IHBT Rules

Download PDF of IHBT Rule Final 5122-29-28_20220301 3.1.22

The Ohio Department of Mental Health and Addiction Services (OhioMHAS) and the Ohio Department of Medicaid (ODM) have included Intensive Home-Based Treatment (IHBT) in the Medicaid Behavioral Health State Plan Services as one of the specialized services. 

IHBT Entails:
– Developing the service for youth with high intensity needs
– Requiring OHMHAS ODM IHBT fidelity thresholds
– Requiring OHMHAS Certification 

Implications for IHBT can include:
– Treatment delivered per model fidelity not per agency productivity standard
– Increased access and availability of intensive home and community-based treatments
– Focus on training and supervision
– Need for workforce development at the pre-service level
– IHBT as a level of care/treatment episode
– Fidelity and outcomes emphasized 

Rationale for IHBT Intensive Home-based Treatment
– Least restrictive, most normative
– Supportive framework for effective treatment
– Cost effective
– High engagement: Access, flexibility, and responsiveness
– Treatment is focused on whole family
– Alternative to custody relinquishment
– Benefits other child-serving systems
– Avoids negative consequences related to placement
– Targets high users of services & resources 

IHBT is proving a pivotal service, in that youth and families benefit when families have options in a comprehensive system of care. Furthermore, IHBT expands the continuum of care, making less restrictive service options available for youth at risk of placement due to behavioral health issues. And finally, IHBT is a viable alternative to out-of-home treatment options, i.e. incarceration and/or hospitalization. 



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