Connecticut PASRR Linkages
|
|
- Sabina Morgan
- 8 years ago
- Views:
Transcription
1 Connecticut PASRR Linkages Highlights: Relationships and Communication Best Practices: Nursing Home Diversion & Transition Program (NHDTP) Mental Health Waiver/ W.I.S.E. Program Contact: Jennifer Glick, RN, MSW CT Dept of Mental Health & Addiction Services or
2 State Overview Medicaid Authority MH Authority Others PASRR and Electronic Vendor Key Offices MFP State Unit on Aging LTC- Ombudsman Older Adult Services PASRR And NHDTP MH Waiver (W.I.S.E.) Community Placements State DD Authority ADRCs State Dept. Public Health Elderly Protective Services Triple A s Nursing Homes Hospitals Independent Living Centers
3 Nursing Home Diversion & Transition Program Divert clients from NH admission Originate in hospitals or community settings PASRR Trigger: Does not meet NH LOC criteria Medicaid Authority, PASRR vendor, and referral source communicate directly with Program Manager and staff Transition NH clients back to community Originate in NHs PASRR Trigger: Approved for short term placement or no longer meets NH LOC Medicaid Authority, PASRR vendor, and NH communicate directly with Program Manager and staff Program staff see clients wherever they are located Program staff collaborate with clients and NH staff, and MFP on Discharge Planning to community setting 7/2008-7/2011: 264 diversions 7/2008-7/2011: 270 transitions
4 Nursing Home Diversion & Transition Program 7 Nurse Clinicians and 2 Case Managers assigned to geographic locations in state Clarify/validate Level of Care (LOC) needs and services Cross-trained with Mental Health Waiver program Monthly meetings with NH staff and Money Follows the Person (MFP) staff Piloting groups in NH settings: Chronic disease self management Double Trouble for co-occurring Mental Illness & Substance Abuse Community skills-building
5 Mental Health Waiver/ W.I.S.E. Program 1 of 2 MH waivers in U.S. Operational since April 2009 Assists clients to be diverted or discharged from NHs Person-Centered, Recovery and Psych Rehab Model Recovery Assistant: hybrid companion, homemaker, PCA, and respite Cost Neutrality
6 Secure Online Website for the Utah Mental Health PASRR Program Robert H. Snarr, MPA, LPC, NCC State Adult Programs Manager Utah Department of Human Services Division of Substance Abuse and Mental Health
7 Innovation and Efficiency To directly impact the quality of life for individuals who are pending admission or admitted to Nursing Facilities statewide Reduce State costs and improved time frames in completing all determinations Utah State PASRR Program Division of Substance and Mental Health
8 Experience Recommendation to Leadership in 2007 Two Year Process Automate all Level II Evaluations and Determinations Electronic Billing Process Vision-Have a clear idea of a strong system Educate everyone and provide cross training Recognize and appreciate the concerns, constraints and expertise of others Involve those with decision-making power Collaboration Utah State PASRR Program Division of Substance and Mental Health
9 Experience Keep expectations and timelines realistic Promote sustainability Develop a strategic financial plan How the system works in your local jurisdiction or State and what that means for your planning process Identify local expertise that can help with planning efforts The capabilities and limitations of the users network in your area Olmstead compliance Utah State PASRR Program Division of Substance and Mental Health
10 Cost Effectiveness Decreased staff time Reduced Work load System cost Maintenance cost Total Cost Savings Utah State PASRR Program Division of Substance and Mental Health
11 Key Features & Outcomes Improved Individual Care Improved communication Improved Time frames Better long-term relationships with stakeholders Decreased unnecessary institutional placements Utah State PASRR Program Division of Substance and Mental Health
12 Contact Information Robert H. Snarr, MPA, LPC, NCC State Adult Programs Manager Utah Department of Human Services Division of Substance Abuse & Mental Health 195 North 1950 West Salt Lake City, UT phone: fax: e:
13 Nevada PASRR Program and Promising Practices Dave Caloiaro, MSW, LISW PASRR Level II Program Manager Nevada Division of Mental Health and Developmental Services (MHDS)
14 PASRR II-B Resident and Specialized Services Coordination The Nevada Division of Mental Health and Developmental Services assigns a regional PASRR Coordinator to NF residents screened as PASRR II-B, to ensure the client receives the provision of Specialized Services they require. There are six statewide MHDS PASRR Coordinators in three locations of the state north, south and rural this represents one MH coordinator and one DS coordinator in each region.
