1 Service Coordination Core Training Module Component 1 It is important to remember that the purpose of this training program is to provide general information about case management services for eligible Medicaid recipients. This information is not meant to replace the specific policies and guidelines of your employing agency. You will receive more detailed training from your employing agency. Definition of Case Management/Service Coordination: Case management is a system under which responsibility for locating, coordinating, and monitoring a group of services rests with a designated person or organization. A case manager is responsible for intake and referral, assessment, care plan development, outreach, and implementing and tracking services to an individual. 1 A quality case management system eliminates fragmentation and duplication of consumer services, assures the continuity of necessary services, monitors all aspects of consumer care, observes changes in condition or unmet needs, assures the most appropriate and cost-effective consumer care, facilitates a close and positive relationship with the consumer and affords the consumer the security of knowing a person who is knowledgeable of their needs and will assist them as needed. 2 Many agencies and organizations across Alabama provide case management services to assist individuals in gaining access to needed medical, dental, legal, social, education, and other services. Case Management also includes assessing and monitoring the outcome of services, which were arranged by the case manager. Agencies may use other terms to describe Case Management services, such as, but not limited to: Care Coordination, Service Coordination, Care Management, etc. The case manager may provide these services in a face-to-face contact or by telephone contact with the recipient, depending on your agency. Case management services may also be provided with collateral on behalf of the service recipient. A collateral could include the recipient s immediate family and/or guardians, federal, state, or local service agencies (or agency representatives), and local businesses or others who work with the case manager to assist the recipient.
2 1 Alabama Administrative Code Ch 36, HCBS for the E&D, Rule No 560-x Covered Services 2 Alabama Medicaid Agency HCBS E & D Waiver Policy & Procedures Manual
3 Through the Medicaid State Plan, the Alabama Medicaid Agency provides reimbursement of targeted case management services for contract providers who have met the licensure and certification requirements of the State of Alabama, the Code of Federal Regulations, the Alabama Medicaid Administrative Code, and the Alabama Medicaid Provider Manual. Case management services are targeted to serve Medicaid eligible recipients in one of eight target groups depending on the agency which has been authorized to provide services to that specific target group. Specific qualifications are defined in the documents listed above that an agency must meet in order to be approved for a Medicaid contract to proved case management services to a specific target group. After an agency has an approved contract, case management services may be targeted to the group of individuals the agency serves. There are eight target groups: Adults with mental illness Adults with mental retardation Children with a handicap Children with foster parents Women who are pregnant Individuals with AIDS/HIV-Positive Individuals who receive adult protective services Individuals who are medically at risk In addition to targeted case management services, several of Alabama s Home and Community Based Services (HCBS) waiver programs offer case management as a service to waiver participants. HCBS waiver programs afford individuals who are in danger of nursing home placement the opportunity to remain in the community. As a waiver participant, recipients receive Medicaid State Plan benefits plus additional Medicaid waiver services. The menu of waiver services varies from one waiver program to another and is selected based on the common needs of the population the waiver is designed to serve. Case managers in these programs work with recipients to develop, implement and monitor an individualized Plan of Care that identifies how the services and supports a person needs will be delivered. The Plan of Care may include waiver services which are authorized by the case manager as well as non-waiver services provided by formal or informal caregivers. Case management services may be provided to a recipient who resides in their own home or in a household of another. Some targeted case management services may be provided in a supervised residential setting. Individuals who are in a hospital, skilled nursing facility, intermediate care facility, prison, jail, or other total care environment, are not eligible for Medicaid reimbursement of any case management services provided during the time they are in the total care environment. Some employing agencies may provide case management services to consumers in these locations that are not reimbursable by Medicaid.
