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A person who is under 21 years and has a completed diagnostic assessment diagnosed with an emotional disturbance or severe emotional disturbance who is in need of rehabilitative mental health services. The emotional disturbance must have resulted in the child being developmentally behind same-age peers and the services capable of helping the child move closer to the normal developmental level for their age.
Students who meet CTSS eligibility and have an Individual Education Plan (IEP)-identifying the need for mental health services.
A minimum of two MH Professionals must be employed by or on contract for each agency.
No. Certification is granted to legally recognized organizations only.
A Mental Health Behavioral Aide (MHBA) is a paraprofessional working under the direction of a mental health professional or mental health practitioner receiving clinical supervision.
The MHBA helps a child with an emotional disturbance or a serious emotional disturbance practice skills, as taught by the professional or practitioner, in the child’s home, school or community setting.
In order to be employed as a Mental Health Behavioral Aide, an individual is required to complete ten modules of pre-service training that educate those who work with children with serious mental health disorders about the lives of the families raising these children and what they can do to create an effective partnership.
If your claim is fee-for-service, contact the MHCP Provider Call Center at 800-366-5411 or 651-431-2700. If your claim is through one of the managed care organizations (MCOs), you need to contact the MCO directly.
See the mental health codes and maximum adjusted FFS rates chart and additional information on the Mental Health Codes, Maximum FFS Rates, and Eligible Providers
Skills Training is the teaching and practice of specific behavioral skills that have not been developed or that can replace maladaptive skills developed due to the emotional disturbance. Skills training does not include cognitive or emotional skills worked on in psychotherapy.
Psychotherapy is planned and structured face-to-face treatment aimed at addressing the cognitive and emotional issues and processes resulting from the diagnosed mental health condition and addressing its causes. Cognitive-behavioral skills such as mindfulness, cognitive restructuring or insight and understanding are part of psychotherapy, not skills training.
A Mental Health Behavioral Aide (MHBA) is a paraprofessional working under the direction of a mental health professional or mental health practitioner receiving clinical supervision.
The MHBA helps a child with an emotional disturbance or a serious emotional disturbance practice skills, as taught by the professional or practitioner, in the child’s home, school or community setting.
In order to be employed as a Mental Health Behavioral Aide, an individual is required to complete ten modules of pre-service training that educate those who work with children with serious mental health disorders about the lives of the families raising these children and what they can do to create an effective partnership.
Crisis assistance is developing an individualized crisis plan with the family to use if a future crisis occurs as a result of the diagnosed emotional disturbance. It is not a preprinted document identifying a crisis line for a county, but addresses the known symptoms and behaviors of the child and identifies resources useful for the family. Such resources may be whatever resources, including existing social and family resources and insurance coverages that the family can follow if the child experiences a mental health crisis.
Children’s day treatment is a site-based mental health program that provides both psychotherapy and behavioral skills training on a daily basis, delivered by a team of mental health professionals and practitioners. It provides at least one and no more than two hours of psychotherapy each program day with the remaining time consisting of behavioral skills training, and is limited to 15 hours per week. Children attend program at least 3 days per week, unless they are transitioning between settings, such as regular school and the day treatment program.
They can choose to continue to receive psychotherapy from another provider even if they choose to accept other CTSS services from you. You can’t force a client to change providers. If this happens, document who their chosen provider is and describe how you and that provider will coordinate care in your individual treatment plan (ITP).
Families have the right to refuse services they don’t want. If the family chooses to consent only to skills training or other CTSS components other than psychotherapy, you document that you recommended psychotherapy and the family refused to accept it. If you provide skills training or other CTSS services, those services need to be identified in the individualized treatment plan (ITP) and your reviews should continue to identify your assessment of need and the family’s continued decision to not receive psychotherapy.
Document in your diagnostic assessment (DA) or Individualized treatment plan (ITP) that there is a lack of available psychotherapists in the area to address the need. If the lack of available psychotherapists continues, document that in the ITP reviews.
