Blair County HealthChoices
|
|
- Lee Stevens
- 5 years ago
- Views:
Transcription
1 Blair County HealthChoices Executive Summary Fiscal Year Ten-Year Edition County Commissioners Bruce Erb, Chair Terry Tomassetti, Vice-Chair Ted Beam, Secretary Prepared October 2017
2 HEALTHCHOICES HealthChoices is the Commonwealth of Pennsylvania s mandatory Medicaid managed care program administered by the Department of Human Services (DHS). This integrated and coordinated health care delivery system was introduced by the Commonwealth to provide medical, psychiatric, and substance abuse services to Medical Assistance (Medicaid) recipients. Broad-based coordination is required to meet the complex needs of high risk populations in the HealthChoices managed care program and assure appropriate access, service utilization, and continuity of care for persons with serious mental illness and/or addictive diseases. The unique structure of county administered behavioral health and human service delivery systems and the counties experience in administering behavioral health services, led to county governments being offered the right-of-first opportunity to enter into capitated contracts with the Commonwealth to manage their local HealthChoices programs. As of July 1, 2007, Blair County accepted the right-of-first opportunity to manage the local program and entered into a full-risk capitation contract with the Commonwealth. The County formed a 501(c)3 nonprofit corporation called Central PA Behavioral Health Collaborative, Inc. d/b/a Blair HealthChoices, which manages the local program. Beginning on July 1, 2010, Blair HealthChoices assumed full-risk for the capitation contract with DHS. During Fiscal Year , Blair HealthChoices continued to sub-contract with its behavioral managed care organization partner, Community Care Behavioral Health Organization. Services provided by Community Care included care management, provider network development, quality assurance, member services, and claims management. Blair HealthChoices provides oversight and monitoring of all of Community Care s activities to ensure full compliance with its contract with DHS. As of March 2012, Blair HealthChoices became a Certified Utilization Review Entity and now provides person-centered care management for HealthChoices members with more complex needs. County Commissioners Bruce Erb, Chairperson Terry Tomassetti, Vice-Chairperson Ted Beam, Secretary Current Board of Directors Steve Williamson, Chairperson Donna Gority, Vice Chairperson Kathleen Wallace, Secretary/Treasurer Commissioner Erb Nancy Imes Paul Querry Management Group Amy Marten-Shanafelt, Executive Director Lori Craine, Director of Clinical Services Jeffrey Harvey, Director of Finance Tina Burman, Executive Assistant Kelly Corl, Care Management Supervisor Ron Barrett, Clinical Care Manager Tera Kelleher, Clinical Care Manager Michelle Wellwood, Clinical Care Manager Lindsay Wagner, Quality Improvement Coordinator Rebecca Brandt, Office Support Worker 2
3 Enrollment Blair HealthChoices 10-Year Eligibility Trend Eligible Members on Last Day of Year FY through FY ,165 29,664 25,940 21,243 21,510 22,376 22,603 22,578 22,585 22,908 FY FY FY FY FY FY FY FY FY FY Categories of Aid: Temporary Assistance to Needy Families (TANF) Assistance to families with dependent children who are deprived of the care or support of one or both parents. Healthy Beginnings (HB) Assistance for women during pregnancy and the postpartum period. Modified Adjusted Gross Income (MAGI) The Affordable Care Act made the tax concept of Modified Adjusted Gross Income (MAGI) the basis for determining Medicaid and CHIP eligibility for nondisabled, nonelderly individuals, effective January 1, Newly Eligible Medicaid expansion category for adults, ages 21 and older, with household incomes up to 138% of the Federal Poverty Level (FPL), effective January 1, Supplemental Security Income without Medicare Assistance for people who are aged, blind, or determined disabled for less than two years. Supplemental Security Income with Medicare Assistance for people who are aged, blind or determined disabled for over two years. 3
