTER SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, NONCOVERED SERVICES 2/27/2009 37.87.723 MENTAL HEALTH CENTER SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED), PROVIDER REQUIREMENTS REP 10/1/2015 37.87.733 MENTAL HEALTH CENTER SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED), REIMBURSEMENT 11/15/2013 Subchapter 8 Targeted Case Management Services for Youth With Serious Emotional Disturbance 37.87.802 TARGETED CASE MANAGEMENT SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, DEFINITIONS 11/1/2020 37.87.805 TARGETED CASE MANAGEMENT SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, ELIGIBILITY 11/1/2020 37.87.807 TARGETED CASE MANAGEMENT SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, COVERED SERVICES 11/1/2020 37.87.808 TARGETED CASE MANAGEMENT SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, AUTHORIZATION REQUIREMENTS 8/26/2011 37.87.809 TARGETED CASE MANAGEMENT SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, REIMBURSEMENT 11/1/2020 37.87.823 TARGETED CASE MANAGEMENT SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, PROVIDER REQUIREMENTS 11/1/2020 Subchapter 9 Medicaid Mental Health Services for Youth 37.87.901 MEDICAID MENTAL HEALTH SERVICES FOR YOUTH, REIMBURSEMENT 10/1/2015 37.87.903 MEDICAID MENTAL HEALTH SERVICES FOR YOUTH, AUTHORIZATION REQUIREMENTS 3/23/2024 Subchapter 10 Therapeutic Group Home 37.87.1011 THERAPEUTIC GROUP HOME (TGH), PROVIDER REQUIREMENTS 3/23/2024 37.87.1013 THERAPEUTIC GROUP HOME (TGH), REIMBURSEMENT 9/19/2014 37.87.1015 THERAPEUTIC GROUP HOME (TGH), AUTHORIZATION REQUIREMENTS REP 11/15/2013 37.87.1017 THERAPEUTIC GROUP HOME (TGH), EXTRAORDINARY NEEDS AIDE (ENA) SERVICES, AND AUTHORIZATION REQUIREMENTS REP 11/15/2013 37.87.1021 THERAPEUTIC FAMILY CARE (TFC) AND THERAPEUTIC FOSTER CARE (TFOC) SERVICES REIMBURSEMENT REP 2/1/2013 37.87.1023 THERAPEUTIC FAMILY CARE (TFC) AND THERAPEUTIC FOSTER CARE (TFOC) SERVICES, AUTHORIZATION REQUIREMENTS AND COVERED SERVICES REP 2/1/2013 37.87.1025 THERAPEUTIC FAMILY CARE (TFC) AND THERAPEUTIC FOSTER CARE (TFOC) SERVICES, DEFINITION OF PERMANENCY TFOC TREATAMENT REP 2/1/2013 Subchapter 11 Reserved Subchapter 12 Psychiatric Residential Treatment Facility Services 37.87.1201 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, PURPOSE 12/11/2015 37.87.1202 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, DEFINITIONS 11/1/2020 37.87.1203 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES 12/11/2015 37.87.1206 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, PARTICIPATION REQUIREMENTS 12/11/2015 37.87.1207 HOSPITAL-BASED PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, REQUIREMENTS 12/11/2015 37.87.1210 OUT-OF-STATE PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY (PRTF) SERVICE REQUIREMENTS REP 12/11/2015 37.87.1214 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, SUBSTANCE USE DISORDER ASSESSMENT AND TREATMENT REP 12/11/2015 37.87.1215 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, ASSESSMENT SERVICES 12/11/2015 37.87.1216 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, BENEFIT LIMITS, CERTIFICATION OF NEED, UTILIZATION REVIEW AND INSPECTIONS OF CARE REQUIREMENTS 12/11/2015 37.87.1217 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY (PRTF) SERVICES, TREATMENT REQUIREMENTS 11/1/2020 37.87.1222 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY (PRTF) SERVICES, INTERIM RATE AND COST SETTLEMENT PROCESS REP 12/31/2013 37.87.1223 IN-STATE PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY (PRTF) SERVICES, REIMBURSEMENT 11/1/2020 37.87.1224 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY (PRTF) SERVICES, CONTINUITY OF CARE PAYMENT 1/1/2020 37.87.1225 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, ADMINISTRATIVE REVIEW AND FAIR HEARING PROCEDURES 1/1/2009 37.87.1226 OUT-OF-STATE PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES, REIMBURSEMENT 