(a)

1. (1) Therapeutic communities are highly structured residential environments or continuums of care in which the primary goals are the:

   1. (A) Treatment of behavioral health needs; and
   2. (B) Fostering of personal growth leading to personal accountability.
2. (2) Services address the broad range of needs identified by the person served.
3. (3) Therapeutic communities employ community-imposed consequences and earned privileges as part of the recovery and growth process.
4. (4) In addition to daily seminars, group counseling, and individual activities, the persons served are assigned responsibilities within the therapeutic community setting.
5. (5) Participants and staff members act as facilitators, emphasizing personal responsibility for one's own life and self-improvement.
6. (6) The service emphasizes the integration of an individual within his or her community, and progress is measured within the context of that community's expectation.

(b)

1. (1) Depending on the needs of the client and eligibility determination of the client, there are two (2) levels of therapeutic community:

   1. (A) Level 1; and
   2. (B) Level 2.
2. (2) Level 1 therapeutic communities are reimbursed at two hundred fifty dollars ($250) per diem while Level 2 therapeutic communities are reimbursed at one hundred seventy-five dollars ($175) per diem.

(c)

1. (1) In order to be certified by the Department of Human Services as a therapeutic community, the site must be certified by the department as a behavioral health agency site.
2. (2) A therapeutic community shall not be certified without being certified as a behavioral health agency.

(d)

1. (1) Each therapeutic community program shall be certified.
2. (2) All locations where clients reside will be inspected and approved as an allowable location for clients to live while receiving services within the therapeutic community.
3. (3) If clients are living in a residential setting in the same location that they are receiving treatment (Level 1 therapeutic communities), the site shall not have more than sixteen (16) beds.

(e) Level 1 therapeutic communities shall:

1. (1) Have twenty-four (24) hours a day monitoring; and
2. (2) Be a secure facility.

(f)

1. (1) Level 2 therapeutic communities must ensure:

   1. (A) Daily contact with clients; and
   2. (B) The ability for residents to be seen by appropriate caregivers when necessary twenty-four (24) hours a day.
2. (2) Appropriate supervision must be documented and maintained at Level 2 therapeutic communities.