1915(i) Intensive Behavioral Health Services for Children, Youth, and Families and Child and Adolescent Targeted Case Management Services Update, Effective January 1, 2025

By December 31, 2024: Behavioral health billing teams and providers must update eligibility screening systems to reflect expanded participation criteria that now include crisis stabilization center visits and mobile crisis team responses for youth scoring 3-4 on ECSII or 3-5 on CASII. Update EMR/billing software to change CANS assessment frequency from 90-day to 180-day minimum intervals and ensure Care Coordinators and supervisors administering CANS assessments are appropriately documented. Revise Intensive In-Home Services documentation templates to reflect the new requirement of 2 visits per week minimum (vs. 1 previously) with at least one in-person visit, and ensure billing aligns with state-approved Evidence-Based Practice models. Notify 1915(i) providers, Care Coordination Organizations, and Local Behavioral Health Authorities of credential requirement changes for Family Support Organizations (no longer requiring 50% lived experience board composition) and Art Therapists (now accepting AATCB or LCPAT certification). Update quality reporting metrics per the revised 1915(i) State Plan (pages 38-51) to comply with 42 CFR §441.745. Failure to implement these changes by January 1, 2025 may result in claim denials and program non-compliance.