1 Residential Treatment Facility Proposed Regulations OMHSAS Children s Advisory Committee January 6, 2011
2 Agenda Review of RTF regulation development process Overview of residential treatment facilities Purpose of proposed regulations Summary of RTF utilization and practice trends Review of issues raised in RTF regulation review process General discussion and identification of next steps
3 Development of RTF Regulations RTF Regulations have been in development since early 2006 Meetings and discussions were held with provider organizations and advocates to gather input In October, 2008, a special session of the Children s Advisory Committee focused on residential services and included discussion about the major components of RTF regulations Draft regulations were developed in 2009 In 2010, the DPW Secretary agreed to have the Regulations presented as proposed in Fall The DPW Office of Legal Counsel returned the draft regulations to OMHSAS in July, 2010 The Children s Bureau made the changes recommended by OLC and began moving the package through the internal review process.
4 RTF regulation Timeline 30 day comment period ended 11/22/10 Comments from IRRC 12/23/10 Manage public comment process 4/1/11 Meet with field or operational staff, State associations, Regulation workgroup, IRRC, House and Senate and others on specific issues (as needed) Ongoing Prepare draft of final form regulation and submit to State agencies 5/1/11 Receive comments and make necessary revisions 12/1/11 Submit revised regulations to General Assembly, IRRC, 1/5/12 and Attorney General PUBLICATION AS FINAL FORM RULEMAKING 2/26/12 IN PENNSYLVANIA BULLETIN
5 Evolving view of residential treatment While RTFs represent a necessary component of the continuum of care for children and adolescent youth whose behavior cannot be managed effectively in a less restrictive setting, they are among the most restrictive mental health (MH) services provided to children and youth and, as such, should be reserved for situations when less restrictive placements are ruled out.
6 Building Bridges 4 Youth If a youth requires treatment in a 24 hour out ofhome treatment setting, it should be understood that placement occurs only for as short a period of time as is necessary, and is appropriate to meet the clinical needs of the child and family. Create incentives for developing more short and long term home and community services and supports that creatively rebalance, reallocate, realign, reengineer and ultimately reinvest in services to allow for youth and family choice.
7 Growing Understanding Too often children and youth are placed in RTFs because more appropriate community based services are not available. Parents, judges and others desperate to meet children s needs often turn to RTFs because of a lack of viable alternatives. However, there is growing evidence throughout the Nation that, in many situations, children can be more effectively served in their homes and communities.
8 Changing the view of RTFs Not only does Pennsylvania have an inordinately high number of residential treatment beds, but the length of stay is greater than most other states. The increased clinical capacity called for by the proposed regulations will lead to reduced length of stay, and reduced recidivism.
9 Accreditation Pennsylvania is unique in that other states which have Residential Treatment require accreditation as a means of assuring quality and Medicaid financing. One of the aspects of the proposed regulations is that Pennsylvania will only recognize accredited organizations as RTFs.
10 Goals of the Proposed Regulations The proposed regulations bring together payment, program, and health and safety requirements into one set of regulations. There are numerous structural changes proposed to update the regulations and to be consistent with Medicaid requirements.
11 Restructuring Residential However the primary goal is to dramatically improve the clinical treatment in residential treatment facilities so that youth receive more effective services. The proposed regulations will restructure the way Pennsylvania uses residential treatment.
12 Regs in Context Integrated Children s Services Initiative Development of Evidence Based Practices High Fidelity Wraparound National Governor s Association initiative Trauma Informed Care Sanctuary
13 Changes are becoming evident In Fiscal Year , there were expenditures of $218 million in accredited facilities and $44 million in non accredited facilities in Pennsylvania. As a result of numerous developments, including the initiation of evidenced based community services, there has been a decline of $25 million in RTF spending since FY
14 Residential Initiatives In 2005 and 2006, OMHSAS produced a white paper summarizing best practices which highlighted concerns about overreliance on residential treatment. Subsequent review in 2006 and 2007 led to the formation of the joint OCYF/OMHSAS/DPW Continuum of Care workgroup, which began meeting in late 2007 to align OCYF and OMHSAS activities and support DPW s goal of reducing use of residential treatment by 50%.
