Advancing Children s Behavioral Health through Systems Integration NASHP Conference October 25, 2017
|
|
- Ami Hubbard
- 6 years ago
- Views:
Transcription
1 Advancing Children s Behavioral Health through Systems Integration NASHP Conference October 25, 2017 Donna M. Bradbury, MA, LMHC Associate Commissioner
2 3 Medicaid Managed Care Transition 4 Vision for Transforming the Delivery of Children s Health Care Keep children on their developmental trajectory Focus on recovery and building resilience Identify needs early and intervene Maintain child at home with support and services Maintain the child in the community in least restrictive settings Prevent escalation and longer term need for higher end services Maintain accountability for outcomes and quality Maintain and expand access to services for children without Medicaid as a Household of One
3 5 Children and their families receive the right services, at the right time, in the right amount. Transformation Goals 6 Increase access to appropriate interventions Enhance service array Offer children Medicaid services within a Managed Care delivery system Integrate the delivery of physical and behavioral health services Integrate approaches to care planning and service provision Shift focus from volume to achieving quality outcomes
4 Children s Medicaid System Transformation 7 Transition of six 1915(c) waivers to 1115 Waiver authority Office of Mental Health (OMH) Serious Emotional Disturbance (SED) Waiver Department of Health (DOH) Care at Home (CAH) I/II waiver Office for People with Developmental Disabilities (OPWDD) Care at Home Waiver Office of Children and Families (OCFS) Bridges to Health (B2H) SED, Developmental Disability (DD) and Medically Fragile Waivers Alignment of 1915(c) HCBS under one array of Home and Community Based Services (HCBS) authorized under 1115 Waiver Remove the Managed Care exemption for children now in six 1915(c) waivers Transition to Health Home Care Management Care Management provided under 1915(c) Transition to Health Home Care Management Key Components 8 Transition of certain carved out Behavioral Health services into Managed Care benefit package Six New State Plan Services for Children Lifting the exemption of children in foster care with Voluntary Foster Care Agency (VFCA) to Managed Care (January 1, 2019) Expansion of Children s aligned HCBS eligibility to Level of Need Population (January 1, 2019) All services available to eligible members through both the fee-for-service and Managed Care delivery systems, based on the individual s enrollment
5 9 Current Service Delivery System Care Coordination limited to six 1915c Waiver Programs and OMH Targeted Case Management Slot limits Care planning is not integrated Limited array of Home and Community Based Services (HCBS) available only to 1915c Waiver Limited integration of behavioral health and physical health services System is underfunded After Transition 10 Health Home care management for children with two or more chronic conditions, serious emotional disturbance (SED), complex trauma, HIV (Children Health Home launched in December 2016) Current State Plan services PLUS Six new state plan services Expanded array of 12 HCBS based on expanded target, risk, and functional criteria with Health Home care management Integrate and transition behavioral health benefits to managed care plan Transition foster care population to managed care Encourage transitional care and continuity of care across children serving systems (education, child welfare, juvenile justice) Shift focus to quality, monitoring, and tracking and reward quality outcomes (value based payments)
6 11 Systems of Care Systems of Care 12 Rooted in a philosophy, set of values, and a framework through a coordinated network of community-based services and supports Organized to meet the physical, behavioral, social, emotional, educational, and developmental needs of children and their families Youth and family guide the process Supports are effective, build on the strengths of individuals and those that care about them, while addressing each person s cultural and linguistic needs Promoting wellness of children and youth across their lifespan
7 Project Goal NYS SOC will integrate evidence-based High Fidelity Wraparound (HFW) within NYS Medicaid Health Homes Serving Children (HHSC) High Fidelity Wraparound (HFW) a structured, team-based process that uses an evidencebased, nationally-recognized model that partners with families to use their voice and strengths to develop a family-driven plan that promotes self-advocacy.
8 Systems of Care Multi-system sharing of resources and responsibilities Array of necessary and appropriate services and supports Collaboration across systems and traditional funding silos Engage and support families in raising their children with health and resilience Helps children, youth, and families achieve success at home, in school, in the community, and throughout life 15 Systems of Care Values 1. Family driven 2. Youth guided 3. Community-based 4. Culturally and linguistically competent 5. Individualized and community based 6. Evidence based and community defined practices 16
9 17 Systems of Care 18 NYS ACHIEVE Project Partners
10 Integration of HFW in Health Homes 19 The ACHIEVE pilot creates opportunity to: evaluate outcomes associated with pairing HFW with Health Homes provide data for stakeholders, including Managed Care Plans, to assess the value of the HFW process develop best practices for integrating HFW process in Health Homes, within the context of the Children s Behavioral Health and Health Medicaid Redesign. 20 Substance Use Mental Health Child Welfare Juvenile Justice Managed Care Plan Education Six Core Services: Care Management, Care Coordination & Health Promotion, Transitional Care, Referral, Patient & Family Supports, HIT HH-HFW Care Manager, Family Peer and Youth Peer Child and Family Care Management Agency Health Home Primary Care Community
11 Wraparound-certified Team or Triad with caseload of 10 families each Care Manager NYS credentialed Youth Peer Specialist NYS credentialed Family Peer Support Specialist NYS ACHIEVE High Fidelity Wraparound TARGET CRITERIA In order for a child/youth to enroll in ACHIEVE in Erie, Rensselaer or Westchester County and receive High Fidelity Wraparound intervention, s/he has been determined: Health Home eligible by the NYS Health Home Serving Children criteria under the single qualifying condition of Serious Emotional Disturbance (SED), including enrollment in Medicaid; OR Health Home eligible by the NYS Health Home Serving Children criteria under the qualifying condition of Serious Emotional Disturbance (SED) but Medicaidineligible and cannot enroll in Health Home.
