The Division of Mental Health and Addiction s 1915(i) Child Mental Health Wraparound
|
|
- Hubert Jefferson
- 6 years ago
- Views:
Transcription
1 The Indiana Family and Social Services Administration The Division of Mental Health and Addiction s 1915(i) Child Mental Health Wraparound
2 Welcome! Gina Doyle, Asst. Deputy Director Julie Bandy, Provider Specialist Heidi Gross, Lead Site Coach
3 CMHW Services Module A CMHW Services Program Module (previously referred to as manual) is available at /dmha%20cmhw.pdf The Module gives detailed explanation on a wide variety of topics including participant eligibility, expectations of providers, service definitions, enrollment procedures, billing and claims, incident reporting, complaints, and more.
4 Systems of Care Systems of Care has a multi-level approach Indiana System of Care Governance Board Local (county) SOC Governance Board Child and Family Teams Community decisions that make an impact on our youth are dependent upon community members, local services, representation from the silos and youth and family and are made at these meetings.
5 Silos represented in our communities Child Welfare Behavioral Health Medicaid Juvenile Justice Education
6 High Fidelity Wraparound High Fidelity Wraparound is a process that builds on the collective action of a committed group of family, friends, community, professional, and cross-system supports and resources to develop a Plan of Care (POC) that is the best fit between the family vision and story, team mission, and youth and family strengths, needs, and strategies. High Fidelity Wraparound provides youth and their families with access, voice, and ownership in the development and implementation of their POCs. One Plan to Rule Them All
7 Access Site: Point of Entry Referrals for CMHW services should be made to the Access Site Each county has an Access Site. The Access Site list is maintained on the DMHA IN System of Care website.
8 CMHW Eligibility Target Group Criteria Ages 6-17 Meets criteria of two or more DSM V diagnoses not excluded below (ICD-10) Borderline level of intellectual function or above Exclusionary Diagnoses Primary Substance Abuse Disorder Primary or Secondary Pervasive Developmental Disorder Primary Attention Deficit Hyperactivity Disorder Level of Care met through CANS assessment (4,5,6) Medicaid eligible Traditional Managed Care Residential Requirements Must live in a family or foster home in the community Must NOT live in a facility or residential placement of any kind Homeless youth are eligible
9 CMHW Eligibility Transition by the time the youth turns 18. Services will NOT be covered once the youth is 18. The CMHW program will renew July 1, At that time, it is anticipated that approved eligibility reviews completed on 17-year-olds will provide a full 12-months of services so long as other eligibility criteria continue to be met.
10 CMHW Services Wraparound Facilitation (WF) Required Habilitation (HAB) Training and Support for the Unpaid Caregiver (FST) Hourly Fees Respite (RES) Hourly Facility-Based
11 Wraparound Facilitation The Wraparound Facilitator Manages the entire wraparound process and ensures that the participant and family s voice, preferences, and needs are central in developing the POC and throughout service delivery. Ensures that care is delivered in a manner consistent with strength-based, family-driven, and culturally competent values. Receive ongoing coaching and training throughout their practice Must have case loads of twelve (12) or fewer, regardless of service provided. (e.g. Services provided through MRO, or Skills training and Development are included in the case load count.
