Clubhouse is currently allowed to be completed in congruence with other services as it is focused on social integration while MHSB is individual based service.  This is now labeled as a preferred service and more intense service that has to be ruled out prior to CPST service provided.  In addition, these services have to be ruled out prior to CPST.  How do you prove this has been completed and how do you show the extenuating circumstances are not available.  For example, what does extended wait lists mean? What is the liability on the assessor if we assess and determine an EBP model is a better fit?  There is no reimbursement while we coordinate with the to other provider and determine if there is extenuating circumstances impacting the ability for them to receive the EBP service.

What is going to be the MAP requirements for yearly training?

Requirement of crisis support to be provided, however there is a maximum hour allows for full time and part time to work.  What is the protocol when a crisis occurs after the staff has worked their “allotted hours.” 

The requirements of supervision, format it is to be completed in, and the specific agency format is my concern.  In addition, the ability to have the training available to ensure all staff are ready for the roll out (that is being covered by DMAS), and the ability to ensure the MCO has very specific guidelines to not leave the authorizations up to their interpretation.