12 NYS ACHIEVE High Fidelity Wraparound TARGET CRITERIA AND s/he must meet the following criteria: Be between the ages of 12 and 21; AND Live in the community in Erie, Rensselaer or Westchester County in settings allowable by HH guidelines. Children/youth may be at imminent discharge from out of home or out of state placement at the time of ACHIEVE referral, when engagement may begin 30 days before discharge; AND Be willing to participate in ACHIEVE and the HFW process; AND Is involved with two or more service systems in the last 6 months (e.g., child welfare, special education services, juvenile justice, mental health and/or substance use); AND Have a CANS-NY Health Home score of high acuity; NYS ACHIEVE High Fidelity Wraparound TARGET CRITERIA AND s/he demonstrates documented evidence of: Being in crisis and in emerging/imminent risk of out-of-home placement, due to challenges living in the home and community; OR Returning to their home and community from out-of-home placement; OR Inpatient hospitalization (mental health, substance use or physical health) within the past 6 months; OR Multiple (i.e., two or more) inpatient hospital stays, emergency room use and/or CPEP/crisis services in the last 6-12 months.
13 Formalize a State training model to Support HFW Build County Capacity to Provide HFW Enhance Statewide Workforce Development to Replicate and Sustain HFW Contact NYS SOC Co-Directors Angela Keller Angela.Keller@omh.ny.gov Joanne Trinkle Joanne.Trinkle@omh.ny.gov
14 Additional New York State Integration Initiatives 28 HealthySteps
15 What is HealthySteps? 29 HealthySteps is an evidence-based primary care prevention program that assists the pediatrician and other health care providers to expand the primary focus beyond physical health to emphasize social-emotional and behavioral health and support family relationships. This is facilitated by the addition of Healthy Steps Specialist who is a professional with an expertise in child and family development. It starts with a HealthySteps Specialist A Healthy Steps Specialist (HSS) becomes an integral part of the primary care team. The HSS partners with families during well-child visits, coordinates screening efforts, and problem-solves with parents for common and complex child-rearing and other challenges. HSS are trained to provide tailored guidance and referrals, ondemand support between visits, and even care coordination and home visits when needed. This ensures families have access to the expertise and personalized support often needed to give their children the best start to life. 30
16 Components of a HealthySteps Site Enhanced well-child screening following a periodic schedule Maternal Depression screening and ACE screening Parent Education Groups Home Visiting as indicated Access to support between visits Connections to community resources Care coordination/systems navigation Positive parenting guidance and information 31 The Evidence 32
17 Why HealthySteps Matters 33 How Brains Are Built: Core Story of Brain Development OMH HealthySteps Sites Healthcare Practices
18 OMH Healthy Steps Sites 35 FQHC, Hospital-Based Clinics, Community Health Centers, Private Practices Urban and rural settings High need communities High poverty rates 85% of children receive Medicaid/CHP or are uninsured Children disproportionately at risk for social and emotional concerns HealthySteps Three Day National Training Institute 36 A highly interactive learning experience, focusing on applying relationship-building strategies, practicing a strengths-based, family-centered approach, and working on case scenarios.
19 37 Three Day National Training Institute The HealthySteps training covers the following topics: Overview of the key components of the HealthySteps model Implementation strategies for office visits, practice management, and community networking Social determinants of health Role of attachment, toxic stress, and temperament Parental mental health and its impact on child development The importance of building trusting relationships with families Supporting parents by providing anticipatory guidance on their child s development As of June 30, Children were enrolled into HealthySteps Quarter ending June 30, 2017 CHILDREN ENROLLED ON CASELOAD 17 SITES Pre 0-4 months 5-11 months month months months months months Total children on caseload
20 Healthy Steps Resources NYS Implementation of Healthy Steps (i-hs) RFP: Governor Cuomo Press Release 65-million-expand-mental-health-services-children-across-newyork Healthy Steps Website: Healthy Steps YouTube Project TEACH
21 Better Health. Brighter Future. Project TEACH is a program funded by The New York State Office of Mental Health
22 Child and Adolescent Psychiatrist (CAP) workforce issues and distribution Approximately 8300 practicing CAPs in the U.S. 83% direct patient care 6900 CAPS NYS has among the largest number of CAPs of any state--but there is a significant disparity in distribution Rural and underserved areas in NYS and elsewhere are particularly hard hit 20% of 58 surveyed counties in NYS have no CAP. Another 15% have only one CAP (Kaye et al, 2009). Nearly all counties (53 of 58 surveyed) reported the need for additional CAPs (Kaye et al, 2009) 43 The Primary Care Advantage Longitudinal, trusting relationship Family centeredness Unique opportunities for prevention and anticipatory guidance Understanding of common social-emotional and learning issues in the context of development Experience in coordinating with specialists in the care of Children with Special Health Care Needs (CSHCN) Familiarity with chronic care principles and practice improvement Comfort with diagnostic uncertainty Jane Foy, MD, FAAP 44
23 Project TEACH Expand, Enhance, Coordinate First launched in 2010, Project TEACH has enrolled nearly 2,700 pediatric PCPs, providing consultation for over 11,000 children. Through a $1.4 million expansion, Project TEACH is set to: Enroll an additional 3,800 providers, and Provide an additional 24,500 New York children with behavioral health consultations by Recent RFPs help support this goal: Re-bid contracts for the Regional Providers who provide consultations, Created a Statewide Coordination Center to promote Project TEACH, increasing the utilization its services by practitioners, and to expand training opportunities and add specialty consultation Project TEACH Numbers Cumulative through 7/30/2017 Physicians Enrolled 2,682 Trainings 136 Phone Consults 11,218 Face to Face evaluations 1,671 Total Phone + Face-Face Consultations 12,889 Linkage Calls 3,808 46