15 Recommendations from Continuum of Care workgroup: Reduce excess RTF capacity (with focus on nonaccredited) Improve quality of RTF services (focus on RTF regulations), including addressing possibility of raising per diem rates for RTF services Build community based alternatives Develop high fidelity wraparound (HFW) targeting children and youth using RTF services Help RTF providers improve continued RTF capacity and convert capacity to more needed modalities Bottom line: Need to change the way RTF services are provided in Pennsylvania to be youth and family driven
16 Overview of key statewide reform initiatives The interagency planning efforts to reform and improve the juvenile justice system, including the Commonwealth s involvement in the MacArthur Foundation s Models of Change initiative through the Pennsylvania Commission on Crime and Delinquency. The work of the OCYF, through the National Governor s Association Policy Academy s foster care initiative, that has focused on reforms in the foster care system and the promotion of research based practices.
17 More Efforts OCYF s and OMHSAS s efforts to broaden access to evidence based practices for youth with behavioral health (BH) needs in the child welfare and juvenile justice systems and their families, including OCYF set aside funding to develop and implement Multisystemic Therapy (MST), Functional Family Therapy (FFT), and Multidimensional Treatment Foster Care and ongoing HealthChoices funding for enrollees in need of such services.
18 Overview of key statewide reform initiatives The Integrated Children s Services Planning process, which provides the framework for ongoing county planning across BH, child welfare, juvenile justice, education and community partners to coordinate their child and family services across agencies and funding streams. OMHSAS participation in the Trauma Informed Care Cross Systems Collaboration has catalyzed promotion of trauma informed models statewide, and, in partnership with OCYF, implemented the sanctuary model of trauma informed care in 29 residential program sites (with a combined total of 2,397 beds).
19 Autism Development Under the lead of the DPW Bureau of Autism Services (BAS), there is increasing use of research based approaches for young children with autism spectrum disorder and improved assessment through standardized requirements and training, using functional behavioral assessments. Over 4,000 providers have received training through BAS and managed care organizations.
20 High Fidelity Wraparound The initial establishment of HFW with a goal of preventing or shortening the residential placement and other intensive service use of Pennsylvania s highest needs youth. OMHSAS worked with Mercer to develop a Medicaidbased funding approach for HFW to support its dissemination more broadly. Currently, nine counties are involved in implementing HFW, with nearly 300 youth and families being served. Initial indications are that counties who targeted youth diverted from residential care are experiencing significant case level cost effectiveness.
21 System of Care Pennsylvania was awarded a federal grant to develop a statewide infrastructure in support of Systems of Care in October Focus on serving youth with serious MH needs and their families with particular emphasis on youth involved with the child welfare or juvenile justice systems and currently residing in, or at risk of, out ofhome placement. The $9 million grant from the federal Substance Abuse and Mental Health Services Administration covers six years and will be implemented in 15 Pennsylvania counties.
22 Review of Data
23 Utilization trends 2005 to 2007 In 2009, Mercer reviewed available data regarding the needs of youth and utilization trends for RTF services (both accredited and non accredited) provided by the Commonwealth s top 15 counties in terms of RTF use. Focus was on the most recent available utilization data: Calendar years 2005, 2006 and Use in these 15 counties accounted for approximately three quarters of accredited RTF users in 2006.
24 Utilization trends 2005 to 2007 Level of Analysis Providers Used Total Admissions Median 2005 LOS - Percent by Day Range LOS (2005) Under to 365 Over 365 Over 730 All RTF Use ,317 4,021 3, Accredited ,504 2,778 2, Non-Accredited , All Out-of-State Level of Analysis 2007 Age Range (%) 2007 Gender (%) (%) 2007 Race / Ethnicity 2007 CISC (%) Under Over 17 M F Afr. Amer. Hispanic Othe r White Yes No All RTF Use Accredited Non-Accredited All Out-of-State
25 Changes in numbers of RTF beds: Fall 2007: 3,223 accredited beds Fall 2008: 3,038 accredited beds; 1,309 nonaccredited beds Fall 2010: 2,363 accredited beds; 830 nonaccredited beds
26 Residential and Community Services Trends
27 Residential treatment and community expenditures
28 Major Components of Proposed Regulations Increased staff to resident ratio and higher staff qualifications in order to enhance the quality of care. Accreditation by an independent accrediting body. Paid family advocate. Family participation requirements. Enhanced rules for storage and administration of medications. Standards to limit the use of restrictive procedures. A maximum capacity of 4 units of 12 beds each for a total of 48 beds. 8 bed non accredited facilities that are not located on a larger campus can become licensed as a Community Residential Rehabilitation Group Homes.
