Respite (Individual & Group) – MH/SA (b)(3)

​​​​For full service definition information link here.

Respite Services provide the primary caregiver(s) periodic support and relief from the responsibility and stress of caring for the participant. Primary caregivers are the individuals responsible for the participant and who share the same primary residence. This service enables the primary caregiver to meet or participate in planned or emergency events. Respite may include in-home or out-of-home services, inclusive of overnight and weekend care. Respite will ensure the health and safety of the individual and should support any goals identified in a treatment plan.

Intended Population

  • This service is available to North Carolina Medicaid participants that are 3 to 21 years with mental health, substance use disorder with CALOCUS level of 3 (intensive outpatient) or greater OR ASAM 2.1 or greater where the primary caregiver requires temporary relief from caregiving responsibilities and where there are no other natural supports available to provide such relief.

Best Practices

  • Core Best Practices

  • Respite is not intended to replace behavioral health treatment services and should only be used in combination with evidence-based treatment services.

Outcomes

Management Approach

  • Ensure this service is authorized to the extent that there are no other natural supports available to the primary caregiver to provide the relief that is needed by the caregiver. The service may be provided in a group setting with a minimum staff-to-client ratio of 1:8.

  • Providers will be monitored through clinical review activities that focus on use patterns and clinical appropriateness of service.

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