Community Crisis Support/Crisis Assistance

A member in the Adult with Developmental Disabilities Program may be eligible to receive Community Crisis Support/Crisis Assistance. Community supported employment agencies, behavioral consultation/crisis management agencies, residential habilitation agencies, certified home providers, and developmental disability (DD) service coordinators may apply for Community Crisis Support/Crisis Assistance using the process below.

About Community Crisis Support/Crisis Assistance

Community Crisis Supports/Crisis Assistance are for members in the departments DD services who are in an unanticipated and at-risk situation, such as the following:

  • Losing housing
  • Losing employment or income
  • Incarceration
  • Physical harm to themselves or others
  • Family altercation
  • Hospitalization: crisis services may be provided in an emergency room (ER) during the ER evaluation process if the goal is to prevent hospitalization and return the person to the community

DHW may authorize Community Crisis Supports/Crisis Assistance if there is a documented need for immediate intervention and no other means of support are available.

Community Crisis Support/Crisis Assistance Rules
  • The crisis supports need to be able to rectify the crisis.
  • Community Crisis Support/Crisis Assistance is limited to a maximum of 20 hours during any consecutive five-day period.
  • Support is used to help a member access community resources to resolve a crisis and doesn't include crisis counseling, transportation to emergency service providers, or direct skill-building services.  
  • Authorization for crisis assistance hours may be requested retroactively because of a crisis.
  • Crisis assistance hours are only available if a member's service coordination benefits have been exhausted for the rolling plan month in which the crisis occurred and no other means of support is available to the member.   
  • Community Crisis Support/Crisis Assistance may be provided before the completion of the assessment and plan of service.  
  • Services aren't reimbursable after the member has been admitted to the hospital.

Requesting Community Crisis Support/Crisis Assistance

How to request community crisis support/crisis assistance
  1. Download and complete a Community Crisis Support/Crisis Assistance request form.
  2. Submit the Community Crisis Support/Crisis Assistance request form to the Bureau of Developmental Disability Services. Include Crisis Request:  Member Name in the subject line
    1. e-mail BDDACM@dhw.idaho.gov
    2. Fax 208-332-7297

 

After you've submitted a request

The information coordinator will assign the Community Crisis Support/Crisis Assistance request to the regional care manager who has the member on their caseload. The care manager will approve or deny the request in writing. If the request is denied, it can be appealed. 

If ongoing support is needed after the crisis, a DD waiver member's service coordinator can submit an addendum to request behavioral consultation/crisis management. This waiver service may be used to provide direct consultation and clinical evaluation of a member who is experiencing or may be expected to experience a psychological, behavioral, or emotional crisis. This service may provide training and staff development related to the needs of the member. These services may also provide emergency back-up involving the direct support of the memberin crisis.

Billing Community Crisis Support/Crisis Assistance

H2011 - DD Service Coordination Crisis Assistance (1 unit - 15 minutes)

H2011 HM - DD Paraprofessional Service Coordination Crisis Assistance (1 unit = 15 minutes)

H2011 - Community Crisis Support (1 unit = 15 minutes)

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