4 Member Demographics Male 13, % Female 15, % At the end of Fiscal Year there were 29,664 Blair County residents enrolled in the HealthChoices Program. Other % African American 1, % Caucasian 27, % Age 65 and older 1, % Age 0-5 3, % Age , % Age , % Age , % Age , % NOTE: Percentages may not sum to 100% due to rounding. Age , % 4
5 Services HealthChoices members are eligible to receive in-plan services offered by their choice of at least two service providers as well as additional services that have been approved for use by the Blair HealthChoices Program. In-Plan Services: Inpatient Psychiatric Hospitalization Inpatient Drug & Alcohol Detoxification, Treatment, Non-Hospital Rehabilitation, and Halfway House Psychiatric Partial Hospitalization Services Outpatient Mental Health and Drug & Alcohol Counseling Laboratory and Diagnostic Services Medication Management and Clozapine Support Psychiatric Evaluation and Psychological Testing Residential Treatment Facilities for Adolescents (RTF) Behavioral Health Rehabilitative Services for Children and Adolescents (BHRS) Methadone Maintenance Targeted Case Management Crisis Intervention Family Based Mental Health Services Peer Support Services Mobile Mental Health Treatment Supplemental Services: Drug & Alcohol Level of Care Assessment Drug & Alcohol Intensive Outpatient Drug & Alcohol Targeted Case Management Drug & Alcohol Partial Hospitalization Psychiatric Rehabilitation Children s Services enrolled as Program Exceptions Summer Therapeutic Activities Program (STAP) Autism After School Program Music Therapy School-Based Rehabilitation Program Community and School-Based Behavioral Health Behavioral Health Home Dual Diagnosis Treatment Team Crisis Stabilization Residential Unit for Dual Diagnosis Evidence-Based Modalities: Multi-Systemic Therapy (MST) Functional Family Therapy (FFT) Parent Child Interaction Therapy Trauma-Focused Cognitive Behavioral Therapy Eye Movement Desensitization and Reprocessing Therapy Critical Time Intervention Applied Behavioral Analysis-Autism Support Services 5
6 Male 4, % Members Served Utilization Age , % Age % Age % Age , % Age , % Female 4, % Age % Age , % Male $16,954, % Expenditures Age $5,501, % Age 65+ $139, % Age 0-5 $1,189, % Age 6-12 $6,037, % Female $14,755, % Age $11,974, % Age $1,258, % Age $5,608, % Fiscal Year as of October 2017 Members Served: 9,031 Claims Payments: $31,709,991 Alternative Payment Arrangement (APA) APA Amount Paid: $ 1,588,131 P4P Amount Paid: $ 215,000 Total Expenditures: $33,513,122 Notes: Percentages may not sum to 100% due to rounding. Charts do not include amounts paid through APA or P4P 6
7 Utilization by Level of Care Members Served Outpatient MH 6, % RTF % BHRS 1, % Community Support 2, % Outpatient D&A 2, % Outpatient MH $5,550, % ** Other-Supplemental 2, % Expenditures RTF $1,142, % D&A Rehabilitation % Inpatient MH % BHRS $4,995, % Fiscal Year as of October 2017 Members Served: 9,031 Claims Payments: $31,709,991 Alternative Payment Arrangement (APA) APA Amount Paid: $ 1,588,131 P4P Amount Paid: $ 215,000 Total Expenditures: $33,513,122 Community Support $4,335, % Outpatient D&A $4,171, % **The Other service category is comprised of supplemental services, such as Drug & Alcohol Assessments, Intensive Outpatient, Partial Hospital, Case Management as well as Children s Services Program Exceptions. ** Other-Supplemental $2,820, % Inpatient MH $4,907, % D&A Rehabilitation $3,787, % Notes: Percentages may not sum to 100% due to rounding. Charts do not include amounts paid through APA or P4P 7
8 Mental Health Diagnoses Members Served Post Traumatic Stress Disorder % Schizophrenia/Psychotic Disorders % Adjustment Disorders 1, % ** Other Mental Health Disorders 1, % Anxiety Disorders 1, % Attention Deficit/Hyperactivity Disorders 1, % Depressive/Mood Disorders 2, % Fiscal Year as of October 2017 MH Members Served: 7,668 Total Expenditures: $22,936,347 Post Traumatic Stress Disorder $1,074, % Conduct/Oppositional Defiant Disorders % Expenditures Autism Spectrum Disorders % Bipolar Disorders 1, % Schizophrenia/Psychotic Disorders Adjustment Disorders $1,683,515 $1,405, % Anxiety Disorders 7.3% $1,141, % ** Other Mental Health Disorders $2,130, % Attention Deficit/Hyperactivity Disorders $2,494, % Autism Spectrum Disorders $2,339, % Depressive/Mood Disorders $5,879, % Conduct/Oppositional Defiant Disorders $1,478, % Bipolar Disorders $3,308, % **Other Mental Health disorders include dementia, delirium, organic psychotic or non-psychotic conditions, personality disorders, eating disorders, sleep disorders, tic disorders, child abuse, intellectual disability, mental disorders due to unknown causes, and transient organic mental disorders. Notes: Percentages may not sum to 100% due to rounding. Charts do not include amounts paid through APAs. 8