12 Wraparound Facilitation (WF) Procedure Code/Modifier: T2022 HA Description: Case management; per month Unit: 1 unit = 1 month Unit Restriction: 1 unit per month Rate: $ per unit
13 Habilitation (HAB) Habilitation = Skill Building Habilitation services are provided with the goal of enhancing the youth s level of functioning and quality of life. Building the youth and family s strengths, resilience and positive outcomes Habilitation vs. Rehabilitation Rehabilitation is relearning a skill that has already been demonstrated by the person Habilitation is learning a new skill to be able to improve overall functioning
14 Habilitation Skills Identification of feelings and responses during interactions Anger and emotional management How to give and receive feedback, criticism, or praise Problem-solving and decision making Learning to resist negative peer pressure and to develop prosocial peer interactions Improvement of communication skills Building and promoting positive coping skills Learning how to have positive interactions with peers and adults
15 Training and Support for the Unpaid Caregiver (FST) Intent Provide education and supports to the UNPAID caregiver that preserves the family unit and increases confidence, stamina, and empowerment. An unpaid caregiver is any person who provides uncompensated care, training, guidance, companionship or support to the youth. Family member Neighbor Family friend Coworker Companion Paid caregivers are not eligible to receive this service. Foster parent/s Coach Teacher
16 Training & Support for the Unpaid Caregiver (FST) Services allowed may include but are not limited to teaching the following: Practical living and decision-making skills Child development parenting skills Home management skills Use of community resources and development of informal support Conflict resolution Coping Skills Gaining an understanding of the youth s mental health needs Learning communication and crisis de-escalation skills geared for working with the youth s mental health and behavioral needs
17 Service Provision (FST) Hourly One to one with unpaid caregiver Face to face Non-Hourly Family Group activities, conferences, classes based on the cost of the activity. Home care training for the family. Non-Hourly Non-Family Group activities, conferences, classes based on the cost of the activity. Home care training for non-family caregiver.
18 Training & Support for the Unpaid Caregiver (FST) Procedure Code/Modifier: H2015 HA Description: Comprehensive community support services; per 15 minutes Unit: 1 unit = 15 minutes Unit Restriction: Maximum of 8 units per day Rate: $15.00 per unit EOB Codes: I CHILD TRAINING & SUPPORT SERVICE FOR UNPAID CAREGIVER (COMPREHENSIVE COMMUNITY SUPPORT SERVICES, PER 15 MINUTES) LIMITED TO 8 UNITS PER DAY
19 Training & Support for the Unpaid Caregiver (FST) Procedure Code/Modifier: H2015 HA Description: Comprehensive community support services; per 15 minutes Unit: 1 unit = 15 minutes Unit Restriction: Maximum of 8 units per day Rate: $15.00 per unit EOB Codes: I CHILD TRAINING & SUPPORT SERVICE FOR UNPAID CAREGIVER (COMPREHENSIVE COMMUNITY SUPPORT SERVICES, PER 15 MINUTES) LIMITED TO 8 UNITS PER DAY
20 Respite (RES) Respite is a service provided due to the regular caregiver s absence or need for relief. Intent: To provide a break for the caregiver. Not a substitute for regular childcare to allow parent or caregiver to hold a job, attend school, or engage in job-related activities.
21 Activities Allowed (RES) Assistance with daily living skills, like accessing and transporting youth to and from community activities Assistance with grooming and personal hygiene Meal preparation, serving, and cleanup Administration of medications Supervision
22 CMHW Services Rates Wraparound Facilitation (WF) Unit= 1 month Rate: $ per unit Habilitation (HAB) Unit= 15 minutes Rate: $19.26 per unit Training and Support for the Unpaid Caregiver (FST) Hourly Unit= 15 minutes Rate: $15.00 per unit Fees Up to $500 per year per participant
23 CMHW Services Rates Respite (RES) Community-Based Routine Hourly Unit= 15 minutes Rate: $4.00 per unit Community and Facility-Based Routine Daily Unit= 1 day Rate: $100 per unit Community and Facility-Based Crisis Daily Unit= 1 day Rate: $120 per unit Facility-Based in a Medicaid Certified PRTF Unit= 1 day Rate: $321.52
24 CMHW Provider Qualifications Provider types Accredited Agencies Non-accredited Agencies Individuals Rendering providers must be approved individually by DMHA prior to enrollment Agency approval is contingent upon approval of the rendering provider no blanket approvals For additional information, consult the Child Mental Health Wraparound module