15 PASRR II-B Resident and Specialized Services Coordination (cont) The MHDS Regional PASRR Coordinator: Performs quarterly onsite reviews of the PASRR II-B client at the nursing facility (out-of-state performs medical record reviews), to assure PASRR clients are receiving the provision of Specialized services they require. Whenever possible, serves as a member on the client s multidiscipline Treatment/Care Plan team. Assists acute care hospital discharge planners with finding alternatives to nursing facility placement, if requested.
16 Nevada PASRR II-B Specialized Services For Clients with Mental Illness (most common) Psychotropic Medications Psychiatrist Follow-up Services Transitioning Services, to assist in moving to a less restrictive environment Monitoring and Advocacy Psychotherapy
17 Nevada PASRR II-B Specialized Services For Clients with Developmental/Intellectual Disabilities (most common) Day Services School Referral and Services Transitioning Services, to assist in moving to a less restrictive environment Monitoring and Advocacy
18 MHDS Bi-Annual PASRR Program Compliance Reviews MHDS conducts a comprehensive PASRR Program Compliance Review on a bi-annual basis, in three parts: 1) a desk review of the PASRR QIO-like contractor/vendor, shared jointly by Medicaid and MHDS, of randomly selected PASRR case determinations (and accompanying medical records), 2) onsite review of PASRR II-B residents who require Specialized Services, in a number of statewide Nevada and out-of-state nursing facilities; and 3) a performance review of each of MHDS six regional PASRR coordinators.
19 MHDS Continuing Commitments with the Nevada PASRR Program Continuing the close working relationship and partnership with Nevada Medicaid, which deserves recognition and praise for the success of the Nevada PASRR Program. Maintaining the Nevada Statewide Nevada PASRR Committee, which meets quarterly, and includes members from Medicaid, the PASRR Vendor, and the MHDS six statewide regional PASRR Coordinators. When funding resources permit it, continuing to provide education and training to nursing facility staff with respect to Nevada PASRR requirements, including documentation requirements.
20 Contact Information: Dave Caloiaro, MSW, LISW, PASRR Program Manager Nevada Division of Mental Health and Developmental Services (775)
HOME & COMMUNITY BASED SERVICES AND THE MEDICAID WAIVERS IN CONNECTICUT
HOME & COMMUNITY BASED SERVICES AND THE MEDICAID WAIVERS IN CONNECTICUT Presented by: Christina Crain, Director of Programs, SWCAA In Partnership with The Aging & Disability Resource Center Collaborative
More informationEnhanced Discharge Planning Rights for Nursing Facility Residents under MDS 3.0 Section Q
California s Protection & Advocacy System Toll-Free (800) 776-5746 Enhanced Discharge Planning Rights for Nursing Facility Residents under MDS 3.0 Section Q I. Background and Legal Authority January 2011,
More informationOverview of CARES Training
Chapter Three CARES Page III.1. Overview of CARES Training Training Goal: The overall goal for this training is to increase a participant s knowledge of the CARES Program so: 1) they will be able to determine
More informationNursing Facility Safety Task Force Implementation Workgroup
Nursing Facility Safety Task Force Implementation Workgroup An outcome of the Nursing Facility Task Force on Safety was the assignment to explore elements that will enhance the Pre-Admission Screening/Resident
More informationStates Uses of Enhanced FMAP
States Uses of Enhanced FMAP Permissible Uses of Enhanced FMAP... 2 Summary of States Uses of Enhanced FMAP... 3 Arkansas... 6 Connecticut... 7 Georgia... 8 Illinois... 9 *Indiana... 10 Iowa... 11 Kentucky...