9 Drug & Alcohol Diagnoses Members Served Opioid Use Disorders 1, % ** Other Psychoactive Drug Use Disorders % Alcohol Use Disorders % Fiscal Year as of October 2017 DA Members Served: 2,475 Total DA Expenditures: $8,773,644 Cocaine Use Disorders % Cannabis Use Disorders % Expenditures Opioid Use Disorders $5,841, % ** Other Psychoactive Drug Use Disorders $556, % Alcohol Use Disorders $1,454, % Cocaine Use Disorders $149, % Cannabis Use Disorders $771, % **Other Drug & Alcohol disorders include drug or alcohol psychosis, drug or alcohol withdrawal, amphetamine abuse/dependence, hallucinogen abuse/dependence, inhalant abuse/dependence, sedative-hypnotic/anxiolytic abuse/dependence, and polysubstance abuse/dependence. Notes: Percentages may not sum to 100% due to rounding. Charts do not include amounts paid through APAs. 9
10 ** Other-Supplemental % Youth Members Served Included in the Youth category are all HealthChoices members under age 18 and all members involved in BHRS or RTF services Inpatient MH % D&A Rehabilitation % Outpatient 2, % Community Support % Fiscal Year as of October 2017 Youth Served: 2,752 Total Expenditures: $13,424,971 BHRS 1, % Expenditures RTF $1,142, % RTF % **The Other service category is comprised of supplemental services, such as Drug & Alcohol Assessments, Intensive Outpatient, Partial Hospital, Case Management as well as Children s Services Program Exceptions. Outpatient $2,060, % BHRS $4,995, % ** Other-Supplemental $496, % Inpatient MH $1,383, % D&A Rehabilitation $686, % Community Support $2,661, % Notes: Percentages may not sum to 100% due to rounding. Charts do not include amounts paid through APAs. 10
11 Blair HealthChoices Ten-Year Comparison $80,000, Behavioral Health HealthChoices Impact vs. the Fee-For-Service Model $70,000, $60,000, $50,000, $40,000, $30,000, $20,000, $10,000, $ Projected Fee-for-Service Behavioral Health HealthChoices Total Members Served by Level of Care FY vs. FY ,632 9,031 RTF Outpatient MH 3,287 6,333 Outpatient D&A 1,307 2,089 Other-Supplemental 1,055 2,576 Inpatient MH D&A Rehabilitation Community Support 1,371 2,542 BHRS 1,052 1,049-1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000 10,000 FY FY
12 Blair HealthChoices Ten-Year Comparison Outpatient MH $2,373,043 11% Amount Paid by Level of Care FY RTF $1,871,955 9% Outpatient D&A $978,202 5% Other-Supplemental $308,135 1% BHRS $8,824,037 42% Inpatient MH $3,083,681 15% D&A Rehabilitation $790,538 4% Community Support $2,654,894 13% Outpatient MH $5,550,030 17% Amount Paid by Level of Care FY RTF $1,142,454 4% BHRS $4,995,102 16% Outpatient D&A $4,171,700 13% Community Support $4,335,824 14% Other-Supplemental $2,820,401 9% Inpatient MH $4,907,330 15% D&A Rehabilitation $3,787,151 12% Notes: Percentages may not sum to 100% due to rounding. Charts do not include amounts paid through APAs. 12
13 Opiate Epidemic Impact Ten-Year Comparison 1,800 Members with Opioid Disorders Served FY vs. FY ,600 1,549 1,561 1,400 1,200 1, Under Age 18 Age 18 and Older Total FY FY $7,000,000 Payments for Services for Opioid Disorders FY vs. FY $6,000,000 $5,772,312 $5,841,754 $5,000,000 $4,000,000 $3,000,000 $2,000,000 $1,301,314 $1,303,516 $1,000,000 $- $2,202 $68,442 Under Age 18 Age 18 and Older Total FY FY
14 Blair HealthChoices High-Risk Care Management Blair HealthChoices became its own Certified Utilization Review Entity in March Beginning with 55 members, Blair HealthChoices High Risk Care Managers now serve 513 adults and children with complex needs. Inpatient Mental Health and Drug & Alcohol 30-Day Readmissions FY through FY % 18% 17% 16% 16% 14% 12% 11% 12% 14% 12% 14% 12% 10% 10% 9% 8% 6% 9% 7% 9% 6% 6% 7% 7% 7% 6% 4% 2% 3% 4% 3% 4% 3% 3% 4% 4% 3% 3% 4% 0% FY FY FY FY FY FY FY FY FY FY MH Readmission Rate D&A Readmission Rate MH-D&A Distinct Members Readmitted Out-of-Home Placements (RTF and CRR Host Homes) Distinct Members Admitted FY through FY FY FY FY FY FY FY FY FY FY FY Distinct Members Admitted 14
