Montana Behavioral Health Services Policy Manual
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The Montana Behavioral Health Services Provider Policy Manual establishes a comprehensive framework for delivering state-compliant mental health and substance use disorder services to individuals across Montana. This manual aligns with Montana’s Behavioral Health and Developmental Disabilities Division (BHDD) guidelines, the American Society of Addiction Medicine (ASAM) Criteria, Medicaid regulations, and evidence-based clinical practice standards to ensure regulatory compliance and high-quality care.
The manual includes policies on:
- Crisis Response Services: Guidelines for implementing the Crisis Now model, including high-tech crisis call centers, 24/7 mobile crisis response teams, crisis stabilization programs, and trauma-informed care practices.
- Certified Community Behavioral Health Clinics (CCBHCs): Standards for adopting and sustaining CCBHCs statewide to integrate mental health and substance use treatment with physical health care.
- Residential Treatment Services: Requirements for therapeutic residential facilities, including acuity-based rate structures tailored to meet the needs of high-acuity youth and adults.
- Peer Support Services: Policies for employing certified behavioral health peer support specialists to promote recovery and wellness through mentoring and skill development.
- Substance Use Disorder (SUD) Treatment: Adherence to ASAM criteria for planning services, level-of-care placement, therapies, and documentation standards.
- Medical Necessity Criteria: Utilization of evidence-based guidelines for determining appropriate levels of care and ensuring services meet clinical requirements.
- Integrated Care Models: Frameworks for health homes that coordinate behavioral health services with primary care to improve outcomes for individuals with complex needs.
The manual also emphasizes the importance of addressing Montana’s unique challenges, such as provider shortages in rural areas, by leveraging telehealth services when necessary. It supports providers in delivering trauma-informed care, promoting prevention strategies, strengthening recovery programs, and ensuring equitable access to services through a “no wrong door” approach.