Intensive Residential Treatment Services
Intensive residential treatment services (IRTS) is a community-based medically monitored level of care for an adult client that uses established rehabilitative principles to promote a client's recovery and to develop and achieve psychiatric stability, personal and emotional adjustment, self-sufficiency, and other skills that help a client transition to a more independent setting.
Residential crisis stabilization (RCS) provides structure and support to an adult client in a community living environment when a client has experienced a mental health crisis and needs short-term services to ensure that the client can safely return to the client's home or precrisis living environment with additional services and supports identified in the client's crisis assessment.
Covered Services
Current providers
Currently licensed programs can be searched using the following:
DHS Licensing Information Lookup – Information found on the web page is public information. Facilities can be searched by Intensive Residential Treatment Services and Residential Crisis Stabilization licensing type. Individual program pages contain general program information, licensing actions and maltreatment investigation memorandums. All programs providing IRTS and/or RCS treatment must be licensed. Medicaid certification requires separate enrollment with Minnesota Health Care Programs (MHCP), which is not reflected on the Licensing status webpage.
Minnesota Mental Health Access - Health care and social services personnel are eligible to use the website for locating potential openings for the purpose of referring clients. Access must be requested through the web page.
Reimbursement
Providers may contract for reimbursement for IRTS and RCS treatment with the following funding sources: Medical Assistance fee for service; Managed Health Care Organizations/Prepaid medical plans (PMAP); State and/or County grants or funding; Private insurance; and/or recipient self-payment. It is the responsibility of the provider to contract individually with each funding sources for reimbursement.
Overview of Minnesota Health Care Programs (MHCP) eligibility requirements
Providers seeking MHCP enrollment must have a license issued by DHS Licensing and complete certification and rate setting with the DHS Behavioral Health Administration. An IRTS or RCS license alone does not ensure Medicaid certification nor accelerate the MHCP rate setting process.
A statement of need from the mental health authority is required prior to starting the certification and rate setting process with the Behavioral Health Administration. After receiving a statement of need and prior to submitting a DHS Licensing application, providers are encouraged to consult with the IRTS/RCS policy staff within the Behavioral Health Administration.
Medical Assistance IRTS and RCS rate information
Reporting requirements
Reporting through the Mental Health Information System (MHIS) is required for providers. The web-based (MHIS) started July 1, 2012 and replaced the POSR system.
More information
Contact: DHS.AdultMHAct_IRTS@state.mn.us