How is the 12-month period, during which three months of co-enrollment is permitted, measured?
Individuals enrolled in either Intensive or Supportive ACT are covered by the same PROS co-enrollment rule (although the ACT team can only bill at the lower supportive or partial payment rate for a co-enrolled individual). Since the ACT and PROS programs are both conceptualized and reimbursed as providing comprehensive, integrated services, only limited co-enrollment is permitted. However, agencies that operate both programs have some flexibility in designing service packages for ACT clients who could benefit from some involvement in PROS activities. For example, ACT clients can be encouraged to participate in PROS social/recreational opportunities, particularly in situations where including a few additional individuals would not increase provider costs. There may also be some creative options for sharing staff and expertise in evidence-based practices across the two programs. It is anticipated that the 12 month period will be measured as a rolling look back. The amount of time since t
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- How is the 12-month period, during which three months of co-enrollment is permitted, measured?
