Comprehensive School and Community Treatment (CSCT)


Comprehensive School and Community Treatment is a mental health center service provided by a public school district. A CSCT treatment team includes a licensed or supervised in-training practitioner and up to two behavioral aides, who are assigned to a specific public school(s). Once admitted into the program, a youth may receive services at the school, the home, or in the community. Services are focused on improving the youth’s functional level by facilitating the development of skills related to exhibiting appropriate behaviors in the school, home, and community settings. These youth typically require support through cueing or modeling of appropriate behavioral and life skills to utilize and apply learned skills in normalized school and community settings. Comprehensive School and Community Treatment includes: (a) Individual, Group and Family Therapy; and (b) Behavioral and life skills training. Please refer to the Children’s Mental Health Medicaid Services Provider Manual for more information.

Starting October 1, 2021, CSCT transitioned to an intergovernmental transfer (IGT) funding methodology. Under the IGT, all payable CSCT claims are suspended in the claims processing system (MMIS) until the state match is met by the school district. School districts will need to provide the state match – a non-federal (state and local), hard match - each month. Claims where the match has not been met will remain in suspension until the match is received.

 

Image of children holding hands


Please direct any CSCT program, claims, enrollment and IGT (match statements, certification forms, or payments) questions to

DPHHS’ Children’s Mental Health Bureau’s CSCT Medicaid Program Officer: Christine White, 406-444-5916 or chwhite@mt.govor go to

Comprehensive School and Community Treatment

 

Administrative Rule & Other Resources

In the Fall of 2017, the Office of Public Instruction (OPI) contracted with Loveland Consulting to conduct an evaluation of current Comprehensive School and Community Treatment (CSCT) programs in Montana and develop recommendation and guidance to align CSCT programs with best and evidence-based practices.  This report titled Evaluating Comprehensive School and Community Treatment also provides recommendations for CSCT partners to operate effectively within the existing CSCT regulatory and billing framework.

Disclaimer: This report contains some outdated information pertaining to the Administrative Rule and the DPHHS CMHB CSCT Manual. Links to the current information are below.
 ARMs 37.87.18 CSCT and Children’s Mental Health Bureau Medicaid Services Provider Manual.

The OPI continues to partner with the Department of Public Health and Human Services (DPHHS) Children's Mental Health (CMHB), whom oversees the CSCT program.  

Resources:

Administrative Rule of Montana (with regards to CSCT): - 

  • ARM  37.87.1801 speaks to referrals and waiting lists.
  • ARM  37.87.1802 speaks to contract requirements.
  • ARM 37.87.1803 speaks to reimbursements 
  • ARM 37.106.1955 speaks to mental health center CSCT endorsement requirements.
  • ARM  37.106.1956 speaks to services and staffing. 
  • ARM 37.106.1960 speaks to personnel training. 
  • ARM 37.106.1961 speaks to record keeping requirements.
  • ARM 37.106.1965 speaks to Special Education.

***Please note: The information provided is not official policy interpretation of Administrative Rule as defined in ARM 37.85.412.***

Search all rules by going to the Secretary of the State Administrative Rule’s page.