4 Roles of the Case Manager: Effective case management is based on a mutual understanding that both the case manager and the individual/consumer are working collaboratively toward achieving the basic goal of protection and/or providing needed services to those seeking assistance. Clarity about the roles and responsibilities of a case manager is essential to assist individuals in gaining access to needed services. These roles of a case manager include: Coordinator Advocator Enabler Facilitator Negotiator Developer Assessor Evaluator TASKS: Since the 1970 s case management has become pervasive in the human services. Many areas have developed case management services such as mental health, developmental disabilities, child welfare, long-term care and services for elderly people, persons with a disability and children with special health care needs. These case managers tasks reflect the complex, comprehensive needs of the clients they serve. The following are the six core tasks involved in Case Management: Needs assessment A needs assessment is a written comprehensive assessment of the person s assets, deficits and needs. Fact gathering of the social, cultural, medical, educational and environment are a part of this process. Assessment is a simultaneous, ongoing process and depends on the interaction of the person, family and case manager as the needs and wants are identified. During the intake process an individual may be required to complete an application for case management services. A relative or other responsible person may sign applications when the recipient is a minor or is incapacitated. The agency should also record any Third Party Health Insurance information as reported by the recipient; and, a Social Security number must be obtained when available in order to verify Medicaid eligibility. Identifying Information
5 This would include basic demographic information about the person served such as name, date of birth, social security number, address, etc. If the client is unable to provide this information, the information may be secured from a family member or guardian. Socialization and Recreational needs This would include, but is not limited to, daily activities, social and community activities, visits with family and friends, support groups, supportive employment, faith- based or social club activities and other areas to promote communication such as telephone conversations, and other internet communications. Training needs for community living This would include, but is not limited to, daily activities, personal hygiene, housecleaning, money management, shopping, socially appropriate communication and behavior, use of community services, and use of public transportation. Functional assessment of the person in relationship to independence and need for support is helpful in order to accomplish any of the above areas. Vocational needs This would include support of the educational needs of the person. Specifically, vocational training is assisting the person in the public or private classroom and or home teaching in an effort to use the resources available to support their educational goals. To encourage and/or support the opportunities of job readiness, job training and job placement. Vocational assessment is an option if the person has not demonstrated job skills or if there is a need for consideration of their mental, cognitive or physical disability. Consider the level of stress of the person and also be positive and supportive of their efforts. Physical needs This includes, but is not limited to, housing, food, clothing, bathing, transportation, person/household income and a safe environment. Consider the house structure and plans for safety for the person and special adaptations for the person with a physical disability. Medical care concerns This includes, but is not limited to, need for primary care, specialty care, dental evaluation and treatment, psychiatric and mental health counseling, and various therapies that support the health of the person. Consideration is given to the compliance of prescribed therapies, medications, medical interventions, and nutritional support. It is important to consider access to medical equipment, prosthetics, wheelchairs and special seating, specialized bed and other needed medical equipment.
6 Social/emotional status This includes, but is not limited to, need for substance abuse or addiction services, unsafe/irresponsible sexual behavior, socially unacceptable behavior/violent, parenting skills, marital problems/family stability, and mental illness. Consider the stress of the person and also the caregiver. Respite services may be needed to support the health of the family and their relationship with other family members including siblings. Housing, physical environment This includes, but is not limited to, safe environment, appropriate facilities for health, and adaptations for mobility for the person within the structure and exit. Considerations are given to prior evictions, prior homelessness, multiple relocations for the person and family, and where the person is located in this physical environment/freedom to move within the home. Resource analysis and planning This includes, but is not limited to, local, state and federal resources for the person and family you are serving. It is important to know the local community, availability, access and eligibility requirements of programs and resources that might benefit the person you are providing case management services. As a case manager it is critical to build relationships with resource providers in order to more effectively advocate for services, and support the development of other needed services. Many communities have a local community resource directory. This can be utilized and updated as additional resources and services are developed. A case manager uses many skills to develop a trusting working relationship with the recipient to ensure the desired outcomes. The process begins with intake/referral and continues throughout the agency s relationship with the person. Needs assessment is an evolving and fluid process that requires the case manager to engage the recipient in a working relationship that is a reasonable collaborative process based on current circumstances. The case manger should look for strengths, needs and resources that the individual has that are going well. These self-help strengths may be used to engage and provide direction to the recipient in the working relationship with the case manager. The overall goals of case management are gaining access to community support services and coordinating access to these services. Assessments can be done in a variety of settings, using different types of information-gathering forms and utilizing this information to a particular population. It is important to use your agency s forms that the Alabama Medicaid Agency has approved.