9/9/2023 Subchapter 13 Home and Community-Based Services for Youth With Serious Emotional Disturbance Rules 37.87.1301 and 37.87.1302 reserved 37.87.1303 HOME AND COMMUNITY-BASED 1915(c) SERVICES BRIDGE WAIVER FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: FEDERAL AUTHORIZATION AND AUTHORITY OF STATE TO ADMINISTER PROGRAM REP 10/15/2016 Rule 37.87.1304 reserved 37.87.1305 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: ELIGIBILITY FOR PROGRAM REP 10/26/2012 37.87.1306 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: SELECTION FOR PLACEMENT REP 10/26/2012 37.87.1307 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: LOSS OF A SERVICE AND DISENROLLMENT REP 10/26/2012 Rules 37.87.1308 through 37.87.1312 reserved 37.87.1313 1915(i) HOME AND COMMUNITY-BASED SERVICES (HCBS) STATE PLAN PROGRAM FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: FEDERAL AUTHORIZATION AND AUTHORITY OF STATE TO ADMINISTER PROGRAM REP 11/1/2020 37.87.1314 1915(i) HOME AND COMMUNITY-BASED SERVICES (HCBS) STATE PLAN PROGRAM FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: REIMBURSEMENT REP 11/1/2020 37.87.1315 1915(i) HOME AND COMMUNITY BASED SERVICES (HCBS) STATE PLAN PROGRAM FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: NOTICE AND FAIR HEARING REP 11/1/2020 Rules 37.87.1316 through 37.87.1320 reserved 37.87.1321 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: THE PROVISION OF SERVICES REP 10/26/2012 Rule 37.87.1322 reserved 37.87.1323 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE AND PLANS OF CARE: PLAN MANAGEMENT REP 7/29/2011 Rule 37.87.1324 reserved 37.87.1325 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: COST OF PLAN OF CARE REP 10/26/2012 Rules 37.87.1326 through 37.87.1330 reserved 37.87.1331 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: PROVIDER REQUIREMENTS REP 10/26/2012 Rule 37.87.1332 reserved 37.87.1333 HOME AND COMMUNITY-BASED 1915(c) SERVICES BRIDGE WAIVER FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: REIMBURSEMENT REP 10/15/2016 Rule 37.87.1334 reserved 37.87.1335 HOME AND COMMUNITY-BASED 1915(c) SERVICES BRIDGE WAIVER FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: NOTICE AND FAIR HEARING REP 10/15/2016 Rules 37.87.1336 and 37.87.1337 reserved 37.87.1338 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: CONSULTATIVE CLINICAL AND THERAPEUTIC SERVICES, REQUIREMENTS REP 7/29/2011 37.87.1339 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: CUSTOMIZED GOODS AND SERVICES, REQUIREMENTS REP 7/29/2011 37.87.1340 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: EDUCATION AND SUPPORT SERVICES, REQUIREMENTS REP 7/29/2011 37.87.1341 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: HOME-BASED THERAPY SERVICES, REQUIREMENTS REP 7/29/2011 37.87.1342 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: NONMEDICAL TRANSPORTATION SERVICES REP 7/29/2011 37.87.1343 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: RESPITE CARE SERVICES REP 7/29/2011 37.87.1344 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE : FAMILY SUPPORT SPECIALIST SERVICES REP 7/29/2011 37.87.1345 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: CAREGIVER PEER-TO-PEER SUPPORT SPECIALIST SERVICES REP 7/29/2011 37.87.1346 HOME AND COMMUNITY-BASED SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE: WRAPAROUND FACILITATION SERVICES REP 7/29/2011 37.87.1350 INTEGRATED CO-OCCURRING TREATMENT (ICT), DEFINITIONS 10/15/2016 37.87.1351 INTEGRATED CO-OCCURRING TREATMENT (ICT), ELIGIBILITY 11/1/2020 37.87.1352 INTEGRATED CO-OCCURRING TREATMENT (ICT), REQUIREMENTS 10/15/2016 37.87.1353 INTEGRATED CO-OCCURRING TREATMENT (ICT), REIMBURSEMENT AND AUTHORIZATION 10/15/2016 Subchapter 14 Home Support Services, Therapeutic Foster Care, Therapeutic Foster Care - Permanency 37.87.1401 HOME SUPPORT SERVICES AND THERAPEUTIC FOSTER CARE, SERVICES REIMBURSEMENT 