25 DMHA s 1915 (i) Child Mental Health Wraparound services Thank you!
Wyoming 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 informationChild Mental Health Wraparound Services
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE M ODULE Division of Mental Health and Addiction Child Mental Health Wraparound Services LIBRARY REFERENCE NUMBER: PRPR 10019 PUBLISHED: NOVEMBER 28,
More informationMental Health Services
Mental Health Services Fee-for-Service Indiana Health Coverage Programs DXC Technology October 2017 1 Agenda Reference Materials Provider Healthcare Portal Outpatient Mental Health Inpatient Mental Health
More informationHigh Fidelity Wraparound High Fidelity Wraparound principles
High Fidelity Wraparound High Fidelity Wraparound principles Family voice and choice Team-based Natural supports Collaboration Community-based Culturally competent Individualized Strengths-based Unconditional
More informationCHILDREN S INITIATIVES
CHILDREN S INITIATIVES Supports and Specialty Services for Children, Youth and Families October 8, 2013 Calgie, MSW Intern, Eastern Michigan University Carlynn Nichols, LMSW, Detroit Wayne Mental Health
More informationSection V: To be completed by the PIHP contract manager as applicable. Section VI: To be completed by the PIHP Credentialing Committee as applicable.
Sections I-IV: To be completed by the organizational provider at the time of initial network application for enrollment and credentialing; or at the time of the biennial re-credentialing. Section I. Agency
More informationDOCUMENTATION REQUIREMENTS
DOCUMENTATION REQUIREMENTS Service All documentation requirements listed below are identified in Rule 65G- Adult Dental Services An invoice listing each procedure and negotiated cost. Copy of treatment
More informationINTEGRATED CASE MANAGEMENT ANNEX A
INTEGRATED CASE MANAGEMENT ANNEX A NAME OF AGENCY: CONTRACT NUMBER: CONTRACT TERM: TO BUDGET MATRIX CODE: 32 This Annex A specifies the Integrated Case Management services that the Provider Agency is authorized
More informationThe Oregon Administrative Rules contain OARs filed through December 14, 2012
The Oregon Administrative Rules contain OARs filed through December 14, 2012 OREGON HEALTH AUTHORITY, ADDICTIONS AND MENTAL HEALTH DIVISION: MENTAL HEALTH SERVICES 309-016-0605 Definitions DIVISION 16
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 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 informationFamily Peer Advocate (FPA) Credential Information for Applicants FAQ
Family Peer Advocate (FPA) Credential Information for Applicants FAQ What is a Family Peer Advocate? Family Peer Advocates go by many names: Parent Partner, Family Mentor, Peer Partner, Family Support
More informationDEPARTMENT OF HUMAN SERVICES DIVISION OF MENTAL HEALTH & ADDICTION SERVICES
DEPARTMENT OF HUMAN SERVICES DIVISION OF MENTAL HEALTH & ADDICTION SERVICES ADDENDUM to Attachment 3.1-A Page 13(d).10 Service Description Community Support Services consist of mental health rehabilitation
More informationSOCIAL WORKER SUPERVISOR II
CLASSIFICATION DEFINITION SOCIAL WORKER SUPERVISOR II Under general direction, the Social Worker Supervisor II plans, organizes, and directs the work of social service staff providing the most advanced
More informationService Array: Mental Health Medicaid Specialty Supports and Services Descriptions Note:
Service Array: Mental Health Medicaid Specialty Supports and Services Descriptions Note: If you are a Medicaid beneficiary and have a serious mental illness, or serious emotional disturbance, or developmental
More informationResidential Treatment Facility Transition Waiver
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE M ODULE Division of Mental Health and Addiction Psychiatric Note: The Psychiatric Residential Treatment Facility Transition Waiver ended September 30,
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 informationMedicaid and the. Bus Pass Problem
Medicaid and the Bus Pass Problem PRESENTED BY: Cardinal Innovations Healthcare Richard F. Topping, Chief Executive Officer Leesa Bain, Vice President, Care Coordination & Quality Management September
More information(c) A small client to staff caseload, typically 10:1, to consistently provide necessary staffing diversity and coverage;
309-019-0225 Assertive Community Treatment (ACT) Overview (1) The Substance Abuse and Mental Health Services Administration (SAMHSA) characterizes ACT as an evidence-based practice for individuals with
More informationIntensive In-Home Services Training
Intensive In-Home Services Training Intensive In Home Services Definition Intensive In Home Services is an intensive, time-limited mental health service for youth and their families, provided in the home,
More informationMEDICAL ASSISTANCE BULLETIN
MEDICAL ASSISTANCE BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE ISSUE DATE EFFECTIVE DATE NUMBER September 8, 1995 September 8, 1995 1153-95-01 SUBJECT Accessing Outpatient Wraparound