7 Guidelines for Assessments: 1) Initial contact - This process must begin within the time frames set by your employing agency that will be in accordance with required Medicaid guidelines. 2) Re-assessment - This process must be dynamic and on going. The person s progress is reassessed through interviews, observations and follow - up contacts at intervals set by your employing agency that will be in accordance with required Medicaid guidelines. CASE PLANNING Case planning or care planning is the development of a systematic, client-coordinated Plan of Care, which lists the actions required to meet the identified needs. The plan is developed through a collaborative and dynamic process involving the recipient, their family or other support system, and the case manager. The plan is developed from the assessment and is considered an on-going process as the needs of the person change. It must be completed in conjunction with the needs assessment within time frames set by your employing agency that will be in accordance with required Medicaid guidelines. Case planning builds a partnership with the recipient to develop a workable plan that builds on identified strengths, needs and risk factors identified during the assessment. What does the recipient value? Identify the values and build on them. Does the recipient need in-home support and/or protection, what concrete services such as food, shelter, medical services, etc. are needed, and does the recipient need legal, protective, or emotional support or respite care? What is the severity of the situation? Options and strategies should be discussed that will assist the individual in meeting their needs. A consensus should be reached to determine the goals and necessary steps for reaching the goals. Case planning also includes the selection of service providers to meet the identified needs/goals and who will be responsible for
8 Models of Case Planning each step needed to reach the goal. A time frame should be established to meet and/or re-assess the goals. There are many different theories and ways to do case planning, each one with its advantages and disadvantages. Three different approaches to case planning will be discussed here in an effort to demonstrate the different types of case planning. These approaches include: 1) Person-Centered Planning, 2) Family Centered Care Planning and 3) Consumer-Directed Care. Again, these concepts are not the only way to do case planning with an individual. Further, it is important to learn and follow the approach that your employing agency uses to meet the goals of case planning. Person-Centered Planning: An important part of person-centered planning is using the term consumer when referring to the client. Case plans must be developed with the consumer. Person-centered planning is a process of organizing the provision of services to focus on assisting consumers to choose and attain roles in the community that reflect her/his self-determined aspirations. It is intended to ensure maximum consumer participation and ownership of her/his plan. This would also include the participation of identified others such as family, partners or friends. It is very important that the consumer be involved in the creation and implementation of their service plan in order to ensure that goals are successfully attained. Key characteristics of person-centered planning include: 1) Person Orientation: A focus on the consumer primarily as a person with strengths, not as a case exhibiting symptoms of disease. 2) Environmental Specificity: A focus on the real world context of where a person currently or prefers to live, learn, work or socialize. 3) Functioning: A focus on performance of everyday activities associated with valued roles and tasks. 4) Involvement: A focus on consumers (client) participating in all aspects of their plan. 5) Individualization: A focus on the unique characteristics of each person, tailoring all aspects of their plan, including their needs and wants. 6) Self-determination: A focus on individuals making choices and decisions for themselves. 7) Outcome-orientation: A focus on evaluating a person s success in terms of the achievement of specific outcomes. 8) Support: A focus on providing assistance for as long as it is needed and wanted. 9) Growth Potential: A focus on the inherent capacity of any person to grow, to improve her or his abilities. 3 3 Person-Centered Discharge Planning Manual for Alabama DMH/MR, BCPR Consulting, 2000.
