Crisis Service

Emergency Behavioral Health Care, Crisis Intervention Services

Crisis Intervention Services

General Definition

Crisis intervention services provided by a mobile team or individual who travels to the place where the person is having the crisis (e.g., person’s place of residence, emergency room, community setting). Crisis intervention services include risk analysis, assessment, and crisis counseling services, de-escalation, critical incident debriefing, and consultation, if necessary with a higher-level behavioral health professional. Depending on the situation, the person may be transported to a more appropriate facility for further care. (e.g., a crisis services center)

“Emergency medical condition” means a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain, psychiatric disturbances, and/or symptoms of substance abuse) such that the absence of immediate medical attention could reasonably be expected to result in:

  • Placing the health of the individual in serious jeopardy
  • Serious impairment to any bodily functions
  • Serious dysfunction of any bodily organ or part

Some intoxicated individuals may meet the definition of “emergency medical condition” because the absence of medical treatment may place their health in serious jeopardy, result in serious impairment of bodily functions, or serious dysfunction of a bodily organ. Further, it is not unusual for intoxicated individuals to have unrecognized trauma.

Likewise, an individual expressing suicidal or homicidal thoughts or gestures, if determined dangerous to self or others, would be considered to have an emergency medical condition.

Service Standards/Provider Qualifications

Crisis intervention services must be provided by agencies that have an Office of Behavioral Health Licensure license.

Sanctions: Medicaid MCOs that fail to cover emergency screening or stabilization services may be subject to intermediate sanctions or termination. Section 1932(e) of the Act authorizes States to use intermediate sanctions if an MCO fails substantially to provide medically necessary items and services that are required (under law or under the organization’s contract with the State) to be provided to an enrollee covered under the contract. HCFA may also impose sanctions under 1903(m)(5)(A) of the Act if the failure to cover emergency services as required under 1932(b)(2) of the Act adversely affects (or has a substantial likelihood of adversely affecting) a Medicaid beneficiary. Contract termination may also be imposed for any violation of the requirements in sections 1903(m) and/or 1932 of the Act. http://cms.hhs.gov/states/letters/bba2208c.asp

Compass Crisis Services Brochure

24/7

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Bridge Counseling

Everyday 8am – 6pm

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Mon – Fri 9am – 5pm

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