15 Consumer Family Satisfaction The Department of Human Services (DHS) and Blair HealthChoices values and encourages the input of consumers and families in all aspects of the HealthChoices Program and incorporates into all quality improvement efforts. In addition, we encourage input from consumers, persons in recovery, and families regarding the services and supports received in the mental health and drug and alcohol service system. Consumer and family feedback helps inform Providers, counties and Behavioral Health Managed Care Organizations (BH-MCO) about how services can support recovery for adults, resilience in children and adolescents and be more effective. Consumers and families have specialized knowledge and sensitivity about how respect, dignity and responsiveness of services can affect the process of recovery and preserve resilience. Members are more likely to feel safe in describing their experience with someone who is not their service Provider. Soliciting feedback on satisfaction with services empowers consumers and families and allows them to have a greater role in determining the quality of behavioral health care and recommending system improvements. Therefore, DHS requires Primary Contractors to implement a comprehensive approach for the measurement of consumer/family satisfaction by organizing a Consumer and Family Satisfaction Team (CFST). Below is a summary of the information collected. Adult - Member Access Benchmark Survey Quarter 1st 2nd 3rd 4th YTD Prior Surveys = (N) Made aware of different services & given a choice 90% 89% 88% 83% 83% 86% 75% Made aware of different providers & given a choice 90% 83% 82% 77% 87% 82% 69% Able to get help within an acceptable amount of time 90% 96% 95% 91% 96% 94% 90% Adult - Provider Recovery Oriented Treatment Experiences Benchmark Survey Quarter 1st 2nd 3rd 4th YTD Prior Surveys = (N) Provider asked me what my goals would be to achieve a happy life (CCISC) 90% 88% 93% 92% 89% 91% 90% Provider helped me identify triggers for replase 90% 88% 90% 90% 87% 89% 86% Provider helped me develop a plan to prevent relapse 90% 87% 88% 84% 89% 88% 85% Provider teaching me skills that are helpful to me (CCISC) 90% 86% 92% 87% 94% 89% n/a Provider acknowledges/rewards me for even small steps towards my goals 90% 92% 94% 82% 96% 93% 85% Provider helps me connect/reconnect to community resources/natural supports. * 90% 74% 83% 87% 89% 79% 71% Encouraged to use consumer-run programs (ROSI) 90% 81% 88% 84% 87% 85% 69% Provider talked to me about a (WRAP) Wellness Recovery Action Plan 90% 47% 67% 66% 79% 60% 36% Provider talked to me about a Mental Health Advance Directive 90% 30% 55% 31% 53% 39% 26% I feel like my provider listens to me 90% 95% 93% 90% 91% 93% n/a I feel like I have a say in treatment. 90% 92% 95% 90% 85% 92% n/a I feel like my provider empowers me 90% 90% 89% 84% 87% 88% n/a n/a = question not previously asked. Wording on some questions slightly changed Adult - Treatment Outcomes Benchmark Survey Quarter 1st 2nd 3rd 4th YTD Prior Surveys = (N) I deal more effectively with daily problems 90% 94% 87% 86% 98% 90% 81% I feel more hopeful about the future 90% 94% 88% 77% 100% 91% 88% I believe I am recovering 90% 90% 84% 83% 92% 87% 85% I feel that treatment is working 90% 96% 85% 90% 98% 91% 90% Parent-Family - Access to Services Benchmark Survey Quarter 1st 2nd 3rd 4th YTD Prior Surveys = (N) We were made aware of and given provider choice for service 90% 91% 94% 92% 86% 91% 82% We were made aware of and given choice of different services 90% 91% 89% 85% 86% 88% 85% Able to get helpi needed within an acceptable amount of time 90% 95% 98% 85% 100% 95% 88% 15