More informationempowering people to build better lives their efforts to meet economic, social and emotional challenges and enhance their well-being
Community Care Alliance empowering people to build better lives Adult Mental Health Services Basic Needs Assistance Child & Family Services Education Employment & Training Housing Stabilization & Residential
More informationOFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES BULLETIN
OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES BULLETIN ISSUE DATE EFFECTIVE DATE: NUMBER: SUBJECT: Clarification of Policies Regarding the Authorization and Delivery of Behavioral Health Rehabilitation
More informationCovered Service Codes and Definitions
Covered Service Codes and Definitions [01] Assessment Assessment services include the systematic collection and integrated review of individualspecific data, such as examinations and evaluations. This
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 information6.20. Mental Health Home and Community-Based Services: Intensive Behavioral Health Services for Children, Youth, and Families 1915(i)
6.20. Mental Health Home and Community-Based Services: Intensive Behavioral Health Services for Children, Youth, and Families 1915(i) DESCRIPTION OF SERVICES The home and community-based services (HCBS)
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 informationIndividual and Family Guide
0 0 C A R D I N A L I N N O V A T I O N S H E A L T H C A R E Individual and Family Guide Version 9 revised November 1, 2016 2016 Cardinal Innovations Healthcare 4855 Milestone Avenue Kannapolis, NC 28081
More informationLOUISIANA MEDICAID PROGRAM ISSUED: 08/24/17 REPLACED: 07/06/17 CHAPTER 2: BEHAVIORAL HEALTH SERVICES APPENDIX B GLOSSARY/ACRONYMS PAGE(S) 5 GLOSSARY
GLOSSARY The following is a list of abbreviations, acronyms and definitions used in the Behavioral Health Services manual chapter. Ambulatory Withdrawal Management with Extended On-Site Monitoring (ASAM
More informationFamily Centered Treatment Service Definition
Family Centered Treatment Service Definition Title: Family Centered Treatment Type: Alternative Service Definition H2022 Z1 - Engagement Effective Date: 8/1/2015 Codes: H2022 HE Core H2022 Z1 - Transition
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 informationThe Way Forward. Towards Recovery: The Mental Health and Addictions Action Plan for Newfoundland and Labrador
The Way Forward Towards Recovery: The Mental Health and Addictions Action Plan for Newfoundland and Labrador 2 Table of Contents Introduction... 2 Background... 3 Vision and Values... 5 Governance... 6
More informationFlorida Downward Substitution Services
Care1st Health Plan Arizona, Inc. Easy Choice Health Plan Harmony Health Plan of Illinois Missouri Care Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona OneCare (Care1st Health
More informationDecember 16, 2011 Washington, D.C. Presented By: Bruce Kamradt, Director, Wraparound Milwaukee
Wraparound Milwaukee s Care Management Entity A Model for Creating Effective Service Delivery For Children With Serious Emotional and Mental health Needs and Their Families December 16, 2011 Washington,
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 informationNORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES
NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Mental Health, Developmental Disabilities and Substance Abuse Services State-Funded MH/DD/SA SERVICE DEFINITIONS Revision Date: September
More informationRehabilitation (PSR/CPST) & Habilitation. November 13 th & 16 th The Managed Care Technical Assistance Center of New York
Rehabilitation (PSR/CPST) & Habilitation November 13 th & 16 th 2015 The Managed Care Technical Assistance Center of New York Welcome MCTAC Overview Business/Billing Rules Services Definition Service Components
More informationFor Review and Comment Purposes Only Not for Implementation DEVELOPMENTAL PROGRAMS BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE
DEVELOPMENTAL PROGRAMS BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE DATE OF ISSUE DRAFT EFFECTIVE DATE DRAFT NUMBER DRAFT SUBJECT: Lifesharing Safeguards BY: Kevin T. Casey Deputy
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 informationOffice of Developmental Programs Service Descriptions
1 Office of Developmental Programs Descriptions *The service descriptions below do not represent the comprehensive Definition as listed in each of the Waivers. Please refer to the appropriate Waiver Program
More informationMEDICAL ASSISTANCE BULLETIN COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF PUBLIC WELFARE
MEDICAL ASSISTANCE BULLETIN COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF PUBLIC WELFARE SUBJECT BY NUMBER: ISSUE DATE: September 8, 1995 EFFECTIVE DATE: September 8, 1995 Mental Health Services Provided
More informationAnnunciation Maternity Home
Annunciation Maternity Home Offering a new beginning to teenagers and women experiencing a crisis pregnancy. Seeds of Strength Grant Proposal January 2014 1. Organization Description Young. Scared. Pregnant.