9 Family-Centered Care planning: Families are vital to the overall success of case management activities. The core goals are improving and sustaining quality of life for the family and child/youth. The following are key elements of family-centered care. 1) Incorporating into policy and practice the recognition that the family is the constant in the child s life which the service systems and support personnel within those systems fluctuate. 2) Facilitating family-professional collaboration at all levels of hospital, home, and community care: care of an individual child; program development, implementation, evaluation, and evolution; and, policy formation. 3) Exchanging complete and unbiased information between families and professionals in a supportive manner at all times. 4) Incorporating into policy and practice the recognition and honoring of cultural diversity, strengths, and individuality within and across all families, including ethnic, racial, spiritual, economic, educational and geographic diversity. 5) Recognizing and respecting different methods of coping and implementing comprehensive policies and programs that provide developmental, educational, emotional, environmental, and financial supports to meet the diverse needs of families. 6) Encouraging and facilitating family-to-family support and networking. 7) Ensuring that hospital, home, and community service and support systems for children needing specialized health and developmental care and their families are flexible, accessible, and comprehensive in responding to diverse family-identified needs. 8) Appreciating families as families and children as children, recognizing that they possess a wide range of strengths, concerns, emotions, and aspirations beyond their need for specialized health and developmental services and support. Consumer-Directed Care: The National Institute on Consumer-Directed Care defines consumer direction as a philosophy and orientation to the delivery of home and community-based services whereby informed consumers make choices about the services they receive. Consumer direction ranges from the individual independently making all decisions and managing services directly, to an individual using a representative to manage needed services. Choices and control are both key elements of any consumer-directed system. Some consumer-directed care programs permit consumers with disabilities to perform tasks such as choosing, scheduling or training caregivers while others provide
10 cash allowances that enable people to purchase or manage their own supportive services. 4 Service Arrangement Through linkage and advocacy, the case manager coordinates contacts between the recipient and the appropriate person or agency. The case manager will assist the recipient in locating needed services and then calls or visits those persons or agencies on the recipient s behalf to assure the receipt of services identified in the case plan. Contacts may be through visits; phone conversations or other contacts with the consumer and/or agency programs on the recipient s behalf. Arranging of services could include conferring with an attorney on behalf of a recipient or arranging for a visit for the recipient with an attorney. It is the arrangement of the service, not the actual service itself that is considered a part of case management. For example, transporting a recipient is never allowed as a targeted case management service for Medicaid reimbursement, however, arranging for transportation is considered a case management service. If a recipient needs counseling, the case management service is to arrange for the counseling, not to provide the counseling. Social Support Through interviews with the recipient and significant others, the case manager determines whether the recipient possesses an adequate personal support system. If this personal support system is inadequate or nonexistent, the case manager will assist the recipient in expanding or establishing a support network through linking the recipient with appropriate persons, support groups, or agencies. Reassessment and follow-up Through interviews and observations, the case manager evaluates the recipient s progress toward accomplishing the goals listed in the case plan at intervals set by your employing agency that will be in accordance with required Medicaid guidelines. In addition, the case manager contacts persons or agencies providing services to the recipient and reviews the results of these contacts, together with the changes in the recipient s needs shown in the reassessments, and then revises the case plan if necessary. The case manager is responsible for assessment of the recipient and service providers to determine if the services received are adequate in meeting the identified needs. Revisions to the Case Plan occur as needed when: (1) new risks are identified; (2) there are changes in the family structure, living conditions, or other 4 AARP Public Policy Institute, 1999.
11 events; (3) the plan needs to be updated based on progress or the steps of the current plan are complete; (4) the individual is not making progress, steps are not being completed and the plan needs to be revisited; (5) the service delivery is not effectively meeting the established goals of the individual; or (6) the individual is in crisis and the Case Plan must be reassessed to resolve the crisis. Monitoring The case manager determines what services have been delivered and whether they adequately meet the needs of the recipient. The Plan of Care may require adjustments as a result of monitoring progress toward established goals. The case manager continually evaluates the Case Plan and the effectiveness of services being provided. Observations and reports regarding the progress, or lack thereof, must be documented. Case Transitioning/Case Closure/Case Termination- Although there are a variety of reasons why a consumer s case may be closed with an agency, typically a consumer has met the goals of the case plan or has reached an age when they can no longer be served by a specific agency. Successful termination involves preparing the consumer for the separation from the services and case manager, and making sure that the consumer able to transition into being on their own or into new services. Important tasks associated with case termination include 1) determining when to implement termination, 2) mutually resolving emotional reactions experienced during the process of separation, 3) evaluating the service provided and the extent to which case plan goals were accomplished, 4) planning to for the consumer to maintain gains achieved and to achieve continued growth. A case manager should always consider case termination with a consumer and prepare for termination no matter no long they will be working with a consumer. 4 Documentation Requirements: Documentation in accordance with provision of case management services through The Alabama Medicaid Agency is considered a legal document. Therefore, the core elements of prescribed case management services are reflected in individual documentation. Within these individual documented reports of service, the following is necessary: Name of recipient; Date(s) of service; Name of provider agency and person providing services; 4 Hepworth, D. & Larsen, J. (1993) Direct Social Work Practice: Theory and Skills, 4 th Edition. Brooks/Cole Publishing, Pacific Grove, CA.
