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PSYCHIATRIC REHABILITATION PROGRAMS (PRP) …

PSYCHIATRIC REHABILITATION PROGRAMS (PRP) FREQUENTLY ASKED QUESTIONS This document is provided as an ongoing resource for PRP providers. It is organized into three major sections: A. Issues pertaining to all PRP Questions concerning Referrals Questions concerning Authorizations B. PRP-Adult (PRP-A) C. PRP-Minors (PRP-M) to include services rendered by BHA designated Transition Aged Youth (TAY) PROGRAMS as well as to children and adolescents Abbreviations used in this document APRN-PMH Advanced Practice PSYCHIATRIC Nurse CRNP-PMH PSYCHIATRIC Nurse Practitioner COMAR Code of Maryland Regulations IPP Incedo Provider Portal IRP Individual REHABILITATION Plan MNC Medical Necessity Criteria PRP-A PSYCHIATRIC REHABILITATION Program for Adults PRP-M PSYCHIATRIC REHABILITATION Program for Minors LCSW-C Licensed Clinical Social Worker-Certified LCPC Licensed Clinical Professional Counselor LCMFT Licensed Clinical Marriage and Family Counselor LCADC Licensed Clinical Alcohol and Drug Counselor LGPAT Licensed Graduate Professional Art Therapist LGMFT Licensed Graduate

Q13. What documentation is needed for an IRP consent. It is expected that the development of the IRP is a collaborative process with the consumer, or the consumer’s guardian (in the case of a minor or somebody who has been assigned a guardian of person).

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INCEDO PROVIDER PORTAL QUICK REFERENCE GUIDE

maryland.optum.com

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State of Maryland Medical Necessity Criteria Document Number: BH803MDSCC012020 Effective Date: July 1, ... There is clinical evidence that disposition planning, progressive increases in hospital privileges, ... • There must be a reasonable expectation by the family and treating clinician that if treatment services as

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program o Must explicitly state PRP (Psychiatric Rehabilitation Program) • Individualized Rehabilitation Plan (IRP) which indicates the participant and/or guardian participated in the planning and agrees with the plan. • DLA-20 completed within Incedo Provider Portal o For TAY Participants only

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