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Substance-abuse Treatment — Residential
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HRSA/HAB Category Definition:
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Substance-abuse services (residential) is the provision of treatment to address substance abuse problems (including alcohol and/or legal and illegal drugs) in a residential health-service setting (short term).
NOTE: Part C programs are not eligible provide substance abuse services (residential).
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Source: Definition provided by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB). 2009. Ryan White HIV/AIDS Treatment Modernization Act of 2006 Definitions for Eligible Services. Rockville, Md.: HRSA HAB, August 20, 2009.
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Category Notes:
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Clarifications
The following definition clarifications are a result of a conference call involving representatives of the grantee (BCHD), Greater Baltimore HIV Health Services Planning Council (PC), PC support office (IGS) and HRSA on May 28, 2008.
• HRSA has never defined "short term," but generally expects services to be less than 120 days.
• Transportation may be used for this category.
The following clarification was distributed by HRSA on April 8, 2010 (HRSA 2010).
Acupuncture Therapy
Funds awarded under the Ryan White HIV/AIDS Program may only be used to support limited acupuncture services for HIV-positive clients as part of Ryan White HIV/AIDS Program funded Substance Abuse Treatment Services (outpatient or residential), provided the client has received a written referral from his/her primary health care provider. All acupuncture therapy must be provided by certified or licensed practitioners and/or programs, wherever state certification or licensure exists.
The following clarification was distributed by HRSA on April 8, 2010 (HRSA 2010).
Substance Abuse Treatment Services – Residential is an allowable support service under the Ryan White HIV/AIDS Program. The following limitations apply to use of Ryan White HIV/AIDS Program funds for residential services:
• Because of the Ryan White HIV/AIDS Program limitations on inpatient hospital care, Ryan White HIV/AIDS Program funds may not be used for inpatient detoxification in a hospital setting.
• However, if detoxification is offered in a separate licensed residential setting (including a separately-licensed detoxification facility within the walls of a hospital), Ryan White HIV/AIDS Program funds may be used for this activity.
• If the residential treatment service is in a facility that primarily provides inpatient medical or psychiatric care, the component providing the drug and/or alcohol treatment must be separately licensed for that purpose.
History
Substance-abuse treatment in a residential setting is a new support category — created in 2007. Some form of substance-abuse service has been funded in the EMA since 1999.
Current Directives
Ongoing 2006: Provide the planning council with an assessment of the current capability of treatment modalities and effectiveness (IGS 2011a).
Ongoing 2006: The administrative agent is to report separately each modality with the corresponding client numbers and dollar expenditures. The providers have been instructed to begin breaking out the modalities for residential and outpatient services to include number clients and costs in each (IGS 2011a).
Ratified on October 16, 2007: Report clients by number of consumers who enrolled and the number of clients who completed treatment (IGS 2011a).
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