405 IAC 5-21.8-4 Eligibility

Sec. 4. To be eligible for services under this rule, an applicant must meet all of the following: (1) All of the criteria set forth in 405 IAC 2-1.1-6. (2) Be nineteen (19) years of age or older. (3) The applicant has been diagnosed with a BPHC-eligible primary mental health diagnosis including, but not limited to: (A) schizophrenic disorder; (B) major depressive disorder; (C) bipolar disorder; (D) delusional disorder; or (E) psychotic disorder. (4) The applicant either: (A) resides in a community-based setting that is not an institutional setting; or (B) will be discharged from an institutional setting back to a community-based setting. (5) The applicant meets all of the following needs-based eligibility criteria, as defined in section 2(m) of this rule, based on the following: (A) Behavioral health clinical evaluation. (B) Referral form. (C) Supporting documentation. (D) The office behavioral health assessment tool results.