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Community Based Rehabilitation Services (CBRS)

OPTUM IDAHO LEVEL OF CARE GUIDELINES: COMMUNITY BASED REHABILITATION SERVICES C & A– IDAHO MEDICAID
BH803IDCBRSCA_012017 Page 2 of 3 Level of Care Guidelines: CBRS Children and Adolescents – Optum Idaho Effective July 2017 Proprietary Information of Optum. Copyright 2017 Optum, Inc.

Community Based Rehabilitation – Children and Adolescents: Community Based Rehabilitation Services are a home or community- based program available to children and adolescents who are recovering from a Serious Emotional Disturbance (SED) that promotes resiliency, and assists the member with acquiring age appropriate skills, or with compensating or eliminating functional deficits associated with their Serious Emotional Disturbance (SED).

CBRS may be appropriate for some children/adolescents as a support service when functional deficits are present and impairing the child’s recovery from the SED and/or resiliency. It is required that child/adolescents need for CBRS support be documented in a comprehensive diagnostic assessment (CDA). Services are provided by a licensed professional or qualified (working within state guidelines) or certified paraprofessional (CPRP or children’s certification via USPRA). Community Based Rehabilitation Services vary in intensity, frequency, and duration in order to support member’s ability to manage functional difficulties, and to realize resiliency goals.

The intent of Community Based Rehabilitation Services for children and adolescents is to either rehabilitate the child/adolescent member’s capacity impaired as a result of the SED, or to teach age appropriate skills (which were not acquired as a result of the SED) so that the least amount of ongoing professional intervention is required (least restrictive services). CBRS addresses specific skill building support needs and is not a generic support service or intended to be long term assistance.

Providers should communicate with parents and guardians about the necessity of parental involvement in CBRS support as indicated in this LOCG document. Providers should also communicate to parents and guardians that CBRS does not treat symptoms of SED, but instead address the functional skills deficits that occur because of the SED symptoms.

These criteria should be used in conjunction with the criteria for the admission and continuing service criteria to manage initial and ongoing services.