29 Comments on proposed regulations Forty nine sets of comments, over 1,280 specific comments, covering 166 pages
30 Forty eight bed overall cap and 12 bed unit cap Affects 17 of 87 accredited and four of 18 non accredited facilities Stems from recommendations from research and stakeholders favoring smaller facilities and units There is a tremendous level of scrutiny by the Center for Medicaid and Medicare Services (CMS) on psychiatric RTF care and rules on counting beds within facilities
31 Individual Approach OMHSAS is prepared to work with each of the non accredited facilities, along with the counties/behavioral health Managed Care organizations, to develop smooth transition plans.
32 Major issues raised include (cont d): Staffing ratios Goal was to increase clinical staffing and reduce caseloads in accord with research, expert input and stakeholder input. OMHSAS recognizes that daily rates may increase, but also assumes that quality will increase and LOS decrease accordingly. Will also require use of High Fidelity Wraparound and community based alternatives to reduce inappropriate use of RTF care. Restrictions on paying for therapeutic leave Current limit is unsupportable. OMHSAS working with Mercer to address appropriate payment for needed transitions, but federal provisions are a complicating factor.
33 Developmental Disability Questions about children with primary developmental disability this cannot be sole focus of the facility or treatment without Intermediate Care Facility Mental Retardation (ICF MR) requirements applying
34 Cost Concept The regulations will result in an increase in per diem rates because of increased clinical care requirements. Evidence shows that when youth receive effective treatment, there will be reduced lengths of stay. The system wide reduction in lengths of stay will offset the costs of enhanced treatment.
35 Continued Dialogue The Children s Bureau will be working with stakeholder groups to address the comments and to revise the proposed regulations Our goal is to identify what can be done to get the best possible set of regulations, And the best outcome for youth and families.
II. Children, Youth and Families Background Significant change began to occur in children s mental health services beginning in 1982 with the publication of Jane Knitzer s book Unclaimed Children about
Behavioral Health Rehabilitation Services: Brief Treatment Model Presented by Allegheny HealthChoices, Inc. 444 Liberty Avenue, Pittsburgh, PA 15222 Phone: 412/325-1100 Fax 412/325-1111 April 2006 AHCI
Pennsylvania Council of Children, Youth and Family Services COMMITTEES, WORKGROUPS, MEETINGS AND EVENTS Benefits of PCCYFS membership include many opportunities for member agency staff exposure to committees,
July 15, 2015 April Leonhard Department of Human Services Office of Long Term Living, Bureau of Policy and Regulatory Management P.O. Box 8025 Harrisburg, PA 17105-8025 Dear April Leonhard: Thank you for
National Health Policy Forum Mental Health and Juvenile Justice: Moving Toward More Effective Systems of Care A National View: Youths with Mental Health Disorders in Contact with the Juvenile Justice System
mt Comments by Silver Springs - Martin Luther School On the proposed Residential Treatment Regulations number 4-522 IRRC Executive Summary 2010NOV 22 P 3: 51 We are pleased to comment on these proposed
Act 80 of 2012 Block Grant Report of the of Block Grant Funds by Governments Act 80 of 2012 Block Grant Program- Report of the of Block Grant Funds by Governments January 2014 This page intentionally left
Using Home-Based Programs in Other States to Support a Medicaid Claim to Intensive Home-Based Services Under EPSDT December 2005 QA Center for Public Representation I. Introduction Because EPSDT requires
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
Checklist for Juvenile Justice Agency Leaders and Managers THE FOLLOWING CHECKLIST will help your agency conduct a detailed assessment of how current policy and practice align with what research has shown
Report to The Vermont Legislature Report on the Repurposing of the Woodside Juvenile Rehabilitation Center In Accordance with Act 146 Sec. C 10: Woodside Juvenile Rehabilitation Center Submitted to: Submitted
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
Child & Adolescent Quality Access and Policy Committee Residential Treatment Centers Friday June 20, 2014 Residential Treatment Center Capacity Bed Capacity & Total Providers In State Residential Treatment
MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES BULLETIN MENTAL RETARDATION BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE DATE OF ISSUE December 17, 2002 EFFECTIVE DATE Immediately NUMBER
Iowa Legislative Fiscal Bureau I S S U E R E V I E W Dennis Prouty State Capitol (515) 281-5279 Des Moines, IA 50319 FAX 281-8451 December 2, 1998 ISSUE Substance Abuse Treatment and Prevention Programs
History of Secondary Student Assistance Programs in Pennsylvania Commonwealth SAP Interagency Committee November 2004 www.pde.state.pa.us EARLY PROGRAM DEVELOPMENT: In 1984, the Pennsylvania Department
Nebraska YRTCs Issue Brief Nebraska s Youth Rehabilitation and Treatment Centers Every year, Nebraska s courts send a number of serious and not-so-serious juvenile offenders to the Youth Residential Treatment
Florida Medicaid: Mental Health and Substance Abuse Services Beth Kidder Assistant Deputy Secretary for Medicaid Operations Agency for Health Care Administration House Children, Families, and Seniors Subcommittee
Allegheny HealthChoices, Inc. Winter 2010 Outcomes for People on Allegheny County Community Treatment Teams Community Treatment Teams (CTTs) in Allegheny County work with people who have some of the most
HEALTHCHOICES BEHAVIORAL HEALTH RECIPIENT COVERAGE DOCUMENT This document includes descriptions of policies supported by the Department's processes. In cases where the policy expressed in this document
VIII. Background Quality Management The OMHSAS Quality Management program ensures public accountability and continuous quality improvement of OMHSAS programs and services. The OMHSAS Quality Management
California Child Welfare Council A CALL FOR MULTI-SYSTEM COLLABORATION Presentation to the Los Angeles County Blue Ribbon Commission on Child Protection February 21, 2012 What is the Child Welfare Council?
Additional Information for Community Partners Activity Law Enforcement Sexual abuse referrals are referred to police on the CY-104 (Report to Law Enforcement Officials). Note that referrals which do not
March 2006 Report No. 06-34 Redirection as Effective as Residential Delinquency Programs, Achieved Substantial Cost Avoidance at a glance Although it experienced several start-up challenges, the Redirection
Community Residential Rehabilitation Host Home VBH-PA Practice Standards Community Residential Rehabilitation (CRR) Host Homes are child treatment programs that are licensed under Chapters 5310, 3860 and
2012-2013 The Executive Summary [NETWORK MANAGEMENT PLAN] The Network Management Plan describes the complex yet intelligently organized and increasingly comprehensive system of services and supports that
May 2006 Strategies For Improving Access To Mental Health Services In SCHIP Programs Prepared by: Jennifer May Children and adolescents experience substantial barriers to obtaining needed mental health
Virginia s Publicly-Funded System and BHDS Biennium Budget Update HHR Subcommittee, Senate Finance Committee January 23, 2012 James W. Stewart, III DBHDS Commissioner Topics to be Covered Vision Statement
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
JUVENILE DRUG TREATMENT COURT STANDARDS SUPREME COURT OF VIRGINIA Adopted December 15, 2005 (REVISED 10/07) PREFACE * As most juvenile justice practitioners know only too well, the populations and caseloads
Report on the Jail Based Competency Restoration Pilot Program First Quarter Fiscal Year 2016 As Required By The 2016-2017 General Appropriations Act, H.B. 1, 84th Legislature, Regular Session, 2015 (Article
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
Requirements For Provider Type 11 Mental Health/Substance Abuse Services Specialty Code Please choose from the following for specialty and code: 113 - Partial Psychiatric Hospitalization (Children) 114
LOB #190: LONG-TERM RESIDENTIAL CARE Purpose The Long-Term Residential Care (LTRC) Line of Business incorporates three programs: Boys Probation House (BPH) Foundations Transitional Living Program (TLP)
The Florida Senate BILL ANALYSIS AND FISCAL IMPACT STATEMENT (This document is based on the provisions contained in the legislation as of the latest date listed below.) BILL: CS/SB 998 Prepared By: The
pennsylvania DEPARTMENT OF PUBLIC WELFARE JUL 2 7 2011 Ms. Rumana Ahmad Deputy Commissioner for Finance Philadelphia County Department of Human Services Philadelphia, Pennsylvania 19102 Dear Ms: Ahmad:
