Intensive Community Treatment (H0039) Service Definition and Eligibility Requirements
Intensive Community Treatment (ICT) is an array of mental health services for individuals
with significant mental illness who need intensive levels of support and service in their
natural environment to permit or enhance functioning in the community. ICT has been
designed to be provided through a designated multi-disciplinary team of mental health
professionals and shall include medical psychotherapy, psychiatric assessment, medication
management, and care coordination activities offered to outpatients outside the clinic,
hospital, or office setting for individuals who are best served in the community.
Medicaid Necessity Criteria
To qualify for ICT, the individual must meet at least one of the following criteria:
The individual must be at high risk for psychiatric hospitalization or becoming or
remaining homeless due to mental illness, or requires intervention by the mental
health or criminal justice system due to inappropriate social behavior.
The individual has a history (three months or more) of a need for intensive mental
health treatment or treatment for co-occurring serious mental illness and substance
abuse disorder and demonstrates a resistance to seek out and utilize appropriate
If an individual has co-occurring mental health and substance abuse disorders,
integrated treatment for both disorders is allowed within ICT as long as the
treatment for the substance abuse condition is intended to positively impact
the mental health condition. The impact of the substance abuse condition on
the mental health condition must be documented in the service specific provider
assessment, the ISP, and the progress notes.