(a) Crisis stabilization units provide brief medically necessary crisis treatment services to persons age eighteen (18) and above who:

1. (1) Are experiencing a psychiatry-related and/or substance abuse-related crisis; and
2. (2) May pose an escalated risk of harm to self or others.

(b) Crisis stabilization units provide brief crisis treatment services to persons eighteen (18) years of age and over, who:

1. (1) Are experiencing a psychiatric or substance abuse-related crisis, or both; and
2. (2) May pose an escalated risk of harm to self or others.

(d)

1. (1) Crisis stabilization units may provide the service of extended observation bed.

2. (2) This is an all-inclusive service and is paid on a per diem basis (census count at midnight and client is in the bed) that includes services such as:

   1. (A) Evaluation;
   2. (B) Observation;
   3. (C) Clinical interventions;
   4. (D) Crisis stabilization; and
   5. (E) Social services interventions.

(e)

1. (1) Crisis stabilization units may provide the service of short-term observation bed.

2. (2) This is an all-inclusive service and is paid on a per diem basis (census count at midnight and client is not in the bed) that includes services such as:

   1. (A) Evaluation;
   2. (B) Observation;
   3. (C) Clinical interventions;
   4. (D) Crisis stabilization; and
   5. (E) Social services interventions.

(f)

1. (1) Crisis stabilization units may provide the services of professional assessment, stabilization, and referral.
2. (2) These services are paid on a fee-for-service basis (census count at midnight and client is not in the bed) that includes any service described in the Counseling and Crisis Services Provider Manual, 20 CAR pt. 614.
3. (3) These services would be billed when a crisis stabilization unit is not providing extended observation bed nor short-term observation bed which are paid on an all-inclusive per diem basis.

(g)

1. (1) Crisis stabilization unit services shall be provided in the least restrictive setting possible.
2. (2) Services should be provided within, or as close to, the community in which they reside as possible.

(h)

1. (1) A physician shall be available at all times for the crisis stabilization unit, either on duty or on call.
2. (2) If the physician is on call, he or she shall respond by telephone or in person to the licensed staff on duty at the crisis unit within twenty (20) minutes.

(i) Crisis stabilization unit services shall include, but not be limited to, the following service components and each shall have written policies and procedures and each shall be co-occurring disorder capable and trauma informed, with policies and procedures that support this capability:

1. (1) Triage services;
2. (2) Co-occurring capable psychiatric crisis stabilization; and
3. (3) Co-occurring capable drug/alcohol crisis stabilization.