(a)

1. (1) Partial hospitalization is an intensive nonresidential, therapeutic treatment program.
2. (2) It can be used as an alternative to and/or a step-down service from inpatient residential treatment or to stabilize a deteriorating condition and avert hospitalization.
3. (3) The program provides clinical treatment services in a stable environment on a level equal to an inpatient program, but on a less than twenty-four-hour basis.
4. (4) The environment at this level of treatment is highly structured and should maintain a staff-to-patient ratio of one-to-five (1:5) to ensure necessary therapeutic services and professional monitoring, control, and protection.

5. (5) This service shall include at a minimum:

   1. (A) Intake;
   2. (B) Individual therapy;
   3. (C) Group therapy; and
   4. (D) Psychoeducation.
6. (6) Partial hospitalization shall be at a minimum five (5) hours per day, of which ninety (90) minutes must be a documented service provided by a mental health professional.
7. (7) If a beneficiary receives other services during the week but also receives partial hospitalization, the beneficiary must receive, at a minimum, twenty (20) documented hours of services on no less than four (4) days in that week.

(b) The allowable staff, as referenced in the Outpatient Behavioral Health Services Medicaid Manual, included in the staff-to-patient ratio of one-to-five (1:5) are:

1. (1) Independently licensed clinicians;
2. (2) Nonindependently licensed clinicians;
3. (3) Registered nurses;
4. (4) Advanced practice nurses; and
5. (5) Physicians.