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OHCA Policies and Rules

OHCA Policies and Rules Main Page

317:30-5-241.4. Crisis Intervention

[Revised 09-01-2026]

(a) Onsite and Mobile Crisis Intervention Services (CIS).

(1) Definition. CIS are face-to-face services for the purpose of responding to acute behavioral or emotional dysfunction as evidenced by severe psychiatric distress and/or danger of substance use disorder relapse. The crisis situation, including the symptoms exhibited and the resulting intervention or recommendations, must be clearly documented.

(A) Onsite CIS is the provision of CIS to the member at the treatment facility, either in-person or via telehealth.

(B) Mobile CIS is the provision of CIS by at least one (1) professional at the location of a member who is not at the treatment facility (e.g., services provided at the member's home).

(2) Qualified practitioners. Services must be provided by an LBHP or licensure candidate. Additional qualified team members who are behavioral health professionals/paraprofessionals may assist with LBHP or licensure candidate direction and supervision.

(3) Limitations. CIS are not compensable for SoonerCare members who reside in ICF/IID facilities, or who receive RBMS in a group home or therapeutic foster home. Mobile CIS may not be separately billed while a member is receiving services within another behavioral health setting which are reimbursed on a per diem basis when the per diem rate is inclusive of mental health crisis or stabilization services (e.g., partial hospitalization program). There are no limitations on the hours of services that eligible members can receive.

(b) Facility Based Crisis Stabilization (FBCS). FBCS services are emergency psychiatric and substance abuse services for the resolution of crisis situations within a crisis unit where the individual is admitted for treatment. Services include triage, evaluation, detoxification, and crisis stabilization.

(1) Qualified practitioners. FBCS services are provided under the supervision of a physician aided by licensed nurses, and also include LBHPs, licensure candidates, and other support staff for the provision of group and individual treatments. A physician must be available twenty-four (24) hours a day, seven (7) days per week, either on-site or on-call. 

(2) Limitations. The unit of service is per hour. This service is limited to providers who contract with or are operated by the ODMHSAS to provide this service within the overall behavioral health service delivery system. Providers of this service must meet the requirements delineated in the OAC 450:23. 

(c) Urgent Recovery Clinic (URC). Urgent Recovery Clinic services are non-hospital emergency services provided in a clinic setting for mental health and substance use crisis response. Services include triage crisis response, crisis intervention, assessment, intervention plan development, and referral, when necessary, to a higher level of care and/or other treatment services. Services are aimed at the assessment and immediate stabilization of acute symptoms of mental illness, substance use disorder, and emotional distress.

(1) Qualified practitioners. A minimum of one (1) Licensed Practical Nurse or Registered Nurse shall be available, either in-person or via telehealth, at the URC twenty-four (24) hours a day, seven (7) days per week. Licensed behavioral health professionals and other support staff shall be adequate in number to provide care needed by consumers twenty-four (24) hours a day, seven (7) days per week. The URC shall provide or otherwise ensure the capacity for a practitioner with prescriptive authority and adequate staff with the authority to administer medications at all times for consumers in need of emergency medication services.

(2) Limitations. The unit of service is per event. This service is limited to providers who contract with or are operated by the ODMHSAS to provide this service within the overall behavioral health service delivery system. Providers of this service must meet the requirements delineated in the OAC 450:23.

Disclaimer. The OHCA rules found on this Web site are unofficial. The official rules are published by the Oklahoma Secretary of State Office of Administrative Rules as Title 317 of the Oklahoma Administrative Code. To order an official copy of these rules, contact the Office of Administrative Rules at (405) 521-4911.