Mental Health Skill
Intensive In-Home Services
Intensive in-home (IIH) services for children and adolescents under age 21 are time-limited interventions provided in the individual’s residence, and when clinically necessary, in community settings. All IIH services are designed to specifically improve family dynamics, provide modeling, and the clinically necessary interventions that increase functional and therapeutic interpersonal relations between family members in the home. IIH services are designed to promote psycho-educational benefits in the home setting of a child/adolescent who is at risk of being moved into an out-of-home placement or who is being transitioned to home form an out-of-home placement due to a documented medical need.
At least one parent/legal guardian or responsible adult with whom the child/adolescent is living must be willing to participate in the IIH services with the goal of keeping the child or adolescent with the family.
Children/Adolescents receiving IIH services must have the functional capability to understand and benefit from the required activities and counseling of this service. These services are rehabilitative and are intended to improve the child’s functioning. It is unlikely that a child/adolescent with severe cognitive and developmental delays/impairments would clinically benefit and meet the service eligibility criteria.
Must support the mental, behavioral, or emotional illness attributed to the recent significant functional impairment in major life activities.
Impairments experienced by the member are to such a degree that they meet the criteria for being at risk for out-of-home placement.
Meet Two of the Below:
Have difficulty establishing or maintaining normal interpersonal relations to such a degree that they are at risk for hospitalization or out-of-home placement because of conflicts with family or community.
Exhibit such inappropriate behavior that documented, repeated interventions by the mental health, social services, or judicial system are, or have been necessary, resulting in being at risk for out-of-home placement.
Exhibit difficulty in cognitive ability such that they are unable to recognize personal danger or recognize significantly inappropriate social behavior resulting in being at risk for out-of-home placement.
Transitioning (within the last 30 days) between foster homes, mental health case management, crisis intervention, crisis stabilization, outpatient psychotherapy, or outpatient substance abuse services.
Level of Care
Meet One of the Below:
When services that are far more intensive than outpatient clinic care are required to stabilize the individual in the family situation, or
When the individual's residence as the setting for services is more likely to be successful than a clinic.
Meet Both of the Below:
At least one parent/legal guardian or responsible adult with whom the individual is living must be willing to participate in the intensive in-home services with the goal of keeping the individual with or returning him/her to the family.
In the instance of this service, a responsible adult shall be an adult who lives in the same household with the child and is responsible for engaging in therapy and service-related activities to benefit the individual.
CCS, Inc. provides goal directed, clinically necessary IIH services that enable children and adolescents to achieve and maintain community stability and independence in the most appropriate, least restrictive environment. Training services are provided in the following core areas:
Individual and family counseling
Training to increase appropriate communication skills (e.g., counseling to assist the individual and his/her parents or guardians, as appropriate, to understand and practice appropriate problem solving, anger management, and interpersonal interaction, etc.);
Services shall also be used to facilitate the transition to home from an out-of-home placement when services more intensive than outpatient clinic care are required for the transition to be successful. The child/adolescent and responsible parent/guardian shall be available and in agreement to participate in the transition.
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.