Angie Boarman Forensic Treatment Program Manager FSSA Division of Mental Health and Addiction

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1 Angie Boarman Forensic Treatment Program Manager FSSA Division of Mental Health and Addiction

2 Agenda Recovery Works Overview Current Status Changes Coming soon DMHA Happenings

3 Recovery Works Overview

4 DMHA Mental Health and Addiction Forensic Treatment Fund HEA Funds specifically to support services for those without insurance coverage who are involved in the criminal justice system (see eligibility checklist)

5 Forensic Treatment Fund Two Funding Priorities: Pre-Incarceration Diversion Services & Post-Incarceration Re-Entry Services

6 Recovery Works Eligibility Criteria Is the individual a resident of Indiana? Is the individual at least 18 years of age? Taxable income does not exceed 200% of the Federal Poverty Level. (Taxable income includes participant, spouse, and any dependents. I.E. How much would the participant claim on their taxes? Has the participant entered the Criminal Justice System with a felony charge or prior felony conviction?

7 Recovery Works Reimbursement Voucher Reimbursement for the service is not available to an individual if the services being provided are covered under: A policy of accident and sickness insurance A health maintenance organization contract The Medicaid program* The federal Medicare program or any other federal assistance program

8 Recovery Works Referral Form

9 Recovery Works Designated Treatment Providers Certified DMHA Provider Designated Recovery Works Treatment Agencies -

10 Recovery Works Services Individual, Family and Group Therapy Individual, Family and Group Skills Training and Development Case Management Detoxification Medication Evaluation, Training and Support Medication Assisted Treatment Supportive Employment Transitional Housing Assistance Community Support Services Recovery Supports Transportation

11 Current Status

12 By the numbers Enrollments SFY ,153 SFY ,723 SFY ,189 YTD SFY ,388 TOTAL: 36,453

13 By the numbers Dollars SFY 2016 $1,202,340 SFY 2017 $12,100,706 SFY 2018 $28,306,594 YTD SFY 2019 $8,977,597 TOTAL: $49,871,381

14 By the numbers Services Top 5 Services by the Dollars SFY 2019: 1. Housing Assistance - $402, Skills Training and Development, Ind - $304, Mental Health, Indv. - $173, Skills Training and Development, Group - $162, Substance Use Disorder, Group - $128,435 Top 5 Services by the Dollars Total: 1. Skill Training and Development, Indv.- $6,624, Housing Assistance - $6,556, Substance Use Disorder, Group - $3,852, Mental Health, Indv. - $3,680, Case Management - $2,910,531 Top 5 Counties: 1. Marion (5248, 15%) 2. Vanderburgh (2877, 8%) 3. Allen (2159, 6%) 4. Vigo (1697, 5%) 5. Elkhart (1427, 4%) Top Five Service by Client Count: 1. Case Management 2. AOD Screen 3. Substance Use Disorder, Group 4. Skills Training and Development, Individual 5. Skills Training and Development, Group *Client counts may include duplicates based on if client is receiving services from more than one agency. ** First number is number of unique clients, second is the percentage in comparison to the entire client count

15 By the numbers Evaluation Referrals have leveled off to 1200/month 1/3 of clients have had a prior DOC incarceration Recidivism: One year post-recovery Works: 6.6% Two year post-recovery Works: 13% Return to jail: 40% with more than half serving less than 7 days Significant increases in employment and stable housing Significant decreases in self-reported crime and drug use

16 Special Projects Forensic Peer Services 90 day Pre Release Jail Services 180 day Pre Release DOC Services

17 Changes

18 Changes Rates Caps Housing Insurance

19 Rates/Caps Started in 2015, slow grow, gained momentum in late 2016 Incentives in place to encourage participation Have exceeded goals, right-sizing rates Individuals service caps Example: Case Management $14.53, $ (6 hrs)

20 Rates/Caps Effective 1/1/19 PAs available Necessary to maintain Communication

21 Housing Assistance Indiana Affiliation of Recovery Residences (INARR) Levels I-IV Recovery Works Process What does this mean for you?

22 INARR Levels Level 1 Level 2 Level 3 Level 4 What Level Are We? NARR Standard

23 What Level Are We? Interactive Levels Survey

24 NARR Standard

25 Process Level IV: DMHA Certified Recovery Works Provider Bill independently Level III, II, I: Recovery Works Provider Clients referred to Tx Provider Follow client s Treatment Plan

26 What does this mean for you? Level IV Residence Refer Directly Level I-III Refer through Treatment Provider

27 Insurance Assistance with gaining insurance within 10 business days 70-80% gaining access within 90 days Client is responsible for co-pays RW assists with non-covered services only

28 Coming Soon

29 Projects in the Works Misdemeanor pilot Medication Assisted Treatment in Jail Setting Grow Recovery Residence Network

30 DMHA Happenings

31 Happenings Substance Use Disorder (SUD) Waiver Certification and Treatment Providers Resources Know the O

32 Substance Use Disorder Waiver Allows for the coverage of Residential Treatment through Medicaid ASAM Level 3.1 and 3.5

33 DMHA Certifies Community Mental Health Centers Addiction Treatment Providers Opioid Treatment Programs Gambling Providers Private Inpatient Mental Health Providers

34

35 Resources: Treatment Locator

36 Resources: Treatment Locator

37 #KnowTheOFacts

38 SAY THIS Language matters NOT THIS Person with Opioid Use Disorder Disease Person living in recovery Person arrested for a drug violation Substance dependent Medication is a treatment tool Had a setback Maintained recovery; substance free Addict, user, druggie, junkie, abuser Drug habit Ex-addict Drug offender Hooked Medication is a crutch Relapsed Stayed clean Sources: Office of National Drug Control Policy, Changing the Language of Addiction., 01/09/17. National Council for Behavioral Health, Language Matters, September 2015.

39 Take the Pledge

40 UNDERSTANDING OPIOID USE DISORDER

41 Questions?

42 Resources FSSA HOME PAGE DMHA HOME PAGE FSSA RESOURCE GUIDE Indiana Affiliation of Recovery Residences Consumer Service Line

43 Resources for Recovery Team RecoveryWorks.fssa.IN.gov Recovery Works website

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