12 Description of service, including the nature, extent, and units of service provided; Place of service; Time in five minute increments; and Signature of Case Manager. In writing the description of service, the following items are recommended: 1) What services were provided, 2) When these services were provided, 3) Where they were provided, 4) By whom they were provided, 5) Why they were provided 6) How they were provided, and 7) Plan for continuation. It is important to have documentation clear, concise and connected. The documentation serves as a means of communicating with others the reason for your services, service provided, goals, and follow-up plans. Buzz words that describe a case management service includes, but is not limited to: assessed; advocated; arranged; coordinated; enabled; evaluated; facilitated; linked; monitored; negotiated; planned; and referred. Documentation for targeted case management services that are reimbursed by the Medicaid Agency must be retained for three years plus the current year to substantiate that services billed to Medicaid were actually delivered to the Medicaid recipient. However, if audit, litigation, or other legal action by or on behalf of the state or federal government has begun, but is not completed at the end of the time frame defined by Medicaid and the employing agency requirements, the provider must retain the records until resolution.
HIGHLIGHTS OF THE Bureau of Medicaid Services Developed by: Gail Underwood & Yolanda Sacipa February 2013 1 How Do I Ask Questions During this Webinar? Questions that arise during the training may be emailed
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
DEFINITION Psychiatric or Psychosocial Rehabilitation Services provide skill building, peer support, and other supports and services to help adults with serious and persistent mental illness reduce symptoms,
CHAPTER 37H. YOUTH CASE MANAGEMENT SERVICES SUBCHAPTER 1. GENERAL PROVISIONS Expires December 2, 2013 10:37H-1.1 Purpose and scope The rules in this chapter govern the provision of case management services
Page 15a.2 (iii) Community Support - (adults) (CS) North Carolina is revising the State Plan to facilitate phase out of the Community Support - Adults service, which will end effective July 1, 2010. Beginning
J. PATRICK HACKNEY ALABAMA DISABILITIES ADVOCACY PROGRAM WHAT IS MEDICAID? Medicaid is a joint state/federal program that provides medical assistance for certain individuals and families with low income
HOW A GERIATRIC CARE MANAGER CAN HELP As a widow living alone, my health problems began interfering with my ability to handle many personal care needs. Without the help of a geriatric care manager I wouldn
Elderly or Disabled with Consumer Direction (EDCD) Elderly or Disabled with Consumer Direction (EDCD) Waiver became effective February 1, 2005. It is the combination of two waivers, the Elderly and Disabled
State of Rhode Island Department of Children, Youth and Families Mental Health Emergency Service Interventions for Children, Youth and Families Regulations for Certification May 16, 2012 I. GENERAL PROVISIONS
1309.1 GENERAL REQUIREMENTS A. The TCA case manager may refer any assistance unit member for social services, which include, but are not limited to: 1. Adult Services 2. Child Protective Services 3. Family
S OF CARE Oakland Transitional Grant Area Care and Treatment Services O C T O B E R 2 0 0 7 Office of AIDS Administration 1000 Broadway, Suite 310 Oakland, CA 94607 Tel: (510) 268-7630 Fax: (510) 768-7631
DEPARTMENT OF SERVICES FOR CHILDREN, YOUTH AND THEIR FAMILIES DIVISION OF CHILD MENTAL HEALTH SERVICES PROGRAM DESCRIPTIONS OVERVIEW The Division of Child Mental Health Services provides both mental health
Assertive Community Treatment/Case Services/ Health Home Care 2012-13 NYC 2013 Upstate/Downstate Please be advised that, due to delays with the conversion of Adult Targeted Case (TCM) to Health Home Care
PURPOSE Memphis TGA Ryan White Part A & MAI Substance Abuse-Outpatient The purpose of the Ryan White Part A and MAI Substance Abuse- Outpatient is to ensure that uniformity of service exists in the Memphis
Minnesota Co-occurring Mental Health & Substance Disorders Competencies: This document was developed by the Minnesota Department of Human Services over the course of a series of public input meetings held
Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 21 MENTAL HYGIENE REGULATIONS Chapter 26 Community Mental Health Programs Residential Crisis Services Authority: Health-General Article, 10-901
Youthville is one of the largest, nonprofit child welfare agencies in Kansas, specializing in foster care, adoption, counseling, and psychiatric residential facility treatment (PRTF). The agency has more
Developing a path to employment for New Yorkers with disabilities Community and Social Services Mental Health and Substance Abuse Social Workers... 1 Health Educators... 4 Substance Abuse and Behavioral
6.1 Introduction to Case Management The Long-Term Care Act, 1994 (LTCA) assigns specific duties to agencies approved to provide community services. In regulation 33/02 under the Community Care Access Corporations
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
RULE 354.1448 Purpose (a) This chapter governs provisions related to the Community First Choice (CFC) benefit. (b) CFC establishes a new state plan option to provide certain home and community based supports.
