DAR File No. 27157

Crime Victim Reparations, Administration

R270-1

Award and Reparations Standards

NOTICE OF PROPOSED RULE

DAR File No.: 27157
Filed: 05/14/2004, 02:23
Received by: NL

RULE ANALYSIS

Purpose of the rule or reason for the change:

The proposed changes were authorized by the Crime Victims Reparation (CVR) Board to increase the maximum amount allowed for mental health counseling, extend transportation of deceased victims beyond the United States, and consider parents, children, and siblings of homicide victims as primary victims for inpatient and outpatient counseling.

Summary of the rule or change:

The changes: 1) increase the maximum award for outpatient mental health counseling for primary victims to $3,500 and secondary victims to $2,000; 2) increase current provider of mental health services rates; 3) allow transportation of deceased victims beyond United States; and 4) allow for parents, children, and siblings of homicide victims to receive inpatient and outpatient mental health counseling at the same rate as primary victims.

State statutory or constitutional authorization for this rule:

Subsection 63-25a-406(c)

Anticipated cost or savings to:

the state budget:

CVR derives its funding from surcharges. No state general fund monies are appropriated. The proposed rule changes would provide an increased cost of approximately $300,000.

local governments:

CVR rules do not affect local government; therefore, there is no costs or savings to local governments.

other persons:

There would be an increase in services to mental health and deceased victims which would mean a savings to them because of the award payments made on their behalf.

Compliance costs for affected persons:

The CVR office does not have any compliance costs because the program does not impose fees on victims of crime for services provided.

Comments by the department head on the fiscal impact the rule may have on businesses:

There would not be a fiscal impact on businesses since funding comes from the existing CVR Trust Fund.

The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:

Direct questions regarding this rule to:

Connie Wettlaufer at the above address, by phone at 801-238-2371, by FAX at 801-533-4127, or by Internet E-mail at cwettlaufer@utah.gov

Interested persons may present their views on this rule by submitting written comments to the address above no later than 5:00 p.m. on:

07/01/2004

This rule may become effective on:

07/02/2004

Authorized by:

Dan Davis, Director

RULE TEXT

R270. Crime Victim Reparations, Administration.

R270-1. Award and Reparation Standards.

R270-1-2. Funeral and Burial Award.

A. Pursuant to Subsection 63-25a-411(4)(f), total award for funeral and burial expenses is $7,000 for any reasonable and necessary charges incurred directly relating to the funeral and burial of a victim. This amount includes transportation of the deceased[ within the United States]. Allowable expenses in this category may include the emergency acquisition of a burial plot for victims who did not previously possess or have available to them a plot for burial.

B. Transportation of secondary victims to attend a funeral and burial service shall be considered as an allowable expense in addition to the $7,000.

C. Loss of earnings for secondary victims to attend a funeral and burial service shall be allowed as follows:

1. Three days in-state

2. Five days out-of-state

D. When a victim dies leaving no identifying information, claims made by a provider cannot be considered.

R270-1-4. Counseling Awards.

A. Pursuant to Subsections 63-25a-402(20) and 63-25a-411(4)(c), out-patient mental health counseling awards are subject to limitations as follows:

1. The reparation officer shall approve a standardized treatment plan.

2. The cost of initial evaluation and testing may not exceed $300 and shall be part of the maximum allowed for counseling. For purposes herein, an evaluation shall be defined as diagnostic interview examination including history, mental status, or disposition, in order to determine a plan of mental health treatment.

3. Primary victims of a crime shall be eligible for a $[2500]3500 maximum mental health counseling award.

(a) Parents, children and siblings of homicide victims shall be considered at the same rate as primary victims for inpatient and outpatient counseling.

4. Secondary victims of a crime shall be eligible for a $[1000]2000 maximum mental health counseling award.

5. Extenuating circumstances warranting consideration of counseling beyond the maximum may be submitted by the mental health provider after the maximum award has been reached.

