Behavioral Intervention Services (364) #
Budget Category: #
Health and Safety
Description/Providers: #
Behavioral Intervention Services
Service Code Description: #
Behavior intervention services include the use and development of intensive behavioral intervention programs to improve the participant’s development and behavior tracking and analysis. The intervention programs are restricted to generally accepted, evidence-based, positive approaches. Depending on the participant’s needs, behavioral intervention services may be provided in multiple settings, including the participant’s home, workplace, etc. Behavioral intervention services are designed to assist individuals in acquiring, retaining and improving the self-help, socialization and adaptive skills necessary to reside successfully in home and community-based settings. Services may be provided to family members if they are for the benefit of the participant. Services for family members may include training and instruction about treatment regimens, including training on the use of medications, and risk management strategies to enable the family to support the participant. The participation of parent(s) of minor children is critical to the success of a behavioral intervention plan. The person-centered planning team determines the extent of participation necessary to meet the individual’s needs. “Participation” includes the following meanings:
Completion of group instruction on the basics of behavior intervention;
Implementation of intervention strategies, according to the intervention plan;
If needed, collection of data on behavioral strategies and submission of that data to the provider for incorporation into progress reports;
Participation in any needed clinical meetings;
Provision of suggested nominal behavior modification materials or community involvement if a reward system is used.
If the absence of sufficient participation prevents successful implementation of the behavioral plan, other services will be provided to meet the individual’s identified needs. This service in the HCBS Waiver is only provided to individuals age 21 and over. All medically necessary Behavioral Intervention Services for children under age 21 are covered in the state plan pursuant to the EPSDT benefit.
Generic Resource: #
School District, Medical Insurance, Medi-Cal
Available Under Age 21? #
Yes
Traditional Service? #
Yes
Included in Budget? #
Based on individual needs
Progress Report? #
Yes, 6-month
EVV Required? #
No