16 Consumer Family Satisfaction Parent-Family - Access to Services Benchmark Survey Quarter 1st 2nd 3rd 4th YTD Prior Surveys = (N) We were made aware of and given provider choice for service 90% 91% 94% 92% 86% 91% 82% We were made aware of and given choice of different services 90% 91% 89% 85% 86% 88% 85% Able to get helpi needed within an acceptable amount of time 90% 95% 98% 85% 100% 95% 88% Parent /Caregiver -Provider Recovery Oriented Treatment Experiences Bench Agree/Strongly Agree Survey Quarter 1 st 2 nd 3 rd 4 th YTD Prior Surveys = (N) I can count on my treatment provider to be there when I need them 90% 92% 97% 92% 86% 92% 89% I was actively involved /developing my child's treatment goals 90% 95% 97% 92% 100% 96% 96% I believe my child's treatment plan is easy to understand* 90% 95% 97% 92% 100% 96% 97% I believe my child's treatment plan is easy to put into action 90% 89% 95% 92% 100% 94% 89% My child is receiving all the services he/she needs 90% 89% 95% 92% 100% 94% 83% Child is able to apply treatment experiences at home, community & school 90% 78% 84% 85% 100% 87% 66% I feel provider is blaming me when setbacks occur in child's treatment <10% 11% 3% 8% 0% 5% 11% I know places to call or go in the community to continue to get support 90% 86% 92% 85% 86% 87% 75% Provider acknowledges even small steps toward achieving child's goals 90% 84% 92% 92% 100% 92% 90% Provider talks to me & my child about how to stay well after treatment 90% 70% 69% 88% 58% 71% 76% I know someone else who shares my experiences and supports me 90% 62% 60% 85% 43% 62% 78% Parent/Caregiver - Treatment Outcomes Benchmark Survey Quarter 1st 2nd 3rd 4th YTD Prior Surveys = (N) Child deals more effectively with daily problems 90% 87% 87% 85% 86% 68% 73% Child s behavioral health is improving 90% 78% 74% 77% 86% 78% 76% My child's social skills are improving 90% 84% 79% 77% 76% 72% 76% All Surveyors employed by the CFST are also consumers or family of consumers. All CFST results are collected via telephone or face to face and reported on each quarter. The results are shared with our Member Advisory Committees, Provider Advisory Committee, and our Clinical/Quality Improvement Committee. Providers are given their results directly and are asked to submit a Quality Improvement Plan annually to address the areas below the benchmark. We have also developed several specialized surveys that allow us to assess and analyze the impact of specific service delivery concerns. All surveys are completed using a proportional-stratified sample with a 95% confidence level. Above 90% Benchmark Satisfactory Between 85%-89% - Requires Monitoring Below 85% - Requires Action Bold 3% plus or minus change in percentage from last quarter 16
17 Complaints and Grievances 1312 Authorization Denials Fiscal Years through A service may be denied in full, a lesser amount of the service may be approved, or a different level of care may be authorized. Only a small percentage of authorization requests are totally denied FY FY FY FY FY FY FY FY FY FY Complaints Fiscal Years through Blair HealthChoices closely monitors complaints filed by HealthChoices members. Only a small number of complaints were filed during the fiscal year and each was resolved to the satisfaction of the involved member Complaints FY FY FY FY FY FY FY FY FY FY
18 Complaints and Grievances 235 Level One Grievances Fiscal Years through Members who are dissatisfied with treatment decisions may opt to file grievances to have the decisions changed. There are two grievance levels and an external review process. Additionally, a member may also choose to file a request for a Fair Hearing at any point during the grievance process FY FY FY FY FY FY FY FY FY FY Level Two Grievances Fiscal Years through L2 FY FY FY FY FY FY FY FY FY FY