More informationAdult Mental Health Habilitation Services
INDIANA HEALTH COVERAGE PROGRAMS Division of Mental Health and Addiction PROVIDER REFERENCE M ODULE Adult Mental Health Habilitation Services L I B R A R Y R E F E R E N C E N U M B E R : P R P R 1 0 0
More informationApproved Curriculum and Equivalency Standards. Parent Support and Training/Youth Support and Training
Approved Curriculum and Parent Support and Training/Youth Support and Training Introduction to Wraparound This initial training introduces new parent support and training and youth support and training
More informationCritical Time Intervention (CTI) (State-Funded)
Critical Time (CTI) (State-Funded) Service Definition and Required Components Critical Time (CTI) is an intensive 9 month case management model designed to assist adults age 18 years and older with mental
More informationAssertive Community Treatment (ACT)
Assertive Community Treatment (ACT) Assertive Community Treatment (ACT) services are therapeutic interventions that address the functional problems of individuals who have the most complex and/or pervasive
More informationNEW YORK STATE MEDICAID PROGRAM OFFICE OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES HOME AND COMMUNITY BASED SERVICES WAIVER MANUAL
NEW YORK STATE MEDICAID PROGRAM OFFICE OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES HOME AND COMMUNITY BASED SERVICES WAIVER MANUAL POLICY GUIDELINES Table of Contents SECTION I - DESCRIPTION OF
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 informationMedicaid Rehabilitation Option Services
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE M ODULE Medicaid Rehabilitation Option Services LIBRARY REFERENCE NUMBER: PROMOD00016 PUBLISHED: DECEMBER 14, 2017 POLICIES AND PROCEDURES AS OF SEPTEMBER
More informationPerson-Centered Treatment Plan and Managing Outpatient & Home- and Community-Based Services
Person-Centered Treatment Plan and Managing Outpatient & Home- and Community-Based Services Agenda Person-Centered Treatment Plan Overview Eligibility Process Person-Centered Treatment Plan Process Descriptions
More informationInteractive Voice Registration (IVR) System Manual WASHINGTON STREET, SUITE 310 BOSTON, MA
Interactive Voice Registration (IVR) System Manual 1000 WASHINGTON STREET, SUITE 310 BOSTON, MA 02118-5002 1-800-495-0086 www.masspartnership.com TABLE OF CONTENTS INTRODUCTION... 3 IVR INSTRUCTIONS...