More informationProfessional Treatment Services in Facility-Based Crisis Program Children and Adolescents
Professional Treatment Services in Facility-Based Crisis Program Children and Adolescents Medicaid and North Carolina Health Choice (NCHC) Billable Service WORKING DRAFT Revision Date: September 11, 2014
More informationTRANSITIONAL RESIDENTIAL TREATMENT PROGRAM Session Law 2007-323 House Bill 1473, Section 10.49(i)
REPORT TO THE THE JOINT LEGISLATIVE OVERSIGHT COMMITTEE ON MENTAL HEALTH, DEVELOPMENTAL DISABILITIES AND SUBSTANCE ABUSE SERVICES TRANSITIONAL RESIDENTIAL TREATMENT PROGRAM Session Law 2007-323 House Bill
More informationLEVEL III.5 SA: SHORT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE)
LEVEL III.5 SA: SHT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE) Definition The following is based on the Adult Criteria of the Patient Placement Criteria for the Treatment of Substance-Related Disorders
More informationGovernor s Health Care Summit Recommendations WORKFORCE
Governor s Health Care Summit Recommendations August 21-22, 2007 RECOMMENDATIONS BARRIERS SOLUTIONS 1. Increase the number of graduate medical education training programs in Idaho to help increase the
More informationSTATE ALZHEIMER S DISEASE PLANS: CARE AND CASE MANAGEMENT
STATE ALZHEIMER S DISEASE PLANS: CARE AND CASE MANAGEMENT Recommendations to improve the individual health care that those with Alzheimer s disease receive Arkansas California Colorado Illinois Iowa Commission
More informationSubacute Inpatient MH - Adult
Subacute Inpatient MH - Adult Definition Subacute Inpatient hospital psychiatric services are medically necessary short-term psychiatric services provided to a client with a primary psychiatric diagnosis
More informationCT Behavioral Health Partnership
CT Behavioral Health Partnership October 8, 2014 Copyright 2014 ValueOptions Connecticut. All rights reserved. CT Behavioral Health Partnership Overview 2006 - Partnership Formed Partnership between Dept
More informationChallenges and Opportunities in Designing and Implementing an Integrated Medicaid Managed Long-Term Care Program. What is the. program?
Challenges and Opportunities in Designing and Implementing an Integrated Medicaid Managed Long-Term Care Program What is the program? The Long Term Care Community Choices Act of 2008 A law passed unanimously
More informationIntegrating Behavioral Health and Primary Health Care: Development, Maintenance, and Sustainability Cici Conti Schoenberger, LCSW, CAS Behavioral
Integrating Behavioral Health and Primary Health Care: Development, Maintenance, and Sustainability Cici Conti Schoenberger, LCSW, CAS Behavioral Health Provider Sunshine Community Health Center Why Integrate?
More informationHow To Get A Home Care Program In Connecticut
State Profile for CONNECTICUT Home- and Community-based for Older Adults and Adults with Physical Disabilities Background s 60+ population was 663,606 in 2008 (19.0% of the state s total population), with
More informationQuality Management Plan Fiscal Year 2014 Version: 1
Quality Management Plan Fiscal Year 2014 Version: 1 Mental Health and Substance Abuse Division Community MHSA, Contractor Services Section Quality Management and Compliance Unit Table of Contents Introduction
More informationPre-Admission Screening/Resident Review Frequently Asked Questions (FAQ)
Pre-Admission Screening/Resident Review Frequently Asked Questions (FAQ) Question: What is the difference between PASRR, PAS and PAA? PASRR refers to Pre-Admission Screening and Resident Review. This is
More informationMedicaid Rehabilitation
Medicaid Rehabilitation Option Quarter BH Webinar Training Carl Chrisman, Clinical Manager Magellan Health Services Magellan Training: Medicaid Rehabilitation Option MRO ACT Day Rehabilitation Community
More informationAging and Disability Resource Center (ADRC) Business Plan Name of Operating Entity
Aging and Disability Resource Center (ADRC) Business Plan Name of Operating Entity Your ADRC Name Address Line 1 Address Line 2 City, ST ZIP Code Telephone Fax E-Mail 1 Table of Contents I. General ADRC
More informationModule 5: Bill s Search for Lois
COMPANION GUIDE Module 5: Bill s Search for Lois Tips for facilitators: Watch the Module 5 DVD prior to the training so that you can anticipate questions and identify supplementary materials needed for
More information1915(i) State Plan Home and Community-Based Services (HCBS)
1915(i) State Plan Home and Community-Based Services (HCBS) Kathy Poisal Center for Medicaid, CHIP, and Survey & Certification (CMCS) Disabled and Elderly Health Programs Group Division of Long Term Services
More informationINTRO TO THE MICHIGAN PIONEER ACO 101: THE BASICS. Karen Unholz, RN, BSN
INTRO TO THE MICHIGAN PIONEER ACO 101: THE BASICS Karen Unholz, RN, BSN Origins of the Accountable Care Organization ACOs originated from the Patient Protection and Affordable Care Act (Healthcare Reform)
More informationAGING STRATEGIC ALIGNMENT PROJECT. State Profile for. Home- and Community-based Services for Older Adults and Adults with Physical Disabilities
State Profile for UTAH Home- and Community-based for Older Adults and Adults with Physical Background Utah s 60+ population was 344,758 in 2008 (12.6% of the state s total population), with 5.0% below
More informationAGING IN ALABAMA. Presented by: Julie Miller Program Division Chief Alabama Department of Senior Services