19 Terminology AUTHORIZATION A process that is related to the payment of claims by which a provider receives approval from CCBHO to provide a particular service. Authorizations typically limit the number of units and the time in which the service can be provided. If a service requires authorization for payment, the lack of authorization will result in an unpaid claim. BEHAVIORAL HEALTH REHABILITATION SERVICES FOR CHILDREN AND ADOLESCENTS (BHRS) The behavioral health component for Early Periodic Screening, Diagnosis and Treatment, are services to children through the age of 21 years old designed to develop individual specific plans to care for social and emotional disturbances. CAPITATION A set amount of money received or paid out; it is based on membership rather than on services delivered and is usually expressed in units of PMPM (per member per month) or PMPD (per member per day). Under the HealthChoices program, capitation rates vary by categories of assistance. CLAIMS A request for reimbursement for a behavioral health service. COMPLAINT A process by which a consumer or provider can address a problem experienced in the HealthChoices program. CONSUMER HealthChoices enrollees on whose behalf a claim has been adjudicated for behavioral health care services during the reporting period. DENIAL A denial is defined as a determination made by a managed care organization in response to a provider s request for approval to provide services of a specific duration and scope which (1) disapproves the request completely; (2) approves provision of the requested service(s), but for a lesser scope or duration than requested by the provider; (an approval of a requested service which includes a requirement for a concurrent review by the managed care organization during the authorized period does not constitute a denial); or (3) disapproves provision of the requested service(s), but approves provision of an alternative service( s). DIAGNOSIS A behavioral health disorder based on DSM or ICD diagnostic criteria. DIAGNOSTIC CATEGORIES Subgroups of behavioral health disorders. This report contains the following groupings: Bipolar Disorders a group of mood disorders that characteristically involve mood swings. This group includes: Bipolar I Disorder, Bipolar II Disorder, Bipolar Disorder Not Otherwise Specified, Mood Disorder, and Mood Disorder Not Otherwise Specified. Depressive Disorders a group of mood disorders that includes Major Depressive Disorder, Dysthymia, and Depressive Disorder Not Otherwise Specified. Schizophrenia and Psychotic Disorders a collection of thought disorders such as Schizophrenia, Schizoaffective Disorder, Schizophreniform Disorder, and Psychotic Disorder Not Otherwise Specified. Anxiety Disorders a group of disorders that includes: Panic Disorder, Social Phobia, Posttraumatic Stress Disorder, Obsessive Compulsive Disorder, Generalized Anxiety Disorder, and Anxiety Disorder Not Otherwise Specified. Adjustment Disorder the development of clinically significant emotional or behavioral symptoms in response to an identifiable psychosocial stressor or stressors. Impulse Control Disorders includes Intermittent Explosive Disorder, Trichotillomania, and Impulse Control Disorder Not Otherwise Specified. 19
20 ADHD and Disorders in Children includes Attention Deficit Hyperactivity Disorder, Conduct Disorder, Oppositional Defiant Disorder, and Disruptive Behavior Disorder Not Otherwise Specified. Other Mental Health Disorders includes Tic Disorders, Learning Disorders, Communications Disorders, and Motor Skills Disorders. Substance Abuse/Dependence Disorders there are 11 classes of substances: alcohol, amphetamines, caffeine, cannabis (marijuana or hashish), cocaine, hallucinogens, inhalants, nicotine, opioids (heroin or other narcotics), PCP, and sedatives/hypnotic/ anxiolytics. DSM The Diagnostic and Statistical Manual of Mental Disorders, published by the American Psychiatric Association. This manual provides a diagnostic coding system for mental and substance abuse disorders. ENROLLMENT The number of Medicaid recipients who are active in the Medical Assistance program at any given point in time. FAIR HEARING APPEAL A grievance process through which a HealthChoices member can file a written appeal, to the Department of Human Services, regarding a behavioral health care service decision. GRIEVANCE The process by which a consumer addresses a problem with a decision made about his/her behavioral health care service. This may include denial of a service, approving less service than what was requested, or approving a level of care different from that requested. There are two levels of grievances and an external review process. 