24 VISION A New York State where children and families receive skillful, prompt and compassionate care for mental health conditions. 47 MISSION To strengthen and support the ability of New York s pediatric primary care providers (PCPs) to deliver care to children and families who experience mild-to-moderate mental health concerns. 48
25 The Way it Works Project TEACH provides consultation, education, training, and referrals and linkages to other key services for pediatricians, family physicians, psychiatrists, nurse practitioners, and other prescribers. 49 Telephone Consultations Project TEACH allows pediatric primary care providers (PCPs) to speak on the phone with child and adolescent psychiatrists. Ask questions, discuss cases, or review treatment options. Whatever they need to support their ability to manage their patients. 50
26 Face-to-Face Consultations PCPs can also request face-to-face consultations with child and adolescent psychiatrists for the children and families in their practice. If a PCP office would like to offer consultations via videoconference, Project TEACH regional provider teams can work with them to make this service available. It is our expectation that face-to-face consultations will occur within two weeks of PCP requests. All face-to-face consultations are followed by written reports to the referring prescriber(s). 51 Referrals and Linkages Linkage and referral services help pediatric primary care providers and families access community mental health and support services. This includes clinic treatment, care management, or family support. Project TEACH can refer PCPs to appropriate and accessible services that children and families in their practice need. 52
27 Training Project TEACH offers training in several different formats for pediatric primary care providers (PCPs). These programs support their ability to assess, treat and manage mild-to-moderate mental health concerns in their practice. 53 Core Trainings The core trainings are led by our regional provider teams on-site at PCP s practice or at a nearby location. Core trainings can be provided through a series of 2-3 hour sessions or in one longer program depending on PCP needs. Our regional provider teams cover assessment and management of the important mental health issues that children and adolescents face.
28 Intensive Trainings Project TEACH also offers specialized, in-depth programs in each region. These trainings address how to recognize, assess, and manage mild-to-moderate mental health concerns in children and adolescents. Online Training When possible, we provide access to on-demand content from our live trainings. Beginning in 2018, Project TEACH plans to offer more online training opportunities on a variety of topics.
29 Services Services are available throughout all of New York State. Simply locate your county on the map. Then use the contact information for your region to request a consultation. see map 57 Regional Map 58
30 Region 1: CAP PC Regions 1 and 3 University at Buffalo Jacobs School of Medicine and Biomedical Sciences University of Rochester School of Medicine and Dentistry SUNY Upstate Medical University Region 3: CAP PC Hofstra Northwell School of Medicine Columbia University Medical Center/ New York State Psychiatric Institute 59 C.A.P.E.S (844) Four Winds Saratoga Four Winds Westchester Region 2 60
31 Why Use Project TEACH Services? Services are easy to access just call! All consultations, trainings and referrals are at no cost for pediatric primary care providers and other prescribers who provide ongoing treatment to children.* It helps a PCP practice provide the best possible care to the children and families they serve. It improves the health of children and families in New York State. *Families with insurance may be billed for face-to-face consultations. 61 Statewide Coordination Center Operated by the Massachusetts General Hospital Psychiatry Academy Internationally renowned for education 65,000+ members in 125+ countries Live conferences, online courses, books, & more Provides clinical services, telehealth, & interim leadership to hospitals & health systems LEARN MORE 62
32 Statewide Coordination Center Includes the Expertise of the MGH Clay Center for Young Healthy Minds Blogs Podcasts E-Newsletter Social Media mghclaycenter.org 63 Project TEACH For further information:
Draft Children s Managed Care Transition MCO Requirements
Draft Children s Managed Care Transition MCO Requirements OVERVIEW On February 1 st, New York State released for stakeholder feedback a draft version of the Medicaid Managed Care Organization (MCO) Children
More informationNew York Children s Health and Behavioral Health Benefits
New York Children s Health and Behavioral Health Benefits DRAFT Transition Plan for the Children s Medicaid System Transformation August 15, 2017 DRAFT Transition Plan for the Children s Medicaid System
More informationREGIONAL PLANNING CONSORTIUMS
REGIONAL PLANNING CONSORTIUMS CHILDREN & FAMILIES SUB COMMITTEE Western New York Town Hall Meeting January 25, 2018 Buffalo Central Library January 26, 2018 Arcade Free Public Library REGIONAL PLANNING
More informationAn Overview of the Health Home Serving Children
An Overview of the Health Home Serving Children Webinar Logistics All attendees will be automatically muted and in listen-only mode for the duration of the presentation Participation is highly encouraged!
More informationCHILDREN S BEHAVIORAL HEALTH MEDICAID MANAGED CARE DESIGN AND TRANSITION
CHILDREN S BEHAVIORAL HEALTH MEDICAID MANAGED CARE DESIGN AND TRANSITION Children s Mental Health Services Staff Development Training Forum Saratoga Springs, NY December 3, 2014 1 Presenter Angela Keller,
More informationWelcome to the Webinar!
