📝Clarification on IRP Requirements
During the webinar, we discussed that OMH has indicated certain services may be exempt from inclusion on the IRP. This information represents a shift from previous communications we've had with OMH, and understandably introduces some complexity.
During development, our team reached out to OMH to clarify if the following services (previously considered exempt) would continue to be exempt from the IRP in the PROS Redesign.
- CRS-Crisis Intervention
- CRS-Pre-Admission Screening
- CRS-Individualized Recovery Planning
- CT-Health Assessment
- CT-Psychiatric Assessment
Their guidance was: With Redesign, we (OMH) were instructed to remove the list of medically necessary services in PROS to align with the Redesign SPA. Moving forward, all services which will be provided on a regular and routine basis should be on the IRP.
We are currently reviewing how to support an IRP exemption in AWARDS PROS Billing. At this time, however, AWARDS will continue to require that all services be included on the IRP in order to be billed. We’ll provide an update once a final decision is made regarding this potential change.