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State implements single assessment for youth levels of care and seeks funds for voluntary treatment, partial hospitalization and youth crisis services

2166744 · January 29, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Officials described the July 1, 2024 rollout of a single ‘1 assessment’ process for youth needing residential or inpatient behavioral-health care, and presented decision packages asking for funding for voluntary treatment for private-custody youth, partial-hospitalization programs, youth crisis residences and expanded trauma-focused therapy.

Dr. Shawna Eberhardt, clinical director for behavioral health policy, and Dr. Melissa Kynes, utilization-review administrator with Medical Services, briefed the Appropriations Committee on changes to how the state assesses and routes children and youth to higher levels of behavioral-health care.

One‑assessment rollout: Dr. Kynes said federal rules require independent review when Medicaid-eligible youth are admitted to inpatient psychiatric services and that North Dakota implemented a single, consolidated review process—called the "1 assessment"—effective July 1, 2024. The state contracts with an independent vendor (Maximus) to conduct clinical reviews, interview families and issue level-of-care determinations for psychiatric residential treatment facilities (PRTFs), qualified residential treatment programs (QRTPs) and treatment foster care (TFC).

Kynes told…

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