(1) Community-based psychiatric rehabilitation support (CBPRS) services are provided on a face-to-face basis primarily with a youth, and may also include consultation on a face-to-face basis with family members, teachers, employers, or other key individuals in the youth's life when such contacts are clearly necessary to meet rehabilitation goals established in the youth's individual treatment plan. CBPRS services:
(a) may only be provided when the youth is receiving other mental health services;
(b) require prior authorization by the department or its designee when provided for a youth in the PRTF waiver during day treatment program hours;
(c) do not require prior authorization when provided on the same day as CSCT, Day Tx, or partial hospital services, if CBPRS is provided before or after program hours. This includes both individual and group CBPRS. Documentation of CBPRS must include time in and time out to show that CBPRS was not provided during program hours;
(d) are not allowed when the service to be provided is:
(i) during day treatment program hours unless the youth is in the PRTF waiver and CBPRS services are prior-authorized;
(ii) during CSCT or partial hospital program hours;
(iii) provided by a licensed mental health professional;
(iv) for the purpose of habilitation, academic instruction, recreation, vocational, or prevocational training;
(v) in a therapeutic group home, hospital, psychiatric residential treatment facility, or other residential facilities;
(vi) case planning activities such as attending meetings, completing paperwork, and other documentation requirements or travel time; and
(vii) solely for the purpose of safety.
(e) may not exceed the following limits for group:
(i) up to a maximum of two hours per day;
(ii) up to a maximum of eight youth per group; and
(iii) up to a staff ratio of four youth to one staff.