1st Level Grievance: An issue which is subject to review within 24 hours for urgent care and 30 days for non-urgent care. 2nd Level Grievance: A 2nd Level Grievance may be filed if the member has not received satisfactory resolution to the 1st Level Grievance. The 2nd Level Grievance Committee reviews the issue within 30 days. BLAIR COUNTY PENNSYLVANIA HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 (HIPAA) This is a Federal law that allows persons to qualify immediately for comparable health insurance coverage when they change their employment relationships. Title II, Subtitle F, of HIPAA gives the Health and Human Services Department of the federal government the authority to mandate the use of standards for the electronic exchange of health care data; to specify what medical and administrative code sets should be used within those standards; to require the use of national identification systems for health care patients, providers, payers (or plans), and employers (or sponsors); and to specify the types of measures required to protect the security and privacy of personally identifiable health care information. MEMBER Eligible Medical Assistance recipients enrolled in the HealthChoices program during the reporting period. RESIDENTIAL TREATMENT FACILITY (RTF) A self-contained, secure, 24-hour psychiatric residence for children and adolescents who require intensive clinical, recreational, educational services and supervision. UTILIZATION The amount of behavioral health care services used by Medicaid recipients. Utilization is based on encounter (paid claims) information. External Review: An External Review can be requested after the 2nd level Grievance decision. This process is independent from the managed care organization or the primary contractor. 20
Blair County HealthChoices
Blair County HealthChoices Annual Report Fiscal Year 2013-2014 County Commissioners Terry Tomassetti, Chair Diane L. Meling, Vice-Chair Ted Beam, Secretary Prepared January 2015 HEALTHCHOICES HealthChoices
More informationBlair County HealthChoices
Blair County HealthChoices Annual Report Fiscal Year 2012-2013 County Commissioners Terry Tomassetti, Chair Diane L. Meling, Vice-Chair Ted Beam, Secretary BLAIR COUNTY PENNSYLVANIA Prepared December 2014
More information2017 Year in Review The Allegheny County HealthChoices Behavioral Health Program. A report from Allegheny HealthChoices, Inc.
2017 Year in Review The Allegheny County HealthChoices Behavioral Health Program A report from Allegheny HealthChoices, Inc. DECEMBER 2018 Introduction Medicaid is a publicly financed health care program
More informationThe Allegheny County HealthChoices Program, 2008: The Year in Review
The Allegheny County HealthChoices Program, : The Year in Review A publication of Allegheny HealthChoices, Inc. August 2009 Overview and Highlights HealthChoices is Pennsylvania s managed care program
More informationCommunity Services - Eligibility
Community Services - Eligibility In order for DMH to reimburse care, the individual must meet both financial and clinical eligibility criteria. These criteria are described in detail in the DMH provider
More informationProfile of PAES Recipients and Factors That Influence PAES Outcomes
` San Francisco Department of Human Services County Adult Assistance Programs Personal Assisted Employment Services Program Profile of PAES Recipients and Factors That Influence PAES Outcomes Analysis
More informationPerformCare Provider Network Scott Daubert PhD, VP Provider Network & Account Management. AD ICD-10-CM Frequently Asked Questions
Provider Notice To: From: PerformCare Provider Network Scott Daubert PhD, VP Provider Network & Account Management Date: April 23, 2015 Subject: AD 15 105 ICD-10-CM Frequently Asked Questions The Centers
More informationThe Value of Engagement in Substance Use Disorder (SUD) Treatment
The Value of Engagement in Substance Use Disorder (SUD) Treatment A Report from Allegheny HealthChoices, Inc. June 2016 Introduction When considering substance use disorder (SUD) treatment, the length
More informationGOALS FOR THE PSCYHIATRY CLERKSHIP
GOALS FOR THE PSCYHIATRY CLERKSHIP GOALS - The aim of the core psychiatry clerkship is to expose students to patients with mental illness and to prepare them to provide psychiatric care at a basic level.