1/1/2021 37.87.1402 HOME SUPPORT SERVICES (HSS) AND THERAPEUTIC FOSTER CARE (TFC), DEFINITIONS 1/1/2021 37.87.1404 HOME SUPPORT SERVICES (HSS) AND THERAPEUTIC FOSTER CARE (TFC), INDIVIDUALIZED TREATMENT PLAN 11/15/2013 37.87.1405 HOME SUPPORT SERVICES (HSS) AND THERAPEUTIC FOSTER CARE (TFC), ASSESSMENTS 11/1/2020 37.87.1407 THERAPEUTIC FOSTER CARE (TFC), PROVISIONS OF SERVICE 1/1/2021 37.87.1408 THERAPEUTIC FOSTER CARE (TFC), DISCHARGE PLANNING AND DOCUMENTATION 1/1/2021 37.87.1410 THERAPEUTIC FOSTER CARE (TFC), PROVIDER REQUIREMENTS 3/23/2024 37.87.1411 THERAPEUTIC FOSTER CARE PERMANENCY SERVICES, AUTHORIZATION REQUIREMENTS AND COVERED SERVICES REP 11/15/2013 37.87.1413 THERAPEUTIC FOSTER CARE PERMANENCY SERVICES, PROVIDER PARTICIPATION 2/1/2013 37.87.1414 HOME SUPPORT SERVICES (HSS), PROVISIONS OF SERVICE 1/1/2021 37.87.1415 HOME SUPPORT SERVICES (HSS), PROVIDER REQUIREMENTS 1/1/2021 Subchapter 15 Mental Health Services Plan Member Eligibility Rules 37.87.1501 and 37.87.1502 reserved 37.87.1503 MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, ELIGIBILITY REP 5/1/2013 Rules 37.87.1504 through 37.87.1512 reserved 37.87.1513 MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, LIMITATIONS REP 5/1/2013 Subchapter 16 Alternatives to Out-of-State Placement 37.87.1601 ALTERNATIVES TO OUT-OF-STATE PLACEMENT, PURPOSE 10/26/2012 37.87.1602 ALTERNATIVES TO OUT-OF-STATE PLACEMENT, DEFINITIONS 10/26/2012 Rule 37.87.1603 reserved 37.87.1604 ALTERNATIVES TO OUT-OF-STATE PLACEMENT, PROVIDER REQUIREMENTS 10/26/2012 Rule 37.87.1605 reserved 37.87.1606 ALTERNATIVES TO OUT-OT-STATE PLACEMENT, PROVIDER PARTICIPATION AND PROCEDURES 10/26/2012 Subchapter 17 Mental Health Services Plan Covered Services Rules 37.87.1701 and 37.87.1702 reserved 37.87.1703 MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, COVERED SERVICES REP 5/1/2013 Rules 37.87.1704 through 37.87.1722 reserved 37.87.1723 MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, PROVIDER PARTICIPATION REP 5/1/2013 Rules 37.87.1724 through 37.87.1732 reserved 37.87.1733 MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, PROVIDER REIMBURSEMENT REP 5/1/2013 Subchapter 18 Comprehensive School and Community Treatment Program (CSCT) 37.87.1801 COMPREHENSIVE SCHOOL AND COMMUNITY TREATMENT PROGRAM: REFERRALS 1/29/2022 37.87.1802 COMPREHENSIVE SCHOOL AND COMMUNITY TREATMENT PROGRAM: CONTRACT REQUIREMENTS 1/29/2022 37.87.1803 COMPREHENSIVE SCHOOL AND COMMUNITY TREATMENT PROGRAM: REIMBURSEMENT 1/29/2022 Subchapter 19 Authorization/Certificate of Need Requirements Mental Health Services Plan Rules 37.87.1901 and 37.87.1902 reserved 37.87.1903 MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, AUTHORIZATION REQUIREMENTS REP 5/1/2013 Rules 37.87.1904 through 37.87.1914 reserved 37.87.1915 MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, PREMIUM PAYMENTS AND COPAYMENTS REP 5/1/2013 Subchapter 20 Reserved Subchapter 21 Grievance, Rights, Member Notice Mental Health Services Plan Rules 37.87.2101 and 37.87.2102 reserved 37.87.2103 MENTAL HEALTH SERVICES (MHS) PLAN FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE, NOTICE, GRIEVANCE AND RECONSIDERATION, AND RIGHTS REP 5/1/2013 Subchapter 22 Youth System of Care Account Rule 37.87.2201 reserved 37.87.2202 MENTAL HEALTH SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED) RESPITE CARE SERVICES, DEFINITION REP 10/1/2015 37.87.2203 NON-MEDICAID SERVICES PROGRAM 10/14/2017 37.87.2205 MENTAL HEALTH SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED) NON-MEDICAID RESPITE CARE SERVICES, LIMITATIONS REP 10/1/2015 37.87.2225 MENTAL HEALTH SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED) NON-MEDICAID RESPITE CARE SERVICES, PROVIDER PARTICIPATION REP 10/1/2015 37.87.2233 MENTAL HEALTH SERVICES FOR YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED) RESPITE CARE SERVICES, PROVIDER REIMBURSEMENT REP 10/1/2015