AGING IN ALABAMA Presented by: Julie Miller Program Division Chief Alabama Department of Senior Services Formerly known as the Alabama Commission on Aging; The Alabama Department of Senior Services State
More informationCOMMUNITY SUPPORT PROGRAM
COMMUNITY SUPPORT PROGRAM 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 informationMEDICAL ASSOCIATES HEALTH PLANS HEALTH CARE SERVICES POLICY AND PROCEDURE MANUAL POLICY NUMBER: PP 27
POLICY TITLE: RESIDENTIAL TREATMENT CRITERIA POLICY STATEMENT: Provide consistent criteria when determining coverage for Residential Mental Health and Substance Abuse Treatment. NOTE: This policy applies
More informationNew Jersey Balancing Incentive Program. Application for the State of New Jersey
New Jersey Balancing Incentive Program Application for the State of New Jersey New Jersey Department of Human Services December 2012 State of New Jersey Balancing Incentive Program Table of Contents Cover
More informationPresented to: Long Term Care Workgroup May 26, 2011
Presented to: Long Term Care Workgroup May 26, 2011 Partners in the Grant SC Department of Health and Human Services Sam Waldrep Roy Smith Project Coordinator Office of Research and Statistics Institute
More informationCommunity Support Team & Policy Overview. Division for Regional Center Operations
Community Support Team & Policy Overview Division for Regional Center Operations New Policies & Procedures Community Support Team Admissions to the Regional Centers Readiness Determination Transitioning
More informationLEVEL II.1 SA: INTENSIVE OUTPATIENT - Adult
LEVEL II.1 SA: INTENSIVE OUTPATIENT - Adult Definition The following is based on the Adult Criteria of the Patient Placement Criteria for the Treatment of Substance- Related Disorders of the American Society
More informationOptum By United Behavioral Health. 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines
Optum By United Behavioral Health 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines Statewide Inpatient Psychiatric Program Services (SIPP) Statewide Inpatient Psychiatric
More informationNursing Home to Community Program: A Discharge Planning Manual
Nursing Home to Community Program: A Discharge Planning Manual March 2006 Portions of this Manual may be cited on condition that proper credit is given to: Broome County Community Alternative Systems Agency
More informationExcerpt from Creating Opportunities Implementation Report (State of Virginia) March 2012
Excerpt from Creating Opportunities Implementation Report (State of Virginia) March 2012 Build DEVELOPMENTAL SERVICES AND SUPPORTS COMMUNITY CAPACITY that will enable individuals who need such services
More informationIdaho Health Home State Plan Amendment Matrix: Summary Overview. Overview of Approved Health Home SPAs
Idaho Health Home State Plan Amendment Matrix: Summary Overview This matrix outlines key program design features from health home State Plan Amendments (SPAs) approved by the Centers for Medicare & Medicaid
More informationOptum By United Behavioral Health. 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines
Optum By United Behavioral Health 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines Therapeutic group care services are community-based, psychiatric residential treatment
More informationMedicaid IMD Exclusion and Options for MHDS February 29, 2012
Medicaid IMD Exclusion and Options for MHDS February 29, 2012 This white paper is intended to provide policy guidance regarding the impact and options associated with the Medicaid Institution for Mental
More informationMaryland Alphabet Soup BIP, MFP, ADRCs, MAP and TBI. Stefani O Dea Maryland Mental Hygiene Administration/ TBI Lead Agency
Maryland Alphabet Soup BIP, MFP, ADRCs, MAP and TBI Stefani O Dea Maryland Mental Hygiene Administration/ TBI Lead Agency Maryland LTSS Landscape Like many other states, Maryland has decided to implement
More informationUnderstanding Behavioral Health Readmissions. Summary of the work of the Western Regional Behavioral Health Organization (WRBHO)
Finger Lakes Health Systems Agency Understanding Behavioral Health Readmissions Summary of the work of the Western Regional Behavioral Health Organization (WRBHO) Regional Commission on Community Health
More informationService Authorization Process: Nursing Facility Services Minnesota Senior Health Options (MSHO) & Minnesota Senior Care Plus (MSC+)
HealthPartners January 9, 2015 Service Process: Nursing Facility Services Minnesota Senior Health Options (MSHO) & Minnesota Senior Care Plus (MSC+) Check MN-ITS to determine Medicaid/Medical Assistance
More informationUtah Medicaid Hospice Care Provider Training
Utah Medicaid Hospice Care Provider Training Presented By: The Division of Medicaid and Health Financing Bureau of Authorization and Community Based Services October 2012 1 Hospice Training Topics Client
More informationAging and Disability Resource Centers: Five Year Plan for Expanding ADRCs Statewide
Aging and Disability Resource Centers: Five Year Plan for Expanding ADRCs Statewide Florida Department of Elder Affairs Charles T. Corley, Interim Secretary April 1, 2011 FLORIDA DEPARTMENT OF ELDER AFFAIRS
More informationTREATMENT MODALITIES. May, 2013
TREATMENT MODALITIES May, 2013 Treatment Modalities New York State Office of Alcoholism and Substance Abuse Services (NYS OASAS) regulates the addiction treatment modalities offered in New York State.
