PURPOSE: This rule establishes special requirements for service delivery as Comprehensive Substance Treatment and Rehabilitation (CSTAR).

1. (1) Levels of Care. A CSTAR program shall provide the following levels of care on a nonresidential basis in accordance with requirements for outpatient programs:

   1. (A) Primary treatment;
   2. (B) Intensive outpatient treatment; and
   3. (C) Supported recovery.

2. (2) Other Applicable Program Requirements. A CSTAR program shall meet the following additional requirements, when the department determines that they are applicable:

   1. (A) Services offered on a residential basis shall comply with requirements for residential treatment; and
   2. (B) Requirements as a specialized program for adolescents or as a specialized program for women and children shall be met, where applicable.

3. (3) Medicaid Eligibility. An organization must be certified as a CSTAR program in order to qualify for Medicaid reimbursement of substance abuse treatment services to eligible persons.

   1. (A) A CSTAR program shall comply with applicable state and federal Medicaid requirements.

   2. (B) If there is a change in the Medicaid eligibility or financial status of a person served, the individual shall not be prematurely discharged from the CSTAR program or otherwise denied CSTAR services. The program shall—

      1. 1. Continue to provide all necessary and

appropriate services until the client meets rehabilitation plan goals and criteria for discharge; or

1. 2. Transition the client to another

provider such that there is continuity of clinically appropriate treatment services.

1. (4) Missed Appointments. If an individual fails to appear at a scheduled program activity, staff shall promptly initiate efforts to contact the person and maintain active program participation.

   1. (A) Such efforts should be initiated within forty-eight (48) hours, unless circumstances indicate a more immediate contact should be made due to the person’s symptoms and functioning or the nature of the scheduled service.
   2. (B) Efforts to contact the person shall be documented in the individual’s record.

AUTHORITY: sections 630.050, 630.655 and 631.010, RSMo 2000.* Original rule filed Feb. 28, 2001, effective Oct. 30, 2001. *Original authority: 630.050, RSMo 1980, amended 1993, 1995; 630.655, RSMo 1980; and 631.010, RSMo 1980.