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behavioral health services provider;
(B) the requirements of 7 AAC 135.030(d), if the provider is a mental health physician clinic;
(3) conducted upon admission to services and during the course of active treatment as necessary, for the purpose of determining and documenting
(A) the recipient’s mental status and social and medical history;
(B) the nature and severity of any identified mental health disorder;
(C) a diagnosis consistent with the
(i)Diagnostic and Statistical Manual of Mental Disorders,…#
(i) Diagnostic and Statistical Manual of Mental Disorders, adopted by reference in 7 AAC 160.900;
(ii)International Classification of Diseases, adopted by…#
(ii) International Classification of Diseases, adopted by reference in 7 AAC 160.900; or
(iii) Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood: Revised Edition (DC:0-3R), adopted by reference in 7 AAC 160.900;
(D) treatment recommendations that form the basis of a subsequent behavioral health treatment plan; and
(E) functional impairment; and
(4) updated as new information becomes available. (c) To qualify for payment, a substance use intake assessment must be
(1) documented in the recipient’s clinical record in accordance with 7 AAC 105.230 and 7 AAC 135.130;
(2) conducted at a minimum by a substance use disorder counselor, behavioral health clinical associate, or other qualified program staff member performing duties regularly within the scope of the individual’s training, experience, and education; however, if the substance use intake assessment is conducted as part of withdrawal management services subject to 7 AAC 70.110 and 7 AAC 135.190, the assessment must be conducted by an individual identified in 7 AAC 70.110 for the type of withdrawal management service provided;
(3) conducted upon admission to services and during the course of active treatment as necessary, for the purpose of determining and documenting
(A) if the recipient has a substance use disorder;
(B) the nature and severity of any identified substance use disorder;
(C) the correct diagnosis;