More informationThe Louisiana Behavioral Health Partnership
The Louisiana Behavioral Health Partnership Transforming the lives of our youth Supporting adults in need Keeping families together Kathy Kliebert Deputy Secretary What is the Louisiana Behavioral Health
More informationAGING STRATEGIC ALIGNMENT PROJECT VERMONT. State Profile for
State Profile for VERMONT Home- and Community-based Services for Older Adults and Adults with Physical Disabilities Background Vermont s 60+ population was 124,102 in 2008 (20.0% of the state s total population),
More informationMONTANA. Downloaded January 2011
MONTANA Downloaded January 2011 37.40.202 PREADMISSION SCREENING, GENERAL REQUIREMENTS (1) This rule provides the preadmission screening requirements of the Montana Medicaid program for applicants to nursing
More informationHealing the Homeless:
Healing the Homeless: A Community Collaboration Malynda Mallory Shelter Manager Columbus House, Inc. Michael Ferry Lead Social Worker Yale New-Haven Hospital Creating the Impetus for Change Ryan Greysen
More informationAssertive Community Treatment (ACT)
Assertive Community Treatment (ACT) Definition The Assertive Community Treatment (ACT) Team provides high intensity services, and is available to provide treatment, rehabilitation, and support activities
More informationWest Virginia Bureau for Behavioral Health and Health Facilities Covered Services 2012
Assessment/Diagnostic & Treatment Services CATEGORY A & CATEGORY B Assessment/Diagnostic & Treatment Services are covered by Medicaid/Other third party payor or Charity Care - Medicaid Covered Services:
More informationNEVADA Health Care Oversight & Coordination Plan
NEVADA Health Care Oversight & Coordination Plan 2015 2019 The Fostering Connections Act requires state IV-B plans to demonstrate the ongoing oversight and coordination of health care services for any
More informationNursing Home Transition Case Management Procedures for AAA/ARC Part I
Nursing Home Transition Case Management Procedures for AAA/ARC Part I 1) Referral from CARES to ARC a. Send referral packet with: i. DOEA-CARES Form 701B ii. AHCA Med-Serv Form 3008 iii. DOEA-CARES Form
More informationHealth Home Performance Enhancement through Novel Reuse of Syndromic Surveillance Data
Health Home Performance Enhancement through Novel Reuse of Syndromic Surveillance Data Category: Fast Track Solutions Contact: Tim Robyn Chief Information Officer Office of Administration Information Technology
More informationTelephone Recovery Support & the Recovery Model By Tom Broffman, PhD, Rick Fisher, LCSW, Bill Gilbert, LCSW & Phillip Valentine
Telephone Recovery Support & the Recovery Model By Tom Broffman, PhD, Rick Fisher, LCSW, Bill Gilbert, LCSW & Phillip Valentine The Recovery Model and the CT Dept. of Mental Health & Addiction Services
More informationSubstance Abuse Treatment Record Review Presentation
Substance Abuse Treatment Record Review Presentation January 15, 2015 Presented by Melissa Reagan, M.S.W., L.S.W., Quality Management Specialist & Rebecca Rager, M.S.W., Quality Management Specialist Please
More informationTHE CONNECTICUT HOMECARE PROGRAM FOR ELDERS (CHCPE) & THE NEW ONLINE REFERRAL PROCESS
THE CONNECTICUT HOMECARE PROGRAM FOR ELDERS (CHCPE) & THE NEW ONLINE REFERRAL PROCESS Presented by: SWCAA June 5, 2013 YOUR PRESENTERS: Mary Donnelly, Director of Care Management and the CT Homecare program
More informationTransitioning to The Health Home Model in PSH. Presented by Eric Morse, LISW-S, Chief Operating Officer
Transitioning to The Health Home Model in PSH Presented by Eric Morse, LISW-S, Chief Operating Officer Our Mission Reaching out to adults and children in Northeast Ohio to end homelessness, prevent suicide,
More informationProject Objective: Integration of mental health and substance abuse with primary care services to ensure coordination of care for both services.