Welcome to the Webinar! We will begin the presentation shortly. Thank you for your patience. Attendees can access the presentation slides now at: http://www.mctac.org/page/events A recording of the event
More informationTransition to Managed Care for New York State Foster Care Agencies. Technical Assistance Kickoff Webinar February 23, PM
Transition to Managed Care for New York State Foster Care Agencies Technical Assistance Kickoff Webinar February 23, 2015 2 4 PM 1 Presenters Lana I. Earle, Deputy Director, NYS Department of Health, Division
More informationHome and Community Based Services (HCBS) Presented by: Meredith L. Ray-LaBatt, MA, MSW Douglas P. Ruderman, LSCW-R
Home and Community Based Services (HCBS) Presented by: Meredith L. Ray-LaBatt, MA, MSW Douglas P. Ruderman, LSCW-R 2 Meredith Ray-LaBatt CHILDREN S HCBS SERVICES Children s Transition Timelines 3 Children
More informationNavigating New York State s Transition to Managed Care
Navigating New York State s Transition to Managed Care December 3, 2014 Mary McKernan McKay, Ph.D Andrew F. Cleek, Psy.D. Meaghan E. Baier, LMSW Agenda Introduction of the Managed Care Technical Assistance
More informationThe Current State of Behavioral Health Opportunities for Integration and Certified Community Behavioral Health Clinics (CCBHC)
Behavioral Health Transition to Managed Care Update The Current State of Behavioral Health Opportunities for Integration and Certified Community Behavioral Health Clinics (CCBHC) APRIL 2015 The Current
More informationThe Long and Winding Road-map: From Waiver Services to VBP and Other Stops Along the Way
The Long and Winding Road-map: From Waiver Services to VBP and Other Stops Along the Way Mental Health Association in New York State, Inc. Annual Meeting Gregory Allen, MSW Director Division of Program
More informationTransitioning to Community Services: HARPS, Health Homes and SPOA
Transitioning to Community Services: HARPS, Health Homes and SPOA P R E S E N T E R : G L E N N L I E B M A N, C EO Mental Health Association in New York State, Inc. Brief History of Health and Recovery
More informationRequest for Information (RFI) for. Texas CHIP and Medicaid Managed Care Services for Serious Mental Illness. RFI No. HHS
CHARLES SMITH, EXECUTIVE COMMISSIONER Request for Information (RFI) for Texas CHIP and Medicaid Managed Care Services for Serious Mental Illness RFI No. HHS0001303 Date of Release: June 1, 2018 CPA Class/Item
More informationCertified Community Behavioral Health Centers and New York State s Healthcare Reform: Considerations for Providers
Certified Community Behavioral Health Centers and New York State s Healthcare Reform: Considerations for Providers November 30, 2015 Joshua Rubin HealthManagement.com Plan CCBHC basics NYS Health Reform
More informationHarris County Mental Health Services for Children, Youth and Families: 2017 System Assessment
Harris County Mental Health Services for Children, Youth and Families: 2017 System Assessment Andy Keller, PhD Michelle Harper, MPAff Seema Shah, MD October 30, 2017 Purpose and Approach We assessed Harris
More informationIllinois' Behavioral Health 1115 Waiver Application - Comments
As a non-profit organization experienced in Illinois maternal and child health program and advocacy efforts for over 27 years, EverThrive Illinois works to improve the health of Illinois women, children,
More informationWyoming CME Clinical Eligibility Criteria
Wyoming CME Clinical Eligibility Criteria Version 1.0 Effective Date: Nov. 16, 2016 Wyoming CME Clinical Eligibility Criteria 2016 Magellan Health, Inc. Table of Contents Wyoming CME Clinical Eligibility
More informationwww.childrenshealthhome.com Today s Presentation Presenters: Clyde Comstock, President, CHHUNY Board of Directors Ray Schimmer, Executive Director, CHHUNY Chris Bell, Director of Children s Health Home
More informationNEW YORK STATE CHILDREN S HEALTH AND BEHAVIORAL HEALTH (BH) SERVICES CHILDREN S MEDICAID SYSTEM TRANSFORMATION BILLING AND CODING MANUAL
NEW YORK STATE CHILDREN S HEALTH AND BEHAVIORAL HEALTH (BH) SERVICES CHILDREN S MEDICAID SYSTEM TRANSFORMATION BILLING AND CODING MANUAL 1 Table of Contents General... 5 Purpose of this Manual... 5 New
More informationCCBHCs 101: Opportunities and Strategic Decisions Ahead
CCBHCs 101: Opportunities and Strategic Decisions Ahead Rebecca C. Farley, MPH National Council for Behavioral Health Speaker Name Title Organization It Passed! The largest federal investment in mental
More informationCross-Systems Collaboration: Working Together to Identify and Support Children and Youth with Special Health Care Needs
Cross-Systems Collaboration: Working Together to Identify and Support Children and Youth with Special Health Care Needs Tuesday, March 3, 2015 3:30 4:30 pm ET For audio, please listen through your speakers
More informationChildren s Medicaid System Transformation: HCBS Rates & SPA Rate Code Review. December 21, 2017
Children s Medicaid System Transformation: HCBS Rates & SPA Rate Code Review December 21, 2017 Introduction & Housekeeping Housekeeping: Slides are posted at MCTAC.org Questions not addressed today will
More informationHEALTH HOME INTEGRATED PRIMARY AND BEHAVIORAL HEALTH CARE SERVICES
COMPARISON OF EXISTING SERVICES AND DELIVERY MODELS WITH DEFINITIONS PRIMARY CARE CASE MANAGEMENT (PCCM) Oklahoma s PCCM program is called SoonerCare Choice (SCC), in which each enrollee is linked to a
More informationClinical Services. clean NYS Driver s License, fingerprinting, criminal record check, and approval from NYS Office of Mental Health.
Clinical Services Clinical Social Worker- Fee for Service Location: Wyandanch- Clinic Job Function: Provide direct clinical care to clients as needed as a member of a multi-disciplinary treatment. Qualifications:
More informationAn Opportunity for States to Improve Care for Children with Serious Emotional Disturbance
Behavioral Health Homes for Children: An Opportunity for States to Improve Care for Children with Serious Emotional Disturbance A publication of the National Center for Medical Home Implementation and
More informationQuality Management Plan Fiscal Year
Quality Management Plan Fiscal Year 2016-2017 Mental Health and Substance Abuse Division Contractor Services Section Quality Management and Compliance Unit Contents Introduction... 3 Purpose... 4 QM Committee...
