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Assertive Community Treatment (ACT)

Revised: 09-28-2017

Overview

Assertive community treatment (ACT) means intensive nonresidential treatment and rehabilitative mental health services provided according to the assertive community treatment model. Assertive community treatment provides a single, fixed point of responsibility for treatment, rehabilitation and support needs for clients. Services are offered 24 hours per day, seven days per week, in a community-based setting.

Eligible ACT Programs

ACT programs must:

  • • Have a contract with a host county
  • • Be certified by DHS
  • Eligible Providers

    An ACT team is required to have the following:

  • • Team leader (licensed mental health professional)
  • • Psychiatric care provider
  • • Licensed mental health professional
  • • Registered nurse
  • • Co-occurring disorder specialist
  • • Vocational specialist
  • • Mental health certified peer specialist
  • • Program administrative assistant
  • Eligible Recipients

    Recipients eligible to receive ACT services must meet the following criteria as assessed by an ACT team:

  • • 18 years old or older (Individuals ages 16 and 17 may be eligible upon approval by the commissioner)
  • • Have a primary diagnosis of schizophrenia, schizoaffective disorder, major depressive disorder with psychotic features, other psychotic disorders or bipolar disorder
  • • Have a significant functional impairment demonstrated by at least one of the following:
  • • No indication that other available community-based services would be equally or more effective as evidenced by consistent and extensive efforts to treat the individual
  • • Written opinion of a licensed mental health professional that the recipient has the need for mental health services that cannot be met with other available community based services, or is likely to experience a mental health crisis or require more restrictive setting if assertive community treatment is not provided
  • Covered Services

    ACT teams must offer and have the capacity to provide the following services:

  • • Assertive engagement
  • • Benefits and finance support
  • • Co-occurring disorder treatment
  • • Crisis assessment and intervention
  • • Employment services
  • • Family psychoeducation and support
  • • Housing access support
  • • Medication assistance and support
  • • Medication education
  • • Mental health certified peer specialists services
  • • Physical health services
  • • Rehabilitative mental health services
  • • Symptom management
  • • Therapeutic interventions
  • • Wellness self-management and prevention
  • • Other services based on client needs as identified in a client's assertive community treatment individual treatment plan
  • ACT teams must ensure the provision of all services necessary to meet a client's needs as identified in the client's individual treatment plan.

    Billing

  • • Bill ACT services online using MN–ITS 837P
  • • Do not provide or bill for ACT for children under 18 years old
  • Assertive Community Treatment Program

    Code

    Modifier

    Description

    Units

    H0040

     

    Assertive Community Treatment Program

    1 Daily

    H0040

    HK

    Forensic Assertive Community Treatment Program

    1 Daily

    Legal References

    Minnesota Statutes 245B.0622 Assertive Community Treatment (ACT) and Intensive Residential Treatment Services
    Minnesota Statutes 256b.0622, Subd. 2a (eligibility)
    Minnesota Statutes 256b.0622, Subd. 3a (provider certification and contract requirements)
    Minnesota Statutes 256B.0622, Subd. 7a (staff requirements and roles)
    Minnesota Statutes 256B.0622, Subd. 7b (program size and opportunities)
    Minnesota Statutes 256B.0622, Subd. 7e (team variances)

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    Updated: 9/28/17 2:55 PM | Accessibility | Terms/Policy | Contact DHS | Top of Page | Updated: 9/28/17 2:55 PM