What is Crisis Intervention
Crisis intervention shall provide immediate mental health care in the home or community and be available 24 hours a day, seven days per week, to assist individuals who are experiencing acute psychiatric dysfunction requiring immediate clinical attention. Crisis intervention activities shall include assessment, short-term counseling designed to stabilize the individual and care coordination. Crisis intervention services may include office visits, Temporary Detention Order pre-admission screenings, or telephone contacts.
CRISIS INTERVENTION OBJECTIVES
Prevent the exacerbation of a condition.
Prevent injury to the individual or others; and
Provide treatment in the least restrictive setting.
Crisis intervention services are provided following a marked reduction in the individual’s psychiatric, adaptive, or behavioral functioning or an extreme increase in personal distress.
Individuals must meet both Criteria A and B to qualify for reimbursement.
A. Individuals qualifying for this service must demonstrate a clinical necessity for the service arising from an acute crisis of a psychiatric nature that puts the individual at risk of psychiatric hospitalization.
B. Individuals must meet two of the following criteria at the time of admission to the service:
Experience difficulty in establishing or maintaining normal interpersonal relationships to such a degree that they are at risk of psychiatric hospitalization, homelessness, or isolation from social supports.
Experience difficulty in activities of daily living such as maintaining personal hygiene, preparing food, and maintaining adequate nutrition, or managing finances to such a degree that health or safety is jeopardized.
Exhibit such inappropriate behavior that immediate interventions documented by mental health, social services, or the judicial system are or have been necessary; or
Exhibit difficulty in cognitive ability such that they are unable to recognize personal danger or significantly inappropriate social behavior.
Accepting Medallion 4, CCC Plus, and Medicaid Fee-for-Service plans from all VA Medicaid Managed Care Organizations including Aetna Better Health of VA, Anthem Healthkeepers Plus, Magellan Complete Care of Virginia, Optima/Sentara, United Healthcare/Optum, and VA Premier.