Adult Rehabilitative Mental Health Services (ARMHS)

Eligible Members

• Be 18 years old or older
• Have a primary diagnosis of a mental illness as determined by a Diagnostic Assessment
• Have a completed level of care assessment
• Have a significant impairment in functioning in three or more areas of the Functional Assessment domains specified in statute

The following services are billable as ARMHS:

• Basic living and social skills
• Certified peer specialist services
• Community intervention
• Functional assessment
• Individual treatment plan
• Medication education
• Transition to community living services

ARMHS services may be provided in a variety of settings, including but not limited to:

• A member’s home
• The home of a relative or significant other
• A member’s job site
• The community, such as any of the following:
• Psychosocial clubhouse
• Drop-in center
• Social setting
• Classroom
• Other place in the community

• The following services are not covered ARMHS:

  • Transportation services
  • Services provided and billed by providers not enrolled to provide ARMHS
  • ARMHS performed by volunteers
  • Provider performance of household tasks, chores, or related activities, such as laundering clothes, moving the member’s household, housekeeping, and grocery shopping
  • Time spent “on call” and not delivering services to members
  • Activities that are primarily social or recreational, rather than rehabilitative
  • Job-specific skills services such as on-the-job training
  • Time included in case management services
  • Outreach services to potential members
  • Room and board services