More informationOhio Department of Mental Health (ODMH) Accomplishments
Ohio Department of Mental Health (ODMH) Accomplishments Since 2007, ODMH has achieved more than $30 million in operational cost savings in its state psychiatric hospitals and central office, while maintaining
More informationSelf-Assessment of Strategies for Expanding the System of Care Approach
Self-Assessment of Strategies for Expanding the System of Care Approach DEVELOPED BY BETH A. STROUL, M.ED. AND ROBERT M. FRIEDMAN, PH.D. REVISED NOVEMBER 2013. Georgetown University National Technical
More informationMEDICAID MANAGED LONG-TERM SERVICES AND SUPPORTS OPPORTUNITIES FOR INNOVATIVE PROGRAM DESIGN
Louisiana Behavioral Health Partnership MEDICAID MANAGED LONG-TERM SERVICES AND SUPPORTS OPPORTUNITIES FOR INNOVATIVE PROGRAM DESIGN Rosanne Mahaney - Delaware Lou Ann Owen - Louisiana Brenda Jackson,
More informationCJP Blog TalkRadio How IV-B and Medicaid Overlap with Child Welfare and the Juvenile Court
CJP Blog TalkRadio How IV-B and Medicaid Overlap with Child Welfare and the Juvenile Court December 10, 2015 Lisa Brockman, RN Medicaid Children s Mental Health Waiver and Care Management Entity Programs
More informationImplementing Medicaid Behavioral Health Reform in New York
Redesign Medicaid in New York State Implementing Medicaid Behavioral Health Reform in New York Conference of Local Mental Hygiene Directors November 19, 2013 Agenda Goals Timeline BH Benefit Design Overview
More informationThe Behavioral Health System. Presentation to the House Select Committee on Mental Health
The Behavioral Health System Presentation to the House Select Committee on Mental Health John Hellerstedt, M.D. Commissioner Lauren Lacefield Lewis Assistant Commissioner Division for Mental Health and
More informationSED Registration Provider Orientation
SED Registration Provider Orientation 1 Objectives Welcome and Introductions. Overview of BHM. Philosophy of BHM Program. SED Clinical Requirements. SED Registration Web Demo Questions and Answers. 2 3
More informationThe Role of Mobile Response in Transforming Children s Behavioral Health: The NJ Experience
The Role of Mobile Response in Transforming Children s Behavioral Health: The NJ Experience Presented by Elizabeth Manley Assistant Commissioner January 2017 In January 2000, Governor Whitman unveiled
More informationClinical Services. clean NYS Driver s License, fingerprinting, criminal record check, and approval from NYS Office of Mental Health.
Clinical Services Clinical Social Worker- Fee for Service Location: Wyandanch- Clinic Job Function: Provide direct clinical care to clients as needed as a member of a multi-disciplinary treatment. Qualifications:
More informationTitle: Homefinder/Social Worker
Title: Homefinder/Social Worker New Alternatives for Children, Inc. (NAC) is an award-winning health care and social service agency in Midtown Manhattan, with a satellite Bronx office, which serves children
More informationMedicaid Managed Care for Children in Foster Care
MEDICAID INSTITUTE AT UNITED HOSPITAL FUND Medicaid Managed Care for Children in Foster Care About the Medicaid Institute at United Hospital Fund Established in 2005, the Medicaid Institute at United Hospital
More informationCoverage of Behavioral Health Services for Children, Youth, and Young Adults with Significant Mental Health Conditions
Coverage of Behavioral Health Services for Children, Youth, and Young Adults with Significant Mental Health Conditions Webinar Website: http://gucchdtacenter.georgetown.edu/resources/tawebinars.html Coverage
More informationYES Waiver YES. Youth Empowerment Services A Medicaid Waiver Program for Children with Severe Emotional Disturbance
YES Waiver YES Youth Empowerment Services A Medicaid Waiver Program for Children with Severe Emotional Disturbance July 8, 2010 YES Overview for CRCG Webinar Texas Department of State Health Services Mental
More informationINTEGRATING TRAUMA- INFORMED SERVICES INTO MEDICAID. Lena O Rourke O Rourke Health Policy Strategies
INTEGRATING TRAUMA- INFORMED SERVICES INTO MEDICAID Lena O Rourke O Rourke Health Policy Strategies Why Medicaid? 2 Federal and State options to support community-based services/supports Coverage of services
More informationMICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES NOTICE OF PROPOSED POLICY
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES NOTICE OF PROPOSED POLICY Public Act 280 of 1939, as amended, and consultation guidelines for Medicaid policy provide an opportunity to review proposed
More informationEffective 11/13/2017 1
Commonwealth of Massachusetts Executive Office of Health and Human Services www.mass.gov/masshealth In-Home Therapy Services Performance Specifications Providers contracted for this level of care or service
More informationOMH HCBS Waiver Updates
OMH HCBS Waiver Updates Children s Mental Health Staff Development Training Forum December 1-2, 2015 Division of Integrated Community Services for Children and Families NYS Office of Mental Health Summary
More informationFrom HARPs to DSRIP to VBP: What Do They Mean To You?
