Over the desk
Ask Mindful
Ask about a client, ask for the draft, or ask what is due. The answer comes from this desk and cites its rules. A person still signs, and a person still records the filing.
Matching primary seed-rule summaries are below. Open the source and check its applicability before using it.
Layers searched that had a match: 3 State Medicaid manual (DMAS).
Layers with no match for this question: 1 Federal law/regulation; 2 State regulation (Virginia); 4 MCO contract / provider manual; 4 MCO contract/manual; 5 Payer clinical criteria; 6-7 Accreditation / case law / guidance. A rule found in one layer can still be changed by another, especially the plan's own contract (layer 4) and the program's policies (layer 7), which are not loaded.
This is deterministic retrieval; a language model is not connected.
Only primary-read records with a local source snapshot can be an answer. Secondary and general-knowledge hits are withheld.
Payer contracts, proprietary criteria, and internal policies are not loaded.
Source snapshots retain their original revision dates; this search does not certify that they are current.
A-049 Comprehensive ISP contents and ISP reviews (ARTS)
The comprehensive ISP must: be developed with the member and appropriate collateral contacts (family, legally authorized representative, people the member will be released to); be based on the multidimensional assessment covering Dimensions 1-6 and on a diagnostic evaluation of medical, psychological, social, behavioral and developmental aspects; rest on a DSM-5 SUD diagnosis supported by valid and reliable assessment tools; describe prior treatment and testing; state measurable, evidence-based short- and long-term goals and objectives, family engagement activities, and community aftercare with target dates; for OUD/AUD, describe how pharmacotherapy (and naloxone) was assessed and offered; prescribe an integrated program of therapies; and describe transition and post-discharge coordination. Every ISP includes an individualized written discharge plan from the start of treatment, kept current. The ISP states which level(s) of care the member is in, and concurrent care (e.g., MOUD) is documented. A CATP signs off within three business days on an ISP developed by a CSAC/CSAC-supervisee. Reviews: at least every 30 calendar days at 2.5 and every 90 calendar days at 2.1 (and whenever needs change); an ISP not updated on time is 'outdated'. At 2.5, the 30-day review can be met by a progress note documenting that the plan and progress were discussed with the team and the member, any changes, and the member's response (member signature not required for that note). Family engagement interventions go on a progress note aligned to ISP goals; any deviation from the ISP needs a documented clinical justification. For co-occurring conditions, collaboration among all treating practitioners must be documented. Programs offering several levels need policies that differentiate the standards for each level.
Ch. IV pp. 19, 21-26 (rev. 7/7/2025); Ch. VI p. 21 (level-specific policies) · rev 7/7/2025 · P
Caution Licensing adds its own ISP elements (L-011): safety plan, crisis/relapse plan, communication plan, coordinator, goals in the person's own words.
A-022 Individual Service Plan (ISP) clocks
Initial ISP within 24 hours of admission; comprehensive ISP within 30 calendar days of service initiation (required even if discharged earlier). ISP reviews follow A-049 (at least every 30 calendar days at 2.5, every 90 at 2.1). A separate Interdisciplinary Plan of Care (IPOC) applies only to Preferred OBAT and OTP programs, not to 2.1 or 2.5. ISP elements: needs, measurable goals/objectives, services and frequency with target dates, other agencies' roles, discharge plan; signed and dated by the CATP; adults sign (or document why not); minors: parent/guardian signature; documentation that choice of provider was offered; ISPs without all required elements are incomplete and don't meet reimbursement requirements.
Ch. IV p. 22; Ch. VI (rev. 12/28/2023) pp. 13-14 · rev 7/7/2025 · P
Caution Settled 2026-10-04: Ch. IV p. 22 still describes an IPOC due 30 days after the initial ISP and updated every 90 days, but Ch. VI (rev. 12/28/2023) p. 13 limits the IPOC to Preferred OBAT and OTP programs, so 2.1/2.5 programs need the ISP, not a separate IPOC. Ch. VI also lists, for the initial ISP, signatures of the member, an addiction-credentialed physician or physician extender, and the CATPs (Ch. VI p. 14); Ch. IV says physician signature as necessary. Confirm the expected signers with each MCO.