Kansas Rehabilitation Services State Plan for Vocational Rehabilitation & Supported Employment Services Federal Fiscal Years 2014-2016 Attachment 4.11(d) State's strategies to achieve goals and priorities;
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
Performance Standards Residential Treatment Facility Performance Standards are intended to provide a foundation and serve as a tool to promote continuous quality improvement and progression toward best
WHAT IS THE ILLINOIS CENTER OF EXCELLENCE AND HOW DID IT START? MISSION STATEMENT The mission of the Illinois Center of Excellence for Behavioral Health and Justice is to equip communities to appropriately
Department of Public Welfare Office of Mental Health and Substance Abuse Services Olmstead Plan for Pennsylvania s State Mental Health System After a year of study, and after reviewing research and testimony,
Reducing Recidivism for Youth in the Juvenile Services Division of the Kansas Department of Corrections Analyses and Recommendations Josh Weber, Juvenile Justice Program Director Nancy Arrigona, Research
City of Philadelphia Department of Human Services Improving Outcomes for Children Commissioner Anne Marie Ambrose National Governors Association Center For Best Practices October 8, 2013 The DHS Mission
Magellan Behavioral Health of Pennsylvania Lehigh Valley Care Management Center Intensive Residential Treatment Facility (RTF) Program Two-Year Outcomes Report (Formerly the Short-Term RTF Program) Drawings
AMENDED IN ASSEMBLY JULY 16, 2015 AMENDED IN ASSEMBLY JULY 6, 2015 AMENDED IN SENATE APRIL 6, 2015 SENATE BILL No. 614 Introduced by Senator Leno (Coauthor: Senator Anderson) February 27, 2015 An act to
DCF 2014 Inventory and Needs Assessment for New Jersey Behavioral Health A Report by Children s System of Care Allison Blake, Ph.D., L.S.W. Commissioner Pursuant to New Jersey Statute 30:4-177.63, this
Medical Assistance Coverage of Applied Behavioral Analysis (ABA) for Children and Adolescents with Autism Spectrum Disorder (ASD) BH-MCO and County HealthChoices Contacts WEBEX Presentation Tuesday, March
DARRON D. GARNER, PHD; LCSW E-mail: firstname.lastname@example.org SUMMARY OF EXPERIENCE Nine years of experience an independent social work practitioner in Houston Texas. Combined eight years of demonstrated student
RIGHTS UNDER THE LANTERMAN ACT Services And Supports For People With Dual Diagnosis Chapter 10 This chapter explains: Dual diagnosis Mental health services and supports Regional Center responsibilities
Special Thanks The Saguaro Group would like to thank the staff of our member and affiliate companies for their contributions in assembling this annual report. www.communityinnovations.com www.saguaromanagement.com
COUNCIL NAME Pennsylvania Early Learning Council PENNSYLVANIA DESIGNATED STATE AGENCY Office of Child Development and Early Learning (OCDEL), Pennsylvania Departments of Education and Public Welfare COUNCIL
OF STATEWIDE SERVICES FOR YOUTH COMMONWEALTH OF PENNSYLVANIA December 2002 www.dpw.state.pa.us TABLE OF CONTENTS Adult Community Residential Rehabilitation Service for the Mentally Ill (CRR) 3 Alternative
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
CROSS-SYSTEM APPROACHES THAT PROMOTE CHILD WELL-BEING: STATE EXAMPLES FROM NORTH CAROLINA, PENNSYLVANIA, AND COLORADO By Susan Foosness, William Shutt, and Richard Whipple November 2014 Introduction: Child
Building Bridges: Innovations in Residential Treatment and in Integrating Residential and Community Services in Systems of Care Marion County, Indiana Dr. Jim Dalton Vice President and COO Damar Services,
New Hampshire Department of Health and Human Services Medicaid Care Management Program Step 2 Design Concept Redesign of New Hampshire s Long Term Services and Supports Delivery System: A Concept Paper
LEARNING COMMUNITY SUPPORTS INTERAGENCY PLANNING FOR Youth with Co-occurring Intellectual/ Developmental Disabilities and Mental Health Disorders Public systems are confronted with obstacles when providing
North Carolina Department of Public Safety Prevent. Protect. Prepare. Pat McCrory, Governor Frank L. Perry, Secretary MEMORANDUM TO: FROM: RE: Chairs of House of Representatives Appropriations Subcommittee
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
Clinical MULTISYSTEMIC THERAPY (MST) Definition Multisystemic therapy (MST) is an intensive family and community-based treatment that addresses multiple aspects of serious antisocial behavior in adolescents.