FACTS ABOUT FOSTER PARENTING AND ADOPTION The Georgia Department of Human Services Division of Family and Children Services (DFCS) is responsible for assuring that children who cannot remain with their
Complete Program Listing Mental Health (MH) Services Division Adult Mental Health Outpatient Clinics - Provide outpatient mental health services to individuals 18 years and older who live with severe and
Health Home Standards and Requirements for Health Homes, Care Management Providers and Managed Care Organizations (DRAFT AS OF 6/12/2015) Introduction: The purpose of this guidance document is to explain
Healthy Start Standards & Guidelines 2007 Chapter 13: Transition and Interagency Agreements Introduction Transition is movement or change from one environment to another. Transition activities are a critical
Research Summary www.norc.org email@example.com October 24, 2014 ACA SECTION 2401, COMMUNITY FIRST CHOICE OPTION (Section 1915(k) of the Social Security Act); MARYLAND STATE PLAN AMENDMENT SUMMARY OVERVIEW
201 Mulholland Bay City, MI 48708 P 989-497-1344 F 989-497-1348 www.riverhaven-ca.org Title: Case Management Protocol Original Date: March 30, 2009 Latest Revision Date: August 6, 2013 Approval/Release
ALCOHOL, DRUG ADDICTION, AND MENTAL HEALTH BOARDS OF OHIO The Value of Ohio s Alcohol, Drug Addiction, and Mental Health Boards Providing hope and helping local communities thrive ++--------- LOCAL NEEDS
DEFINITION COA's Standards for Individuals with Developmental Disabilities (DDS) apply to programs and services whose focus is working with the DD population, or when individuals with developmental disabilities
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:
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
Guide to Programs & Services St. Louis County Public Health & Human Services WELCOME St. Louis County Public Health and Human Services As our client/customer, you can expect to receive professional services
Gainful Employment Information The Field of Counseling Job Outlook Veterans Administration one of the most honorable places to practice counseling is with the VA. Over recent years, the Veteran s Administration
Health Home Standards and Requirements for Health Homes, Care Management Providers and Managed Care Organizations As of October 5, 2015 Introduction: The purpose of this guidance document is to explain
Standards for the School Social Worker [23.140] STANDARD 1 - Content The competent school social worker understands the theories and skills needed to provide individual, group, and family counseling; crisis
4.b.(8) Diagnostic, Screening, Treatment, Preventive and Rehabilitative Services (continued) Attachment 3.1-A.1 Page 7c.2 (a) Psychotherapy Services: For the complete description of the service providers,
A M E R I C A N C A S E M A N A G E M E N T A S S O C I A T I O N Standards of Practice & Scope of Services for Health Care Delivery System Case Management and Transitions of Care (TOC) Professionals O
Aging Division Programs for Older Adults 600 East Boulevard Avenue Bismarck, ND 58505-0250 www.nd.gov/dhs Updated 1/2012 Aging Is Everyone s Business Program and Service Definitions (continued) Introduction...