If the mental health professional who completes the diagnostic assessment (DA) concludes that psychotherapy is not medically necessary, they must document the medical reasons why psychotherapy is not necessary and why behavioral skills training is still an appropriate service.
Not to provide any CTSS services other than mental health service plan development (MHSPD). MHSPD is the development, review and revision of the ITP with the family, based on the diagnostic assessment, professional judgment and family needs. Other CTSS services must be specified to address goals and objectives in the ITP approved by both the mental health professional and the parent/guardian.
You can, provided you don’t provide it as a CTSS service. Psychotherapy can be provided as a non-CTSS service or as a CTSS service. The CTSS statute specifies that no CTSS service other than mental health service plan development (MHSPD) may be delivered prior to the completion of a DA and ITP.
CTSS Services can begin once the agency is certified, by the Minnesota Department of Human Services. The agency cannot submit claims until the agency has been verified by the Office of Inspector General.
Yes. As long as the mental health professional agrees/acknowledges and supports the content of the external DA, and the DA must meet MHCP Diagnostic Assessment required components, including supporting medical necessity for rehabilitative mental health services.
No. Skills training is often a part of providing psychotherapy and when they are provided together, the appropriate service to bill and document is psychotherapy.
Yes, all CTSS Providers need to complete the tools and enter into the Outcome Measures Reporting System that can be accessed via MN-ITS. Find more information on the Outcome Measures webpage.
No, school CTSS providers do not use prior authorization process with the MHCP medical review agent.
No
Yes. For IEP services, MA will only reimburse for services authorized on an IEP. An amendment to the IEP is needed if there’s an increase or decrease in minutes and/or services on the IEP.
There is one Initial application process, where Part I and Part II have been combined to one submission process, and the model clinical case must be submitted with a completed application and agreement to assurances.
Option 1 – IEP Evaluations (which isn’t a CTSS service) has been moved to the IEP Policy Team.
CTSS certification is for agencies not individuals. Statute requires that providers must meet specific requirements that are not reviewed in the MHCP enrollment process. Statute also requires an application and approval process in order to provide CTSS.
Yes. In 2007, the Minnesota Legislature mandated in Minnesota Statutes 62J.495, that, “By January 1, 2015, all hospitals and health care providers must have in place an interoperable electronic health records system within their hospital system or clinical practice setting.” MHCP also has an Industry Initiative on Electronic Health Records.
Yes. You may submit a new application, after reviewing the feedback and contacting us about any questions you may have about the reasons your certification application was denied.
Recertification is the process of renewing your CTSS certification. From time to time there are changes in the statute and related CTSS requirements. The statute requires recertification at least every three years. There is a recertification application that must be completed at least 90 days prior to the expiration of your current certification.
No. However, if you want to continue billing for CTSS, then you must be recertified, as specified in CTSS Statute.
No. There isn’t a minimum or ratio – only that it needs to be offered & provided. Also, if the family declines psychotherapy, it should be documented according to MHCP Provider Manual - Children’s Therapeutic Services and Supports (CTSS).
The letter will have details about the specifics regarding the records and documents that will need to be submitted, to KEPRO, by a specified due date. Please comply with DHS contracted medical review agent, KEPRO, and if you have further question please direct them to: mnatrezzoregistration@kepro.com or 612-354-5589 ext. 7162
That depends. People age 18 up to age 21 are eligible for both ARMHS and CTSS, and must meet the eligibility criteria for either or both programs. Which program is appropriate depends on the needs of the person. Typically, CTSS is provided to a person who is still in a dependent situation; that is, the person is living with family, trying to complete school and needs to develop skills and abilities other people their age are typically able to do. A person who is still struggling to deal adequately with emotional regulation, being able to function in a school setting, being able to cope within the structure of their family situation where they are still a dependent, etc., are situations that are appropriately addressed through CTSS.
ARMHS focuses on the following adult expectations:
