Part 5 – Covered Services (continued) IMPORTANT: Refer to the Schedule of Benefits for your plan option for the cost share amounts that you must pay for covered services and for the benefit limits that may apply to specific covered services. Once you reach your benefit limit for a specific covered service, no more benefits are provided by Blue Cross Blue Shield HMO Blue for those services or supplies. WORDS IN ITALICS ARE EXPLAINED IN PART 2. Page 51 These services offer 24 hours a day, 7 days a week access to medical services and on-site or on-call nursing staff. Your coverage for these services is considered to be an inpatient benefit. During the inpatient pre-service review process (see Part 4), Blue Cross Blue Shield HMO Blue will assess your specific health care needs. The least intensive type of setting that is required for your mental condition will be approved by Blue Cross Blue Shield HMO Blue.  Partial hospital programs, intensive outpatient programs, day treatment programs, in-home therapy services, or mobile crisis intervention services. Your coverage for these services is considered to be an outpatient benefit, even if you use a bed or spend the night. In addition to the services listed above, this health plan also covers certain intermediate care for members who are under age 19, such as:  Community-Based Acute Treatment (CBAT) programs that provide mental health care in a staff-secure setting on a 24-hour basis, with sufficient clinical staffing to ensure the member’s safety, while providing intensive therapeutic services including (but not limited to): daily medication monitoring; psychiatric assessment; nursing availability; specialing (as needed); individual, group, and family therapy; case management; family assessment and consultation; discharge planning; and psychological testing, as needed. Or, you may require services of higher intensity than those provided by a CBAT program, including more frequent psychiatric and psychopharmacological evaluation and treatment and more intensive staffing and service delivery. This may be delivered through an Intensive Community-Based Acute Treatment (ICBAT) program. ICBAT programs may admit members with more acute symptoms than those admitted to CBAT. ICBAT programs are able to treat members with clinical symptoms that are similar to those which would be treated under inpatient mental health care but who are able to be cared for safely in an unlocked setting. Your coverage for these CBAT and ICBAT programs is considered to be an inpatient benefit. During the inpatient pre-service review process (see Part 4), Blue Cross Blue Shield HMO Blue will assess your specific health care needs. The least intensive type of setting that is required for your mental condition will be approved by Blue Cross Blue Shield HMO Blue. (These CBAT and ICBAT programs are substantially similar to acute residential treatment programs described above in this section.)  In-home behavioral services that provide a combination of medically necessary behavior management therapy and behavior management monitoring. These services may be furnished where the member resides, including in the member’s home, a foster home, a therapeutic foster home, or another community setting. Behavior management monitoring is the monitoring of behavior, the implementation of a behavior plan, and reinforcing the implementation of a behavior plan by the member’s parent or other caregiver. Behavior management therapy addresses challenging behaviors that interfere with a member’s successful functioning. Behavior management therapy includes: a functional behavioral assessment and observation of the member in the home and/or community setting; development of a behavior plan; and supervision and coordination of interventions to address specific behavioral goals or performance, including the development of a crisis-response strategy. Behavior management therapy may also include short-term counseling and assistance. Your coverage for these services is considered to be an outpatient benefit.  In-Home Therapy services that provide medically necessary therapeutic clinical intervention or ongoing therapeutic training and support. These services are furnished where the member resides, including in the member’s home, a foster home, a therapeutic foster home, or another community