Domain 3 Projects 3.a.i Integration of Primary Care and Behavioral Health Services Project Objective: Integration of mental health and substance abuse with primary care services to ensure coordination
More informationADDENDUM to. Commonwealth of Massachusetts Executive Office of Health and Human Services Office of Medicaid
ADDENDUM to Commonwealth of Massachusetts Executive Office of Health and Human Services Office of Medicaid Proposal to the Center for Medicare and Medicaid Innovation State Demonstration to Integrate Care
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 informationCharting the System for Persons with Autism Spectrum Disorder. Page 1
EI Early Intervention Families with eligible children receive an Individualized Family Service Plan (IFSP), which lists the s and supports that are needed for the child to achieve his/her outcomes. Services
More informationIOWA NURSING FACILITY PROVIDER TRAINING
IOWA NURSING FACILITY PROVIDER TRAINING Changes in Iowa PASRR Learning Objectives 2 By the end of the training, you will understand: Nursing Facility (NF) tracking system PathTracker Admissions, discharges,
More informationJob # BH-84 Re-opened 06/11/15 Psychiatric Mental Health Nurse Practitioner Adult Behavioral Health Program Recruitment is open until filled Revised
Yamhill County HUMAN RESOURCES / COUNTY EMPLOYMENT Location: 434 NE Evans Street Mailing Address: 535 NE 5 th Street McMinnville, Oregon 97128 (503) 434 7553 Fax EMPLOYMENT OPPORTUNITY Job # BH-84 Re-opened
More informationNevada Aging and Disability Services Division (ADSD) Client Survey
Nevada Aging and Disability Services Division (ADSD) Client Survey The following questions are designed to gain information needed for the ADSD integration plan and will also be used by the Commission
More informationOverview of Managed Long Term Services and Supports
Overview of Managed Long Term Services and Supports 1 Presentation Topics 2 Background of Managed Long Term Services implementation in New Jersey Member Eligibility for MLTSS Overview Program for All-Inclusive
More informationCCNC Care Management
CCNC Care Management Community Care of North Carolina (CCNC) is a statewide population management and care coordination infrastructure founded on the primary care medical home model. CCNC incorporates
More informationBehavioral Health Policy in Illinois: Major Policy Initiatives in 2013 and Beyond
: Major Policy Initiatives in 2013 and Beyond P R E S E N T A T I O N T O T H E M E D I C A I D A D V I S O R Y C O M M I T T E E N O V E M B E R 7, 2 0 1 3 L O R R I E R I C K M A N J O N E S, P H. D.
More informationMDS 3.0 Section Q Implementation Questions and Answers (Q & As from December 22, 2010 and September 22, 2010)
MDS 3.0 Section Q Implementation Questions and Answers (Q & As from December 22, 2010 and September 22, 2010) ASKING THE SECTION Q QUESTIONS 1. If the resident can appropriately answer questions, are they
More informationFlorida Medicaid. Mental Health Targeted Case Management Handbook. Agency for Health Care Administration
Florida Medicaid Mental Health Targeted Case Management Handbook Agency for Health Care Administration JEB BUSH, GOVERNOR ALAN LEVINE, SECRETARY June 7, 2006 Dear Medicaid Provider: Enclosed please find
More informationORIENTATION MANUAL Information & Assistance and Options Counseling
Aging & Disability Resource Centers of Wisconsin ORIENTATION MANUAL Information & Assistance and Options Counseling ADRC Orientation Manual Contents I. Introduction...3 II. Mission...4 III. ADRC Philosophy
More informationTexas Resilience and Recovery
Texas Resilience and Recovery Utilization Management Guidelines Child & Adolescent Services Texas Resilience and Recovery Utilization Management Guidelines: Child and Adolescent Services Effective September
More informationTargeted Case Management Services
Targeted Case Management Services 2013 Acronyms and Abbreviations AHCA Agency for Health Care Administration MMA Magellan Medicaid Administration CBC Community Based Care CBH Community Behavioral Health
More informationCOVER to COVER Connecting Older Veterans (Especially Rural) to Community Or Veteran Eligible Resources
COVER to COVER Connecting Older Veterans (Especially Rural) to Community Or Veteran Eligible Resources Have you served in the military? Do you have a family member who has served in the military? 2012
More informationThe W.I.S.E. Program. Connecticut s 1915(c) Waiver for Individuals with Mental Illness. Dan Gerwien Advanced Behavioral Health, Inc
The W.I.S.E. Program Connecticut s 1915(c) Waiver for Individuals with Mental Illness Dan Gerwien Advanced Behavioral Health, Inc Kevin Kunak Wendy Ulaszek University of Connecticut and CT Dept. of Mental
More informationQueensland Health Policy
Queensland Health Policy Service delivery for people with dual diagnosis (co-occurring mental health and alcohol and other drug problems) September 2008 Policy statement Individuals experiencing dual diagnosis
More informationOBRA PASRR. The Preadmission Screening and Resident Review Program was mandated under the 1987 Nursing Home Reform Act.
