Definition
Behavioral Health Rehabilitation Services (BHRS) is a term used for a specific application of a Medicaid-funded interdisciplinary approach for a child or adolescent diagnosed with a serious emotional or behavioral disorder. The type of approach is sometimes referred to as a “wraparound approach.”
Several states, and primarily Pennsylvania, support the provision of Behavioral Health Rehabilitation Services when a licensed psychologist has deemed the service medically necessary as part of a Medicaid-funded Early and Periodic Screening, Diagnosis and Treatment (EPSDT) service. “The Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) service is Medicaid’s comprehensive and preventive child health program for individuals under the age of 21. EPSDT was defined by law as part of the Omnibus Budget Reconciliation Act of 1989 (OBRA ‘89) legislation and includes periodic screening, vision, dental, and hearing services” (Centers for Medicare & Medicaid Services, n.d.). The...
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References and Readings
Allegheny HealthChoices, Inc. (2006). Behavioral health rehabilitation services: Brief treatment model. Retrieved from http://www.ahci.org/Reports/QualityFocusReports/BHRS%20Brief%20Treatment%20Report.pdf
Bruns, E. J., & Suter, J. C. (2010). Summary of the wraparound evidence base. In E. J. Bruns & J. S. Walker (Eds.), The resource guide to wraparound. National Wraparound Initiative: Portland, OR.
Bruns, E. J., Walker, J. S., & The National Wraparound Initiative Advisory Group. (2008). Ten principles of the wraparound process. In E. J. Bruns & J. S. Walker (Eds.), The resource guide to wraparound. Portland, OR: National Wraparound Initiative.
Centers for Medicare & Medicaid Services. (n.d.). Medicaid early & periodic screening & diagnostic treatment benefit: Overview. Retreived from http://www.cms.gov/MedicaidEarlyPeriodicScrn/01_Overview.asp
Commonwealth of Pennsylvania Department of Public Welfare. (2009). Health choices behavioral health program: Program standards and requirements: Primary contractor. Retrieved from http://www.dpw.state.pa.us/ucmprd/groups/public/documents/communication/s_ 002381.pdf
Institute for Behavior Change. (n.d. a). A one-page overview of Medicaid, EPSDT and BHRS in Pennsylvania and elsewhere. Retrieved from http://www.ibc-pa.org/A%20one-page%20overview%20of%20Medicaid,%20EPSDT%20and%20BHRS%20in%20Pennsylvania%20and%20elsewhere%20091009.pdf
Institute for Behavior Change (n.d. b). Promising treatment found for children with inappropriate behavior. Retrieved from http://www.ibc-pa.org/Press%20Release%20and%20BHRS%20study%20071608.pdf
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Cavanagh, P. (2013). Behavioral Health Rehabilitation (BHR) Services. In: Volkmar, F.R. (eds) Encyclopedia of Autism Spectrum Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1698-3_1790
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DOI: https://doi.org/10.1007/978-1-4419-1698-3_1790
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