From HARPs to DSRIP to VBP: What Do They Mean To You? North Country NYAPRS 2016 Winter Forum Harvey Rosenthal Executive director 1 New York Association of Psychiatric Rehabilitation Services (NYAPRS) A
More informationCost Estimates of Individual Assessment Tools In Arkansas Medicaid Population
Cost Estimates of Individual Assessment Tools In Arkansas Medicaid Population PREPARED BY: THE STEPHEN GROUP 814 Elm Street, Suite 309 Manchester, NH, 03102 Main: (603)419-9592 www.stephengroupinc.com
More informationInnovating in an Era of Uncertainty
Medicaid in New York State: Innovating in an Era of Uncertainty Cerebral Palsy Associations of NYS Annual Conference Jason A. Helgerson Medicaid Director October 30, 2017 Transforming Medicaid Services
More informationChildren's System MCO Contracting Fair. November 6, 2017
Children's System MCO Contracting Fair November 6, 2017 2 Guiding Principles Behind Children s Health and Behavioral Health MC Transition Key components of the managed care transition is to: Early identification
More informationRating Tool for Community Level Implementation of the System of Care Approach. for Children, Adolescents, and Young Adults with Mental Health
Introduction Rating Tool for Community Level Implementation of the System of Care Approach for Children, Adolescents, and Young Adults with Mental Health Purpose Challenges and their Families The purpose
More informationMedicaid Managed Care Readiness For Agency Staff --
Medicaid Managed Care Readiness 101 -- For Agency Staff -- To Understand: Learning Objectives Basic principles of Managed Care as a payment vehicle for health care services The structure of the current
More informationUPDATE ON MANAGED CARE IN NY STATE: IMPLICATIONS FOR PROVIDERS
UPDATE ON MANAGED CARE IN NY STATE: IMPLICATIONS FOR PROVIDERS November 18, 2013 NYS OMH Behavioral Health Transition 2 Key MRT initiative to move fee-for-service populations and services into managed
More informationPeople First Care Coordination NYC FAIR October 23, 2017
1 People First Care Coordination NYC FAIR October 23, 2017 JoAnn Lamphere, DrPH & Kate Bishop OPWDD Division of Person Centered Supports OPWDD s Commitment To Families Ensure that people with intellectual
More informationCommunity Health Improvement Plan
Community Health Improvement Plan Methodist Le Bonheur Germantown Hospital Methodist Le Bonheur Healthcare (MLH) is an integrated, not-for-profit healthcare delivery system based in Memphis, Tennessee,
More information4/7/2016. Provider Leadership Update. Reminder: Information and timelines are current as of the date of the presentation
Provider Leadership Update The Managed Care Technical Assistance Center of New York Housekeeping: Slides are posted at MCTAC.org Questions not addressed today will be: reviewed and incorporated into future
More informationNew York s 1115 Waiver Programs Downstate Public Comment and PAOP Working Session. Comments of Christy Parque, MSW.
New York s 1115 Waiver Programs Downstate Public Comment and PAOP Working Session Comments of Christy Parque, MSW President and CEO November 29, 2017 The Coalition for Behavioral Health, Inc. (The Coalition)
More informationInstitute Presenters. Objectives: Participants Will Learn. Agenda 6/27/2014
Continuous Quality Improvement (): Assessing System of Care Implementation and Expansion Georgetown Training Institutes July 16 20, 2014 Washington, D.C. Funded by the Substance Abuse and Mental Health
More informationRequest for Proposals
Request for Proposals Evaluation Team for Illinois Children s Healthcare Foundation s CHILDREN S MENTAL HEALTH INITIATIVE 2.0 Building Systems of Care: Community by Community INTRODUCTION The Illinois
More informationOMH Children's HCBS Waiver 1915c Changes IMPLEMENTATION MEETING SERIES JUNE 15, 2017
OMH Children's HCBS Waiver 1915c Changes IMPLEMENTATION MEETING SERIES JUNE 15, 2017 Housekeeping Slides will be distributed electronically and posted to the CTAC website following the meeting series A
More information12/3/2013 NEW YORK STATE FAMILY PEER ADVOCATE CREDENTIAL REALIZING THE POTENTIAL OF FAMILY PEER ADVOCATES
Engaging Empowering Inspiring Hope NEW YORK STATE FAMILY PEER ADVOCATE CREDENTIAL New York State Coalition for Children s Mental Health Services Anne Kuppinger Director of Training and Credentialing, Families
More informationThe CCBHC: An Innovative Model of Care for Behavioral Health
The CCBHC: An Innovative Model of Care for Behavioral Health B R E N D A G O G G I N S, J D V I C E P R E S I D E N T O A K S I N T E G R A T E D C A R E M I C H A E L D A M I C O, L C S W D I R E C T
More informationSunflower Health Plan
Key Components for Successful LTSS Integration: Case Studies of Ten Exemplar Programs Sunflower Health Plan Jennifer Windh September 2016 Long- term services and supports (LTSS) integration is the integration
More informationImplementing Medicaid Behavioral Health Reform in New York
Redesign Medicaid in New York State Implementing Medicaid Behavioral Health Reform in New York HIV Health and Human Services Planning Council of New York March 19, 2014 Agenda Goals Timeline BH Benefit
More informationHEALTH HOME MANUAL FY2016
HEALTH HOME MANUAL FY2016 Revised 2-5-2016 PURPOSE This Health Home Manual is intended as a reference document for Oklahoma Department of Mental Health and Substance Abuse certified providers with contracts
More informationTEXAS HEALTHCARE TRANSFORMATION & QUALITY IMPROVEMENT PROGRAM. Bluebonnet Trails Community Services
TEXAS HEALTHCARE TRANSFORMATION & QUALITY IMPROVEMENT PROGRAM Regional Healthcare Partnership Region 4 Bluebonnet Trails Community Services Delivery System Reform Incentive Payment (DSRIP) Projects Category
More informationHouse Committees on Appropriations, Subcommittee on Article II and General Investigating and Ethics - Improving Managed Care for People with Mental
House Committees on Appropriations, Subcommittee on Article II and General Investigating and Ethics - Improving Managed Care for People with Mental Illness - Andy Keller, PhD June 27, 2018 Meadows Mental
More informationNew York State s Ambitious DSRIP Program
New York State s Ambitious DSRIP Program A Case Study Speaker: Denise Soffel, Ph.D., Principal May 28, 2015 Information Services Webinar HealthManagement.com HealthManagement.com HealthManagement.com HealthManagement.com
More informationClinical Services. Substance Abuse Specialists (FACT Program)
Clinical Services Vocational Specialist (FACT Program) Job Function: Supervise and provide direct services with a focus on vocational services on a mobile, multi-disciplinary treatment team for persons
More informationNEW YORK STATE MEDICAID REDESIGN TEAM AND THE AFFORDABLE CARE ACT (MRT & ACA)
NEW YORK STATE MEDICAID REDESIGN TEAM AND THE AFFORDABLE CARE ACT (MRT & ACA) The Affordable Care Act (ACA) The Affordable Care Act 3 Officially called the Patient Protection and Affordable Care Act (PPACA)
More informationA Crisis of Care: Addressing the Shortage of Child and Adolescent Psychiatrists in New York State
A Crisis of Care: Addressing the Shortage of Child and Adolescent Psychiatrists in New York State March 2008 NYS Conference of Local Mental Hygiene Directors Acknowledgements The Schuyler Center for Analysis
More informationInnovative Strategies to Improve Mental Health Integration in Pediatric Primary Care
Innovative Strategies to Improve Mental Health Integration in Pediatric Primary Care 30th Annual Children's Mental Health Research & Policy Conference March 6, 2017 One Agency. One Mission. One Voice.