Alabama Department of Mental Health Alabama Medicaid Certified Nursing Homes Preadmission Screening & Resident Review (PASRR) for Mental Illness Intellectual Disability & Related Condition Angela Howard
More informationSTATE AGENCY WAIVER PROGRAMS: COMMUNITY LONG TERM CARE. Jocelin Dawson, SCDHHS Lori Manos, SCDDSN Susan Bolt, SCDHHS
STATE AGENCY WAIVER PROGRAMS: COMMUNITY LONG TERM CARE Jocelin Dawson, SCDHHS Lori Manos, SCDDSN Susan Bolt, SCDHHS Presentation is current as of November 26, 2013 UPDATES ON MEDICAID LONG TERM CARE PROGRAMS
More informationMI HEALTH LINK ACRONYMS AND KEY TERMS
MI HEALTH LINK ACRONYMS AND KEY TERMS MI Health Link - New program that will integrate Medicare and Medicaid benefits, rules and payments into one coordinated delivery system DOCUMENT FORMAT Acronym/Key
More informationImpact of Financial Crisis on Mental Health- June 2013. Carol Moore info@dualdiagnosis.ie
Impact of Financial Crisis on Mental Health- An Irish Dual Diagnosis perspective June 2013 Carol Moore info@dualdiagnosis.ie What is Dual Diagnosis? A person who has both an alcohol or drug problem and
More informationMolina Healthcare of Ohio Nursing Facility Orientation Molina Dual Options MyCare Ohio 2014
Molina Healthcare of Ohio Nursing Facility Orientation Molina Dual Options MyCare Ohio 2014 1 Eligibility Headline Goes Here Long Term Care (LTC) is the provision of medical, social, and personal care
More informationMental Health and Substance Abuse Services in Medicaid and SCHIP in Colorado
Mental Health and Substance Abuse Services in Medicaid and SCHIP in Colorado As of July 2003, 377,123 people were covered under Colorado s Medicaid and SCHIP programs. There were 330,499 enrolled in the
More informationHealth Home Program (Section 2703) Iowa Medicaid Enterprise. Marni Bussell Project Manager December 13, 2013
Health Home Program (Section 2703) Iowa Medicaid Enterprise Marni Bussell Project Manager December 13, 2013 1 Two Health Home Programs: Same Triple Aim Goals Chronic Condition Health Home: Primary Care
More informationMARKETING PLAN IDAHO HOME CHOICE MFP
MARKETING PLAN IDAHO HOME CHOICE MFP 1 TABLE OF CONTENTS INTRODUCTION OF PRODUCTS & SERVICES 3 MISSION STATEMENT 4 PRODUCT/SERVICE 4 SITUATIONAL ANALYSIS 5 MARKET NEEDS 6 TARGET STRATEGY 6 PROBLEMS AND
More informationWisconsin Money Follows the Person Sustainability Plan April 2015
1. Executive Summary Wisconsin Money Follows the Person Sustainability Plan April 2015 For more than 30 years, Wisconsin has supported and promoted home and community-based services through a variety of
More informationDischarge Planning. Barry K. Bennett, LCSW Adjunct Assistant Professor Department of Surgery
Discharge Planning Barry K. Bennett, LCSW Adjunct Assistant Professor Department of Surgery WHO ARE SOCIAL WORKERS? Licensed professionals who help individuals, families, and communities understand the
More informationPartial Hospitalization - MH - Adult (Managed Medicaid only Service)
Partial Hospitalization - MH - Adult (Managed Medicaid only Service) Definition Partial hospitalization is a nonresidential treatment program that is hospital-based. The program provides diagnostic and
More informationPLANNING FOR TRANSITION:
PLANNING FOR TRANSITION: Habilitation Supports Waiver vs. MI Choice Waiver Elizabeth Gallagher, Manager, Home & Community Based Services Section, MDCH Belinda Hawks, Federal Compliance Manager, Division
More informationPROGRAMS THAT ADDRESS BEHAVIORAL HEALTH & MEDICAL INTEGRATION
ValueOptions PROGRAMS THAT ADDRESS BEHAVIORAL HEALTH & MEDICAL INTEGRATION October 2014 Copyright 2014. All rights reserved. ValueOptions currently offers integrated care programs in several states. The
More informationRedesigning the Publicly-Funded Mental Health System in Texas
Redesigning the Publicly-Funded Mental Health System in Texas Access to care when services are needed Choice in health plans for consumers and providers Integration of care at the plan and provider level