6. Counseling costs will not be paid in advance but will be paid on an ongoing basis as victim is being billed.

7. In-patient hospitalization shall only be considered when the treatment has been recommended by a licensed therapist in life-threatening situations. In these cases the Crime Victim Reparations Board shall consider reimbursement of in-patient treatment or contract with a managed mental health care provider to make recommendations to the Reparations Officer regarding treatment. A direct relationship to the crime needs to be established. Acute in-patient hospitalization shall not exceed $600 per day, which includes all ancillary expenses, and will be considered payment in full to the provider. Inpatient psychiatric visits will be limited to one visit per day with payment for the visit made to the institution at the highest rate of the individuals providing therapy as set by rule. Reimbursement for testing costs may also be allowed. Secondary victims shall not be considered for in-patient hospitalization.

8. Residential and day treatment shall only be considered when the treatment has been recommended by a licensed therapist to stabilize the victim's behavior and symptoms. Only facilities with 24 hour nursing care or 24 hour on call nursing care will be compensated for residential and day treatment. Residential and day treatment shall not be used for extended care of dysfunctional families and containment placements. A direct relationship to the crime needs to be established. Residential treatment shall not exceed $300 per day and will be considered payment in full to the provider. Residential treatment shall be limited to 30 days, unless there are extenuating circumstances requiring extended care. All residential clients shall receive routine assessments from a psychiatrist and/or APRN at least once a week for medication management. Day treatment shall not exceed $200 per day and will be considered payment in full to the provider. Secondary victims shall not be considered for residential or day treatment.

9. Child sexual abuse victims under the age of 13 who become perpetrators shall only be considered for mental health treatment awards directly related to the victimization. Perpetrators age 13 and over who have been child sexual abuse victims shall not be eligible for compensation. The CVR Board or contracting agency for managed mental health care shall help establish a reasonable percentage regarding victimization treatment for inpatient, residential and day treatment. Out-patient claims shall be determined by the Reparation Officer on a case by case basis upon review of the mental health treatment plan.

10. Payment for mental health counseling shall only be made to licensed therapists; or to individuals working towards a license that provide certified verification of satisfactory completion of an education and earned degree as required by the State of Utah Department of Commerce, Division of Professional and Occupational Licensing, working under the supervision of a supervisor approved by the Division. Student interns otherwise eligible under 58-1-307(1)(b) Exceptions from licensure, and/or the institution/facility/agency responsible for the supervision of the student, shall not be eligible for payment under this rule for counseling services provided by the student.

11. Payment of hypnotherapy shall only be considered when treatment is performed by a licensed mental health therapist based upon an approved Treatment Plan.

12. The following maximum amounts shall be payable for mental health counseling:

(a) up to $[125]130 per hour for individual and family therapy performed by licensed psychiatrists, and up to $[62.50]65 per hour for group therapy;

(b) up to $[85]90 per hour for individual and family therapy performed by licensed psychologists and up to $[42.50]45 per hour for group therapy;

(c) up to $[65]70 per hour for individual and family therapy performed by [an L.C.S.W., M.S.W. or marriage and family]a licensed master's level therapist or an Advanced Practice Registered Nurse, and up to $[32.50]35 per hour for group therapy. These rates shall also apply to therapists working towards a license and supervised by a licensed therapist;

(d) The above-mentioned rates shall apply to individuals performing treatment, and not those supervising treatment.

13. Chemical dependency specific treatment will not be compensated unless the Reparation Officer determines that it is directly related to the crime. The CVR Board may review extenuating circumstance cases.

KEY: victim compensation, victims of crimes

[August 1, 2003]2004

Notice of Continuation December 10, 2001

63-25a-401 et seq.

ADDITIONAL INFORMATION

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For questions regarding the content or application of this rule, please contact Connie Wettlaufer at the above address, by phone at 801-238-2371, by FAX at 801-533-4127, or by Internet E-mail at cwettlaufer@utah.gov

For questions about the rulemaking process, please contact the Division of Administrative Rules (801-538-3764). Please Note: The Division of Administrative Rules is NOT able to answer questions about the content or application of these administrative rules.