More informationThe Next Chapter in Kids Medicaid Coverage: Improving Care Delivery for Children and Leveraging the Medicaid Benefit for Children & Adolescents
The Next Chapter in Kids Medicaid Coverage: Improving Care Delivery for Children and Leveraging the Medicaid Benefit for Children & Adolescents NAMD Fall Conference 2014 Claudia Schlosberg, JD Interim
More informationWashtenaw County J A N U A R Y 2 0,
Washtenaw County COMMUNITY MENTAL HEALTH J A N U A R Y 2 0, 2 0 1 6 Welcome Trish Cortes, Executive Director Introduction of Administrative Staff: Michael Harding, Deputy Director Nicole Phelps, Chief
More informationIntensive In-Home Services (IIHS): Aligning Care Efficiencies with Effective Treatment. BHM Healthcare Solutions
Intensive In-Home Services (IIHS): Aligning Care Efficiencies with Effective Treatment BHM Healthcare Solutions 2013 1 Presentation Objectives Attendees will have a thorough understanding of Intensive
More informationShasta Health Assessment and Redesign Collaborative (SHARC) Behavioral Health and Substance Abuse Prevention Committee
Shasta Health Assessment and Redesign Collaborative (SHARC) Behavioral Health and Substance Abuse Prevention Committee Behavioral Health Needs Assessment and Gap Analysis Report May 2015 Prepared By: Health
More informationDoctor Shortage: CONDITION CRITICAL RESULTS OF HANYS 2012 PHYSICIAN ADVOCACY SURVEY
Doctor Shortage: CONDITION CRITICAL RESULTS OF HANYS 2012 PHYSICIAN ADVOCACY SURVEY Primary care physicians are at the forefront of a physician shortage that continues to worsen in New York State, according
More informationUsing the AAP s Mental Health Toolkit
Using the AAP s Mental Health Toolkit Implementing the Mental Health Competencies For Pediatric Primary Care Marian F Earls, MD MTS, FAAP AAP Mental Health Leadership Work Group For NJ AAP Chapter PPI
More informationPEDIATRIC PRIMARY CARE and BEHAVIORAL HEALTH INTEGRATION
PEDIATRIC PRIMARY CARE and BEHAVIORAL HEALTH INTEGRATION AN OASIS IN THE FUTURE James N Bowen DO Chief Medical Officer The Guidance Center Flagstaff, AZ. WHAT WE WILL DISCUSS Why? What? How? When? WHY
More informationFIDA. Care Management for ALL
Care Management for ALL In 2011, Governor Andrew M. Cuomo established a Medicaid Redesign Team (MRT), which initiated significant reforms to the state s Medicaid program. This included a critical initiative
More informationRPC and OMH Collaborative Care Webinar. February 1, pm
RPC and OMH Collaborative Care Webinar February 1, 2018 1 2pm AGENDA Welcome & Introductions OMH Care Collaborative Overview Q&A Cathy Hoehn, LMHC RPC Initiative Director CH@clmhd.org 518 396 0788 www.clmhd.org/rpc
More informationThe Division of Mental Health and Addiction s 1915(i) Child Mental Health Wraparound
The Indiana Family and Social Services Administration The Division of Mental Health and Addiction s 1915(i) Child Mental Health Wraparound Welcome! Gina Doyle, Asst. Deputy Director Gina.Doyle@fssa.in.gov
More informationHealth Homes (Section 2703) Frequently Asked Questions
Health Homes (Section 2703) Frequently Asked Questions Following are Frequently Asked Questions regarding opportunities made possible through Section 2703 of the Affordable Care Act to develop health home
More informationDallas County s Role in Behavioral Health and Supportive Services. Briefing to Dallas City Council Housing Committee
Dallas County s Role in Behavioral Health and Supportive Services Briefing to Dallas City Council Housing Committee 9 19 2016 Overview Dallas County Funding for Behavioral Health and Supportive Services
More informationINVESTING IN INTEGRATED CARE
INVESTING IN INTEGRATED CARE The Maine Health Access Foundation s 12 year journey (2005 2016) to improve patient centered care in Maine through the Integrated Care Initiative. Table of Contents The MeHAF
More informationMental / Behavioral Health Screening in Pediatric Primary Care OVERVIEW OF THE PEDIATRIC PSYCHIATRY COLLABORATIVE PROGRAM
Mental / Behavioral Health Screening in Pediatric Primary Care OVERVIEW OF THE PEDIATRIC PSYCHIATRY COLLABORATIVE PROGRAM 1 Co-Presenters Ray Hanbury, Ph.D., A.B.P.P. Chief Psychologist, Dept. of Psychiatry
More informationMedicaid Efficiency and Cost-Containment Strategies
Medicaid Efficiency and Cost-Containment Strategies Medicaid provides comprehensive health services to approximately 2 million Ohioans, including low-income children and their parents, as well as frail
More informationCollaborative Care (IMPACT)- An Overview June 11, 2015