More informationMacomb County Community Mental Health Level of Care Training Manual
1 Macomb County Community Mental Health Level of Care Training Manual Introduction Services to Medicaid recipients are based on medical necessity for the service and not specific diagnoses. Services may
More informationProvider Evaluation of Performance. Plan. Tennessee
Provider Evaluation of Performance Plan Tennessee 2018 Executive Summary UnitedHealthcare Community Plan is committed to ensuring the services members receive from network providers meet the requirements
More informationSOCIAL WORKER SUPERVISOR I
Merit System Services CLASSIFICATION DEFINITION SOCIAL WORKER SUPERVISOR I Under general direction, the Social Worker Supervisor I plans, organizes and supervises social service and employment staff engaged
More informationIDAHO SCHOOL-BASED MENTAL HEALTH SERVICES (EFFECTIVE JULY 1, 2016) PSYCHOTHERAPY & COMMUNITY BASED REHABILITATION SERVICES (CBRS)
IDAHO SCHOOL-BASED MENTAL HEALTH SERVICES (EFFECTIVE JULY 1, 2016) PSYCHOTHERAPY & COMMUNITY BASED REHABILITATION SERVICES (CBRS) IMPORTANT Medicaid providers are required to provide services in accordance
More informationMedicaid Rehabilitation Option Provider Manual
H P P r o v i d e r R e l a t i o n s U n i t I N D I A N A H E A L T H C O V E R A G E P R O G R A M S Medicaid Rehabilitation Option Provider Manual L I B R A R Y R E F E R E N C E N U M B E R : P R
More informationOlmstead Planning and Systems Changes: Realignment of the New Jersey Mental Health System
Olmstead Planning and Systems Changes: Realignment of the New Jersey Mental Health System 2006-2016 D O N N A M I G L I O R I N O, M P H, R N, N E - B C, D E P U T Y A S S I S T A N T D I R E C T O R,
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 informationFlorida Medicaid. Community Behavioral Health Services Coverage and Limitations Handbook. Agency for Health Care Administration
Florida Medicaid Community Behavioral Health Services Coverage and Limitations Handbook Agency for Health Care Administration UPDATE LOG COMMUNITY BEHAVIORAL HEALTH SERVICES COVERAGE AND LIMITATIONS HANDBOOK
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 informationResearch Questions. Respite and Developmental Disabilities. Respite Care Some background. Flexible Funds: What we know
Use of Flexible Funds for Services in a Managed Care Wraparound program Jennifer Taub Ph.D., UMass Medical School Joseph O Garr, B.S., UMass Medical School Jack Simons, Ph.D., Coordinated Family Focused
More informationProvider Certification Standards Adult Day Care
Provider Certification Standards Adult Day Care December 2015 1 Definitions: Activities of Daily Living (ADL s)- Includes but is not limited to the following personal care activities: bathing, dressing,
More information907 KAR 15:080. Coverage provisions and requirements regarding outpatient chemical dependency treatment center services.
907 KAR 15:080. Coverage provisions and requirements regarding outpatient chemical dependency treatment center services. RELATES TO: KRS 205.520, 42 U.S.C. 1396a(a)(10)(B), 1396a(a)(23) STATUTORY AUTHORITY:
More informationMental Health and Addiction Services
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE M ODULE Mental Health and Addiction Services L I B R A R Y R E F E R E N C E N U M B E R : P R O M O D 0 0 0 3 9 P U B L I S H E D : A P R I L 1 8, 2
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 informationPayments for Residential Supports do not include payments for room and board, the cost of facility maintenance and upkeep.
Residential Supports: Level 1 and Level 1 AFL - H2016; Level 2 and Level 2 AFL - T2014; Level 3 and Level 3 AFL - T2020; Level 4 and Level 4 AFL - H2016HI; Level 5 and Level 5 AFL T2016HI Residential Supports
More informationNEW YORK STATE MEDICAID PROGRAM HOME AND COMMUNITY-BASED SERVICES MEDICAID WAIVER FOR INDIVIDUALS WITH TRAUMATIC BRAIN INJURY MANUAL
NEW YORK STATE MEDICAID PROGRAM HOME AND COMMUNITY-BASED SERVICES MEDICAID WAIVER FOR INDIVIDUALS WITH TRAUMATIC BRAIN INJURY MANUAL POLICY GUIDELINES Table of Contents SECTION I - REQUIREMENTS FOR PARTICIPATION
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 informationKANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. Non-PIHP Alcohol and Substance Abuse Community Based Services
Fee-for-Service Provider Manual Non-PIHP Alcohol and Substance Abuse Community Based Services Updated 08.2015 PART II Introduction Section 7000 7010 8100 8200 8300 8400 Appendix BILLING INSTRUCTIONS Alcohol
More informationSpecialized Therapeutic Foster Care and Therapeutic Group Home (Florida)
Care1st Health Plan Arizona, Inc. Easy Choice Health Plan Harmony Health Plan of Illinois Missouri Care Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona OneCare (Care1st Health
More informationMedicaid Funded Services Plan
