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Rimrock Trails Admission Criteria
Admission in residential treatment, outpatient treatment
and the Young Person's ATOD Edu-Therapy Group is restricted to youth
who:
- Are 12-17 years old;
- Are willing to participate in all activities and comply with program
rules;
- Are not actively suicidal, assaultive, or destructive and do not
display any symptoms of psychosis;
- Qualify for an appropriate ASAM level of treatment.
Residential Treatment Intake Documents
Please print, complete, and FAX back these Initial Intake
Documents to schedule an intake interview:
Required
Documents for Admission
Financial/Client
Application
Health
History Questionnaire
Visitor List
Authorization
for Release of Information (List name of Insurance Provider on
the Release of Information form and return prior to scheduling an
intake. A separate release will be needed for each insurance company.
The releases are needed to verify benefits prior to admission.)
FAX
Back Cover Sheet
Residential clients will need to bring the following
items upon admission:
What to Bring
Rimrock Trails Financial
Policy
Most private health insurance plans provide benefits
for outpatient and residential treatment. However, most plans do not
cover the full cost of treatment. Families are charged a fee based on
income to cover the fees not paid by insurance. Please see "Sliding
Fee Scale" below for residential services.
Residential or outpatient clients enrolled in Oregon
Health Plan (OHP) are not charged for these services.
Residential clients must have valid medical insurance
upon entry, in case medical services are required during treatment.
The fee for the Young Person's Family ATOD Edu-Therapy
Group is $225. Health insurance plans generally do not cover these services.
A very limited number of scholarships are available to help low income
clients.
Private Insurance
Those families with private insurance will be billed
for services not covered by their insurance and for services provided
after they have reached maximum coverage levels using our Sliding Fee
Scale (see below). However, special arrangements may be negotiated on
a case-by-case basis with our Executive Director to reduce or eliminate
additional costs above what the insurance carrier will pay.
Residential Sliding Fee Scale
For those families who do not have access to insurance,
or those who have met their maximum benefit coverage, we will bill utilizing
our Sliding Fee Scale.
This scale is computed based on gross income. Those families whose youth
are entering Level III care (Residential) will be asked to provide last
year's tax return to verify their income. Differences in income due
to changing circumstances will be considered and factored into determining
gross income when appropriate. In hardship cases, special arrangements
may be made with the Business Office for a reduction in the minimum
daily rate. The Executive Director must approve all special arrangements.
Residential Wait List
Rimrock Trails ATS maintains a waiting list for Youth
Residential Services. Waiting lists are maintained because the demand
for residential treatment often far exceeds availability. This allows
the agency to provide consistent access to services. No waiting list
is maintained for outpatient services, which are available upon request.
Rimrock Trails has 12 state funded contracted beds which are reserved
only for clients under the Oregon Health Plan (OHP). Clients residing
under OHP are not charged for treatment services. The remaining beds
are reserved for those clients with private insurance, private pay (see
"Sliding Fee Scale" above) or other flex funding.
1. If a prospective client
has had an A&D evaluation from a previous provider, and this evaluation
is less than six months old and indicates a need for residential services,
the prospective client's name is added to the waiting list for residential
beds.
2. If the prospective client has not had a previous evaluation, they
are referred to the appropriate agency within their community to obtain
a current evaluation and will be placed on the wait list if the evaluation
supports ASAM PPC- 2R criteria for residential care and does not meet
any of the Exclusionary Criteria.
Exclusionary Criteria Include:
- Requires a detoxification setting.
- Is less than 90-120 days of turning 18 years of age.
- Requires a more intensive medical setting or ongoing nursing care.
- Requires medical stabilization.
- Unable to participate in structured educational services, even
with available assistance.
- Severity of psychiatric symptoms is primary to drug/alcohol need
for services.
- Evidence of a psychotic disorder which is uncontrolled by medication.
- Serious risk of harm to self or others.
- Actively suicidal or homicidal.
-Treatment issues and history of Behavioral/Conduct Problems appear
to exceed the capacity of Rimrock Trails ATS services and/or posses
serious risk of disruption to current group of clients/milieu.
- History of severe or chronic aggression.
- History of severe or chronic conduct problems.
- History and/or risk of sexually offending.
- History and/or risk of fire setting.
- Extreme behavior management problems requiring constant close
observation which appear primary to need for alcohol/drug services.
- Run history or high runaway potential putting adolescent at risk
in unsecured setting.
- Has a prior relationship with a client already residing in the
program.
3. The waiting list is
kept in order by prioritization and by the date the prospective client's
name is added to the waiting list. Prioritization criteria include
the following:
A. Residential beds under
state payment contract are given top priority.
B. Balanced utilization of contracts for fee-for-service beds is
the guiding principle.
C. In the event that a generally designated or undesignated fee-for-service
bed is unfilled, the bed will be open first to other contractors
on a first-come, first-served basis. Others have access based on
availability.
D. In the event there is a decision to be made regarding prioritization
between two fee-for-service bed contractors, priority will be based
on the assessed level of problem severity.
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