Collaborative Care (IMPACT)- An Overview June 11, 2015 1 2 Mental Health in the US Depression is the leading cause of disability worldwide ~7% of US adults experienced major depression at least once during
More informationDepartment of Health Care Services Integrating Telehealth Efforts. Joanne Peschko, MBA Health Program Specialist
Department of Health Care Services Integrating Telehealth Efforts Joanne Peschko, MBA Health Program Specialist 1 Telehealth Programs Public Hospital Redesign and Incentives in Medi-Cal (PRIME) Managed
More informationBi-Annual Stakeholder Meeting May 12, 2014
Bi-Annual Stakeholder Meeting May 12, 2014 Agenda 1. 1:00-1:05 Welcome and Introductions 2. 1:05-1:10 Inspection of Care Desk Review Jennifer Brezee, ValueOptions 3. 1:10-1:20 Retrospective Reviews Jennifer
More informationSpecialty Behavioral Health and Integrated Services
Introduction Behavioral health services that are provided within primary care clinics are important to meeting our members needs. Health Share of Oregon supports the integration of behavioral health and
More informationInteractive Voice Registration (IVR) System Manual WASHINGTON STREET, SUITE 310 BOSTON, MA (800)
Interactive Voice Registration (IVR) System Manual 1000 WASHINGTON STREET, SUITE 310 BOSTON, MA 02118-5002 (800) 495-0086 www.masspartnership.com TABLE OF CONTENTS INTRODUCTION... 3 IVR INSTRUCTIONS...
More informationSystems Changes to Maximize the Impact of Supportive Housing on Ending Homelessness
Systems Changes to Maximize the Impact of Supportive Housing on Ending Homelessness Matthew Doherty, Director of National Initiatives August 14, 2014 Roles of USICH Coordinates the Federal response to
More informationMental Health Board Member Orientation & Training
1 Mental Health Board Member Orientation & Training See Tab 1 Mental Health Timeline 1957 Sources: California Legislative Analyst Office & California Department of Health Care Services to Prior to 1957
More informationPractical Facts about Adult Behavioral Health Home and Community Based Services. (Adult BH HCBS)
Section I: Introduction: Practical Facts about Adult Behavioral Health Home and Community Based Services (Adult BH HCBS) The development of Health and Recovery Plans (HARPs) is intended to promote significant
More informationIntegration Improves the Odds: Lessons Learned. Monday, December 18 th, 2017
Integration Improves the Odds: Lessons Learned Monday, December 18 th, 2017 Julie Cornell, North America Regional Manager, Global Community Impact INTEGRATION IMPROVES THE ODDS Lessons Learned Webinar
More information2018 Annual Research Meeting (ARM) Conference Theme Areas of Focus
2018 Annual Research Meeting (ARM) Conference Theme Areas of Focus The 2018 ARM is organized around the following 21 themes in health services research and policy: AGING, DISABILITY, AND END-OF-LIFE This
More informationMobile Crisis Intervention
Mobile Crisis Intervention Providers contracted for this level of care or service will be expected to comply with all requirements of these service-specific performance specifications. Additionally, providers
More informationFISCAL YEAR 2015 HEALTH AND HUMAN SERVICES BUDGET
Bill: HF 2463 Committee: Appropriations Date: April 28, 2014 Floor Manager: Representative Dave Heaton Staff: Carrie Kobrinetz (5-2063) FISCAL YEAR 2015 HEALTH AND HUMAN SERVICES BUDGET The House bill
More information1115 Waiver Renewal Tribal Consultation June 23, New Mexico Human Services Department
1115 Waiver Renewal Tribal Consultation June 23, 2017 New Mexico Human Services Department 1 Centennial Care 2.0 Concepts Public Comments Wrap Up Provide information about Centennial Care: overview, goals,
More informationHHSC Value-Based Purchasing Roadmap Texas Policy Summit
HHSC Value-Based Purchasing Roadmap Texas Policy Summit Andy Vasquez, Deputy Associate Commissioner MCS, Quality & Program Improvement Section October 19, 2017 1 HHSC Value-Based Purchasing Roadmap Topics
More informationAdult BH HCBS Town Hall ROS Designated Providers. June 13, 2017
Adult BH HCBS Town Hall ROS Designated Providers June 13, 2017 June 28, 2017 2 Why Behavioral Health Transformation is Needed June 28, 2017 3 Why Behavioral Health Transformation is Needed In NYS, members
More informationNew York State People First Waiver Program: Inching Toward a Managed Care Model. Stephen Sulkes Strong Center for DD Rochester, NY
New York State People First Waiver Program: Inching Toward a Managed Care Model Stephen Sulkes Strong Center for DD Rochester, NY *NY State Medicaid-$50 billion out of total State budget of $130 billion
More information