Clinical Communication Bulletin 007 To: From: All Enrollees, Stakeholders, and Providers Cham Trowell, UM Director Date: May 10, 2016 Subject: Medicaid Funded Services Plan benefit changes, State Funded
More informationMoving Home Minnesota Demonstration and Supplemental Services Table
Demonstration and Supplemental s Table Supplemental (S) D - Transition Planning and Transition Coordination s Identifying and engaging program participants; Developing a transition plan; Implementing the
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 informationAdvancing Children s Behavioral Health through Systems Integration NASHP Conference October 25, 2017
Advancing Children s Behavioral Health through Systems Integration NASHP Conference October 25, 2017 Donna M. Bradbury, MA, LMHC Associate Commissioner 3 Medicaid Managed Care Transition 4 Vision for Transforming
More informationA10 How to Do More with Less
A10 How to Do More with Less June 4, 2014, 10:30 am - 12:00 pm Lesli Mathis, Talin Yesaie Salon 8 5/22/2014 Doing More with Less: Utilizing Flexible Resources in Your Community PRESENTED BY FRED FINCH
More informationBalance of State Continuum of Care Program Standards for Permanent Supportive Housing Programs
1 Balance of State Continuum of Care Program Standards for Permanent Supportive Housing Programs The Balance of State Continuum of Care developed the following Permanent Supportive Housing Program standards
More informationThe Money Follows the Person Demonstration in Massachusetts
The Money Follows the Person Demonstration in Massachusetts Use of Concurrent 1915(b)(c) Waivers to Serve Elders and Adults with Disabilities Transitioning from Long-Stay Facilities HCBS Conference Arlington,
More informationNew York State: Health and Recovery Plan (HARP) Adult Behavioral Health Home and Community Based Services (BH HCBS) Provider Manual
New York State: Health and Recovery Plan (HARP) Adult Behavioral Health Home and Community Based Services (BH HCBS) Provider Manual New York State is pleased to release the Adult Behavioral Health Home
More informationROLE OF OUTPATIENT PROVIDERS FOR THREE CBHI SERVICES: THERAPEUTIC MENTORING, IN-HOME BEHAVIORAL SERVICES, AND FAMILY SUPPORT AND TRAINING
ROLE OF OUTPATIENT PROVIDERS FOR THREE CBHI SERVICES: THERAPEUTIC MENTORING, IN-HOME BEHAVIORAL SERVICES, AND FAMILY SUPPORT AND TRAINING The following information should be noted immediately to your chief
More informationCCBHC Standards of Care
CCBHC Standards of Care Mark Disselkoen, MSW, LCSW, LADC CASAT March 7, 2017 Disclaimer The views, opinions, and content expressed in this presentation do not necessarily reflect the views, opinions, or
More informationThe Way Forward. Report Card: The First Six Months Towards Recovery: The Mental Health and Addictions Action Plan for Newfoundland and Labrador
The Way Forward Report Card: The First Six Months Towards Recovery: The Mental Health and Addictions Action Plan for Newfoundland and Labrador Measuring Progress On June 27, 2017, the Government of Newfoundland
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 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 informationExcerpts Regarding Respite Care from:
Excerpts Regarding Respite Care from: ADHS/DBHS Clinical Guidance Documents Practice Improvement Protocols & TITLE XIX CHILDREN S BEHAVIORAL HEALTH ANNUAL ACTION PLAN * November 1, 2004 to October 31,
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 information65G Definitions. For the purposes of this chapter, the term: (1) Allocation Algorithm: The mathematical formula based upon statistically
65G-4.0213 Definitions. For the purposes of this chapter, the term: (1) Allocation Algorithm: The mathematical formula based upon statistically validated relationships between individual characteristics
More informationAn Overview and Analysis of the PRTF Waiver Demonstration: A National and Local Perspective
An Overview and Analysis of the PRTF Waiver Demonstration: A National and Local Perspective 27th Annual Children s Mental Health Research and Policy Conference, Tampa, Florida March 2 5, 2014 Presenters
More informationDivision of Mental Health, Developmental Disabilities & Substance Abuse Services NC Mental Health and Substance Use Service Array Survey
Table 1 Service Name Include any subcategories of service on a separate line In Table 2, please add service description and key terms Outpatient Treatment Behavioral Health Urgent Care (a type of outpatient)
More informationLENAWEE COMMUNITY MENTAL HEALTH AUTHORITY ANNUAL REPORT. Board of Directors
Board of Directors Judy Ackley Vice Chair Deb Bills Chairperson Scott Clites Mark Jackson Howard Keller LENAWEE COMMUNITY MENTAL HEALTH AUTHORITY Emily Martinez Grace Miley Nate Smith Comm. Cletus Smith
More informationMagellan Healthcare, Inc.
