Youth Assertive Community Treatment (Youth ACT) is an intensive, comprehensive, non-residential rehabilitative mental health service team model. Services are consistent with Children’s Therapeutic Services and Supports (CTSS), except Youth ACT services are:
The team promptly and appropriately responds to emergent needs and makes necessary staffing adjustments to assure the health and safety of recipients.
An eligible Youth ACT program must:
A Youth ACT team must include the following staff:
Based on recipient needs, the team may include:
Additional Team Members
Other individuals may be included as members of the treatment team for specific recipients. These individuals must contract with the Youth ACT program. Recipient-specific team members may include:
The Youth ACT team may only bill for services provided by these additional team members when the services are not reimbursed through another funding source. For example, the Youth Act team may not bill for services provided by the school district through the individualized education plan, as these services are reimbursed separately.
To be eligible for Youth Act, MHCP recipients must be 16 – 20 years old and have:
The Youth ACT team provides the following services:
Recipients and or family members must receive at least 3 face-to-face contacts per week, totaling a minimum of 85 minutes of service.
Refer to Authorization for general authorization policy and procedures. Authorization is required for Youth ACT services to exceed 75 units of service in a calendar year.
To request authorization, submit the following:
MHCP reimburses Youth ACT services:
Each claim must be for a face-to-face contact. Count the following services as face-to-face when the need for the recipient’s absence is documented:
Only one agency may bill when team members are from more than one agency. The billing provider reimburses other contributing agencies. Mental Health professionals acting as team members may not bill their services separately from the Youth ACT team.
Bill Youth ACT program services to MHCP using MN–ITS 837P:
Contact the MHCP Provider Call Center when Youth ACT claims are denied due to claims for concurrent ARMHS, CTSS, day treatment, outpatient psychotherapy or crisis response services. Resubmit the Youth ACT claims once the concurrent claims have been reversed.
Youth ACT & Other Concurrent Services | |||
Other Service |
Is service included in Youth ACT? |
Can service be provided in addition to Youth ACT? |
Service Limitations |
MH-TCM |
Yes |
No |
Case management functions are bundled in the Youth ACT rate. CMH-TCM is covered only in the month of admission or discharge from Youth ACT. CMH-TCM must request authorization for coverage other than month of admission/discharge. |
Children’s Mental Health Day Treatment |
No |
When authorized |
Day Treatment program must request authorization. |
Children’s Residential Treatment Services |
No |
No |
Cannot be billed separately. |
Partial Hospitalization |
No |
Yes |
Partial hospitalization thresholds and limitations apply. |
IRTS |
No |
Yes |
Youth ACT and IRTS may be provided concurrently without authorization. |
CTSS and ARMHS |
Yes |
No |
Rehabilitative skills training is a component of Youth ACT services, cannot be billed separately. |
Mental Health Behavioral Aide Services |
No |
No |
Cannot be billed separately. |
Crisis Assessment and Intervention (mobile) |
Yes |
No |
A component of Youth ACT. Team must provide or contract with a Crisis provider for this service. |
Crisis Stabilization – Non-residential |
Yes |
No |
A component of Youth ACT. |
Crisis Stabilization – Residential |
No |
Yes |
Service limits apply. |
Medication Management |
Yes |
No |
Provided by physician or advanced practice registered nurse team members. |
Outpatient Psychotherapy |
Yes |
No |
A component of Youth ACT. |
Inpatient Hospitalization |
No |
Yes |
Inpatient hospitalization services are reimbursed separately from Youth ACT. |
Waivered Services |
No |
Yes |
County must approve concurrent care. |
Other medical services (e.g., PCA) |
No |
Yes |
Service limits apply to each service. |