More informationPsychiatric Day Rehabilitation MH - Adult
Psychiatric Day Rehabilitation MH - Adult Definition Day Rehabilitation services are designed to provide individualized treatment and recovery, inclusive of psychiatric rehabilitation and support for clients
More informationA Partnership to Establish Tobacco free Mental Health and Substance Abuse Treatment Centers
A Partnership to Establish Tobacco free Mental Health and Substance Abuse Treatment Centers in Utah Claudia Bohner, MPH Tobacco Prevention and Control Program (TPCP) Utah Department of Health Background:
More informationA collaborative model for service delivery in the Emergency Department
A collaborative model for service delivery in the Emergency Department Regional Geriatric Program of Toronto, December 2009 Background Seniors over the age of 75 years now have the highest Emergency Department
More informationDescription of Transition Coordinator Role and Transition Process for Moving Home Minnesota
Bulletin February #14-69-02 28, 2014 Minnesota Department of Human Services -- P.O. Box 64941 -- St. Paul, MN 55164-0941 OF INTEREST TO Social Services Directors, Supervisors and Staff County Public Health
More informationOptumHealth NYC BHO Provider Training
OptumHealth NYC BHO Provider Training Agenda Introductions Overview of Optum Review of Contract between Optum and the Offices Admission & Discharge Review Provider Tools Tool Review Forms & Submission
More informationA Plan to Include Detoxification Services as a Covered Medical Assistance Benefit
A Plan to Include Detoxification Services as a Covered Medical Assistance Benefit Alcohol and Drug Abuse Division Minnesota Department of Human Services December 2014 For more information contact: Minnesota
More informationAligning Key OHT Budget Initiatives with Ongoing Workforce Development Projects
Aligning Key OHT Budget Initiatives with Ongoing Workforce Development Projects Introduction There are four (4) interrelated OHT budget initiatives that have significant implications for changing workforce
More informationADRC READINESS CHECKLIST
ADRC READINESS CHECKLIST This checklist is intended to help in planning for the development of and evaluating readiness to begin operations as an Aging and Disability Resource Center (ADRC). The readiness
More informationASSERTIVE COMMUNITY TREATMENT TEAMS CERTIFICATION
ARTICLE 5.2. ASSERTIVE COMMUNITY TREATMENT TEAMS CERTIFICATION Rule 1. Definitions 440 IAC 5.2-1-1 Applicability Sec. 1. The definitions in this rule apply throughout this article. (Division of Mental
More informationCommunity Living Exchange Collaborative: A National Technical Assistance Program. Funded by Centers for Medicare and Medicaid Services (CMS)
Community Living Exchange Collaborative: A National Technical Assistance Program Funded by Centers for Medicare and Medicaid Services (CMS) Susan Reinhard, RN, PhD Robert Mollica, EdD Policy Brief Money
More informationMental Health Issues in Nursing Homes. The Illinois Experience
Mental Health Issues in Nursing Homes The Illinois Experience People Are Complex People with psychiatric issues also have medical issues People with medical issues also have mental health issues Not everyone
More informationNURSING FACILITY LEVEL OF CARE (NF LOC) CHANGE. Question and Answer
NURSING FACILITY LEVEL OF CARE (NF LOC) CHANGE Question and Answer Q. What is the Nursing Facility Level of Care (NF LOC) change? A. The NF LOC change is a change in the statutory criteria used to establish
More informationMaine s Experience. Transforming LTSS Programs to Become Dementia Capable. Presented by: Romaine Turyn Office of Elder Services
Maine s Experience Transforming LTSS Programs to Become Dementia Capable Presented by: Romaine Turyn Office of Elder Services Background Maine has received an ADSSP grant since 1994 Started with little
More information