Magellan Healthcare, Inc. 2018 Handbook for Care Management Entity Standard operating procedures for High Fidelity Wraparound (HFWA) in Wyoming Table of Contents SECTION 1: INTRODUCTION...4 Welcome...
More informationMedicaid Covered Services Not Provided by Managed Medical Assistance Plans
Medicaid Covered Services Not Provided by Managed Medical Assistance Plans This document outlines services not provided by MMA plans, but are available to Medicaid recipients through Medicaid fee-for-service.
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 informationPART 512 Personalized Recovery Oriented Services
PART 512 Personalized Recovery Oriented Services (Statutory authority: Mental Hygiene Law 7.09[b], 31.04[a], 41.05, 43.02[a]-[c]; and Social Services Law, 364[3], 364-a[1]) Sec. 512.1 Background and intent.
More informationQUARTERLY CONTRACT MONITORING REPORT (QCMR) LEVEL OF SERVICE REPORT INTENSIVE FAMILY SUPPORT SERVICES
QUARTERLY CONTRACT MONITORING REPORT (QCMR) LEVEL OF SERVICE REPORT INTENSIVE FAMILY SUPPORT SERVICES USTF PROJECT CODE: NAME OF AGENCY: NAME OF PROGRAM: PERSON COMPLETING FORM/PHONE#: DATE SUBMITTED:
More informationILLINOIS 1115 WAIVER BRIEF
ILLINOIS 1115 WAIVER BRIEF STATE TESTING FOR THE FOLLOWING ACHIEVED RESULTS: 1. Increased rates of identification, initiation, and engagement in treatment 2. Increased adherence to and retention in treatment
More informationCHAPTER 24 ACCREDITATION OF PROVIDERS OF SERVICES TO PERSONS WITH MENTAL ILLNESS, MENTAL RETARDATION, AND DEVELOPMENTAL DISABILITIES PREAMBLE
Human Services[441] Ch 24, p.1 CHAPTER 24 ACCREDITATION OF PROVIDERS OF SERVICES TO PERSONS WITH MENTAL ILLNESS, MENTAL RETARDATION, AND DEVELOPMENTAL DISABILITIES PREAMBLE The mental health, mental retardation,
More informationDEVELOPING A MEDICAID SUPPORTIVE HOUSING SERVICES BENEFIT
DEVELOPING A MEDICAID SUPPORTIVE HOUSING SERVICES BENEFIT CONSIDERATIONS AND DECISION POINTS EXECUTIVE SUMMARY This tool is designed to assist States in the development of a Medicaid benefit to pay for
More informationWYOMING MEDICAID PROGRAM
WYOMING MEDICAID PROGRAM COMMUNITY MENTAL HEALTH & SUBSTANCE USE TREATMENT SERVICES MANUAL MENTAL HEALTH/SUBSTANCE USE REHABILITATION OPTION EPSDT CHILD & ADOLESCENT MENTAL HEALTH SERVICES TARGETED CASE
More informationMental Health and Substance Abuse Services Bulletin COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF PUBLIC WELFARE. Effective Date:
Mental Health and Substance Abuse Services Bulletin COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF PUBLIC WELFARE Date of Issue: July 30, 1993 Effective Date: April 1, 1993 Number: OMH-93-09 Subject By Resource
More informationTo Access Community Center Rehabilitative Behavioral Health Services (RBHS)
To Access Community Center Rehabilitative Behavioral Health Services (RBHS) I. Who Can Make Referrals Representatives from the following South Carolina State agencies may make referrals/authorize Rehabilitative
More information