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Private Non-Medical Institutions

Section 97 - Private Non-Medical Institution (PNMI) Services

A Private Non-Medical Institution (PNMI) is defined as an agency or facility that is not, as a matter of regular business, a health insuring organization, hospital, nursing home, or a community health care center, that provides food, shelter, personal care, and treatment services to four or more residents in single or multiple facilities or scattered site facilities. Private Non-Medical Institution services or facilities must be licensed by the Department of Health and Human Services, or must meet comparable licensure standards and/or requirements and staffing patterns as determined by the Department specified in Section 97.01 (A-F). For agencies serving persons with mental retardation in scattered site PNMIs, comparable licensure standards means those required by rule for community support services as described in Mental Health Agency Licensing Standards and Rights of Recipients of Mental Health Services, Regulations for Licensing and Certification of Alcohol and Drug Treatment Services.


Intensive Temporary Residential (ITRT) Treatment Services

Intensive Temporary Residential Treatment Services (ITRT) are defined as child care facility private non-medical institution model of service services for children with mental retardation, autism, severe mental illness, and/or emotional disorders, who require 24 hour supervision to be safely placed in their home and community. ITRT must be provided in the least restrictive environment possible, with the goal of placement as close to the child’s home as possible. Families must remain as actively involved in their child’s care and treatment as possible. The purposes of ITRT are to provide all services to both treat the mental illness/disorder and to return the child to his/her family, home and community as soon as possible. ITRT provides structure and supportive supervised living environment and active behavioral treatment 24 hour a day, 7 days a week, as developed in a treatment plan. This environment is integral to supporting the learning experiences necessary for the development of adaptive and functional behavior to allow the child to live outside of an inpatient setting. ITRT are also subject to rules in MBM, Chapter III, Section 97, and Appendix D.