Characteristic Comparability and statewideness Level of care eligibility requirements Section 6087: Self-Directed Personal Assistance Services (PAS) and Cash and Counseling Section 6087 of the DRA (Self-
West Virginia Department of Health and Human Resources Bureau for Behavioral Health Services Support and Alternative Services Reporting Policy Effective July 1, 2005 (Revised ) For the Comprehensive Behavioral
IAC 9/30/15 Human Services Ch 24, p.1 CHAPTER 24 ACCREDITATION OF PROVIDERS OF SERVICES TO PERSONS WITH MENTAL ILLNESS, INTELLECTUAL DISABILITIES, OR DEVELOPMENTAL DISABILITIES PREAMBLE The mental
Page IV-1 DEFINITION CARE MANAGEMENT/ SUPPORT AND SERVICE COORDINATION (Also known as Case Management) SPC 604 Applies to CIP 1A/1B, BIW, CIP II, COP-W, CLTS & COR Care management/support and service coordination
TABLE OF CONTENTS SECTION PAGE NUMBER Background... 2 Policy... 2 535.1 Member Eligibility and Enrollment... 2 535.2 Health Home Required Functions... 3 535.3 Health Home Coordination Role... 4 535.4 Health
IAC 10/15/14 Human Services Ch 24, p.1 CHAPTER 24 ACCREDITATION OF PROVIDERS OF SERVICES TO PERSONS WITH MENTAL ILLNESS, INTELLECTUAL DISABILITIES, OR DEVELOPMENTAL DISABILITIES PREAMBLE The mental
Client Rights Handbook Your rights and responsibilities as a consumer of Access Family Services, Inc. Key Contacts Chief Executive Officer 704 521 4977 Chief Operating Officer 704 521 4977 President Southeastern
Two types of individuals 1. People with primary diagnosis of intellectual disability/developmental disability Mental health diagnosis is secondary Primary services through ID/DD system Residential/Housing
OCCUPATIONAL GROUP: Social Services CLASS FAMILY: Social Work CLASS FAMILY DESCRIPTION: This family of positions includes those whose purpose is to provide social services to various populations, including
The following positions are available within URI. All interested applicants should forward an updated resume and cover letter via email to firstname.lastname@example.org. Include the position of interest in the email
Addiction Counseling Competencies Forms Addiction Counseling Competencies Supervisors and counselor educators have expressed a desire for a tool to assess counselor competence in the Addiction Counseling
Standardized Model for Delivery of Substance Use Services Attachment 5: Nebraska Registered Service Provider s Program Plan for the Delivery of Treatment Services Nebraska Registered Service Provider s
GEORGIA DIVISION OF FAMILY AND CHILDREN SERVICES CHILD WELFARE POLICY MANUAL Chapter: Policy Title: Policy Number: (10) Foster Care Comprehensive Child and Family Assessment (CCFA) 10.10 Effective Date:
Evidence Based Practice Continuum Guidelines The Division of Behavioral Health strongly encourages behavioral health providers in Alaska to implement evidence based practices and effective program models.
NEW YORK STATE MEDICAID PROGRAM OFFICE OF PERSONS WITH DEVELOPMENTAL DISABILITIES HOME AND COMMUNITY BASED SERVICES WAIVER MANUAL POLICY GUIDELINES Table of Contents SECTION I - DESCRIPTION OF THE OPWDD
I. INTRODUCTION A. The Washington County Community Partnership for Children & Families (WCCP) is seeking Combined Qualification and Experience (Q&E) Submittals and Technical Proposals, as well as Price
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
COUNSELOR COMPETENCY DESCRIPTION ACBHC (Counselor Technician, Counselor I, Counselor II, & Clinical Supervisor) NOTE: The following material on substance abuse counselor competency has been developed from
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
Wake County SmartStart ACTIVITY DESCRIPTION DEFINITIONS These definitions are used in the full activity descriptions and are intended to establish consistency in their use in activity development, implementation
CARE COORDINATION VIRGINIA DEPARTMENT FOR THE AGING SERVICE STANDARD Definition is assistance, either in the form of accessing needed services, benefits, and/or resources or, arranging, in circumstances
WHICH WAIVER DOES WHAT An unofficial, quick reference quide to the Texas Medicaid Waivers Introduction Since early 2006, Imagine Enterprises has provided training about self-determination and the Medicaid