A Guide to Long-Term Care for State Policy Makers RECENT STATE INITIATIVES IN REBALANCING LONG-TERM CARE Reaching a more equitable balance between the proportion of total Medicaid long-term support expenditures
Alabama Autism Task Force Preliminary Recommendations Having reviewed the findings to date from the Alabama Autism Collaborative Group (AACG), The Alabama Autism Task Force proposes the following changes
The New York City Council, Committee on Juvenile Justice, Committee on General Welfare, and Committee on Mental Health, Disability, Alcoholism, Drug Abuse, and Disability Services February 28, 2014 Oversight
Brevard Family Partnership 2013 2017 Strategic Plan MISSION STATEMENT - It is our mission to protect children, strengthen families and change lives through the prevention of child abuse and the operation
Overview of DCFS Children s Mental Health Services Kelly Wooldridge Susan Mears Mental Health Services DCFS Children s Mental Health uses a system of care approach that are: Individual and family driven/guided
BRIEF I Setting the Stage: Juvenile Justice History, Statistics, and Practices in the United States and North Carolina Ann Brewster Most states juvenile justice systems have two main goals: increased public
Juvenile Rehabilitation Administration Business Plan John Clayton, Assistant Secretary August 16, 2010 DSHS Strategic Plan 2011-2013 Page 1 Administration Organizational Chart Juvenile Rehabilitation Administration
Three Branch Institute on Child Social and Emotional Well-Being: Meeting for State Teams Promoting the Well-Being of Children in Foster Care: The Role of Medicaid Sheila A. Pires Human Service Collaborative
OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES BULLETIN ISSUE DATE: EFFECTIVE DATE: NUMBER: January 1, 2010 January 1, 2010 OMHSAS-09-07 SUBJECT: BY: Peer Support Services - Revised Joan L. Erney,
History and Funding Sources of California s Public Mental Health System March 2006 In the 1960s California led the nation in community mental health development and civil rights for persons with mental
Outcomes of a treatment foster care pilot for youth with complex multi-system needs Melissa Johnson Kimberly McGrath Mary Armstrong Norín Dollard John Robst René Anderson Presented at the 28th Annual Research
OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES BULLETIN ISSUE DATE: May 23, 2014 EFFECTIVE DATE: May 26, 2014 NUMBER: OMHSAS-14-02 SUBJECT: Enrollment and Payment of Licensed Providers that Provide
Innovations in the Identification and Treatment of Co-Occurring Mental Health and Substance Misuse Disorders Berks County MH/MR Board November 9, 2009 Historical Context in PA PA MISA Consortium Established
NEW YORK STATE OFFICE OF MENTAL HEALTH RESIDENTIAL TREATMENT FACILITIES ~ WESTERN REGION WHAT IS A RESIDENTIAL TREATMENT FACILITY? Residential treatment facilities (RTF) provide fully integrated mental
JUVENILE JUSTICE The organization of state programs addressing juvenile delinquents changed significantly in the mid 1990s. Before 1995, these programs were under the purview of the Department of Human
M E M O R A N D U M TO: FROM: Governor Sam Brownback and Legislative Budget Committee Kansas Division of the Budget and Kansas Legislative Research Department DATE: 15, 2015 SUBJECT: Consensus Caseload
Report to the Legislature Plan for Integrated Managed Health and Mental Health Care for Foster Children Strategies and Timelines Second Substitute Senate Bill 6312, Section 110 Chapter 225, Laws of 2014
Kansas Department of Social and Rehabilitation Services House Social Services Budget Committee January 23, 2006 Health Care Policy 785.296.3271 For additional information contact: Public and Governmental
ATTACHMENT D BLENDED CASE MANAGEMENT GUIDELINES These guidelines establish the standards for the provision of mental health Blended Case Management (BCM) under provisions of the approved Medicaid State
AMENDED IN SENATE APRIL 4, 2013 SENATE BILL No. 625 Introduced by Senator Beall February 22, 2013 An act to amend Section 10601.2 of of, and to add Section 16521.6 to, the Welfare and Institutions Code,
Improving HowandtoCoordinating Collect and Access to Mental Health Services Record For Youth in Pennsylvania s by National Center for Juvenile Justice, Juvenile Justice System Center for Children s Law