Research Summary www.norc.org email@example.com June 17, 2014 ACA SECTION 2401, COMMUNITY FIRST CHOICE OPTION (Section 1915(k) of the Social Security Act); OREGON STATE PLAN AMENDMENT SUMMARY OVERVIEW Oregon
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
DEPARTMENT OF COMMUNITY SERVICES Services for Persons with Disabilities Independent Living Support Policy Effective: July 28, 2006 Table of Contents Section 1. Introduction Page 2 Section 2. Eligibility
Mental Health and Substance Abuse Services in Medicaid and SCHIP in Maryland As of July 2003, 638,662 people were covered under Maryland's Medicaid/SCHIP programs. There were 525,080 enrolled in the Medicaid
2014 CPRP Knowledge, Skills & Abilities The CPRP examination is designed for practitioners who work transition-aged youth and adults within the behavioral health system. The exam consists of 150 multiple-choice
Ryan White Part A Quality Management Medical Case Management Service Delivery Model Palm Beach County Table of Contents Statement of Intent 3 Service Definition..3 Practitioner Definition...3 Practitioner
Page1 1 Service Definition/ Required Components Therapeutic Rehabilitation Program is rehabilitative service for adults with SMI and children with SED designed to maximize reduction of mental disability
CONSUMER INFORMATION GUIDE: ASSISTED LIVING RESIDENCE 1 TABLE OF CONTENTS Introduction 3 What is an Assisted Living Residence? 3 Who Operates ALRs? 4 Paying for an ALR 4 Types of ALRs and Resident Qualifications
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
APPLIED BEHAVIOR ANALYSIS Providers contracted for this level of care or service are expected to comply with all requirements of these service-specific performance specifications. Additionally, providers
Substance Abuse Family Intervention Specialist Services Authority KH 225 Exhibit V 1. PURPOSE: Family Intervention Specialists () are intended to reduce the incidence of child abuse and neglect resulting
Protocol to Support Individuals with a Dual Diagnosis in Central Alberta Partners David Thompson Health Region Canadian Mental Health Association, Central Alberta Region Persons with Developmental Disabilities
SENIOR MENTAL HEALTH COUNSELOR I/II DEFINITION To perform a variety of complex professional duties in the provision of outpatient and crisis mental health services to individuals and groups. DISTINGUISHING
Mental Health and Substance Abuse Services in Medicaid and SCHIP in Florida As of July 2003 2,441,266 people were covered under Florida's Medicaid and SCHIP programs. There were 2,113,820 enrolled in the
Washington State Department of Commerce Office of Crime Victims Advocacy State of Washington Sexual Abuse/Assault Services Standards FOR Core Services for Community Sexual Assault Programs Only Information,
MISSISSIPPI DEPARTMENT OF HUMAN SERVICES DIVISION OF FAMILY AND CHILDREN S SERVICES Cover Memorandum accompanying the February 23, 2006 filing of a Notice of Proposed Rule Adoption by the Division of Family
Gainful Employment Information The Field of Counseling Job Outlook Veterans Administration one of the most honorable places to practice counseling is with the VA. Over recent years, the Veteran s Administration
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?
STATE OF NEVADA Department of Administration Division of Human Resource Management CLASS SPECIFICATION TITLE GRADE EEO-4 CODE MENTAL HEALTH COUNSELOR V 43* B 10.135 MENTAL HEALTH COUNSELOR IV 41* B 10.137
Chapter 39.--MENTALLY ILL, INCAPACITATED AND DEPENDENT PERSONS;SOCIAL WELFARE Article 18.--DEVELOPMENTAL DISABILITIES REFORM 39-1801. Citation of act. The provisions of K.S.A. 1999 Supp. 39-1801 through
Helping. Healing.Offering Hope. Directory of Services 2009-2010 w w w. p e a c e r i v e r c e n t e r. o r g Rev. 3/10 Years Peace River Center is a Private, Not-For-Profit Community Mental Health Organization
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
Psychosocial Rehabilitation Program Services 2013 Overview Objectives Definitions What it is not What it is Who can provide What to focus on Populations of Service Documentation Requirements 2 Objectives