More informationBehavioral Health Providers: Facility/Ancillary Application Addendum
Please complete a separate form for each clinical location. Provider identification Legal business name: Doing business as (if applicable): Address: Anthem Blue Cross and Blue Shield Healthcare Solutions
More informationBehavioral Health Services of Somerset and Bedford Counties, Inc. HealthChoices Program
Behavioral Health Services of Somerset and Bedford Counties, Inc. HealthChoices Program 2010-2011 Annual Report Contents Introduction 3 Enrollment 4 Services 7 Utilization 9 Diagnosis 12 Cost per Member
More informationVirginia Medicaid Peer Support Services UM Guideline
Virginia Medicaid Peer Support Services UM Guideline Subject: Virginia Medicaid Peer Support Services Current Effective Date: 08/24/2017 Status: Final Last Review Date: 10/23/2018 Description Peer Supports
More informationINPATIENT INCLUDED ICD-10 CODES
INPATIENT INCLUDED ICD-10 CODES MHSUDS IN 18-053 ICD-10 F01.51 Vascular Dementia With Behavioral Disturbance F10.14 Alcohol Abuse With Alcohol-Induced Mood Disorder F10.150 Alcohol Abuse With Alcohol-Induced
More informationBehavioral Health Hospital and Emergency Department Health Services Utilization
Behavioral Health Hospital and Emergency Department Health Services Utilization Rhode Island Fee-For-Service Medicaid Recipients Calendar Year 2000 Prepared for: Prepared by: Medicaid Research and Evaluation
More informationBlair County s HealthChoices Behavioral Health System
120 Holliday Hills Drive Hollidaysburg, Pennsylvania 16648 Blair County s HealthChoices Behavioral Health System 2 nd Quarter October 2016 December 2016 Results Consumer and Family Satisfaction & Outcomes:
More informationInclude Substance Use Disorder Services in New Hampshire Medicaid Managed Care
Include Substance Use Disorder Services in New Hampshire Medicaid Managed Care New Futures mission is to advocate, educate, and collaborate to reduce alcohol and other drug problems in New Hampshire. Expanding
More informationIntegrated Payment & Reporting System (IPRS) Target Population Details FY Child Substance Abuse Assessment Only (CSAO)
Assessment Only (CSAO) Client Eligibility Criteria Children, starting on the third birthday until the 18 th birthday, who: are seeking or needing services for a current substance abuse problem or symptom,
More informationINDIANA HEALTH COVERAGE PROGRAMS
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER CODE TABLES Medicaid Rehabilitation Option (MRO) Services Codes Note: Due to possible changes in Indiana Health Coverage Programs (IHCP) policy or national coding
More informationMedical Necessity Criteria
SECTION 3: MEDICAL NECESSITY CRITERIA 3.0 Definition of Medical Necessity Medical necessity is the principal criteria by which the Fresno County Mental Health Plan (FCMHP) decides to accept and approve
More informationDSM-5 Table of Contents
DSM-5 Table of Contents DSM-5 Classification Preface Section I: DSM-5 Basics Introduction Use of DSM-5 Cautionary Statement for Forensic Use of DSM-5 Section II: Essential Elements: Diagnostic Criteria
More informationPITTSBURGH MERCY: COMPREHENSIVE INTEGRATED CARE JUNE 6, 2018
PITTSBURGH MERCY: COMPREHENSIVE INTEGRATED CARE JUNE 6, 2018 AN ENHANCED MEDICAL HOME MODEL FOR THE SMI POPULATION Comprehensive Care Patient Centered Care Coordinated Care Accessible Services Quality
More informationAlberta Alcohol and Drug Abuse Commission. POSITION ON ADDICTION AND MENTAL HEALTH February 2007
Alberta Alcohol and Drug Abuse Commission POSITION ON ADDICTION AND MENTAL HEALTH POSITION The Alberta Alcohol and Drug Abuse Commission (AADAC) recognizes that among clients with addiction problems, there
More information*Many of these DSM 5 Diagnoses might also be used to argue for eligibility using Other Health Impaired Criteria
Handout 2: DSM 5 Diagnoses that May be Associated with One or More of the Five ED Characteristics* 1. An inability to learn that cannot be explained by intellectual, sensory, or health factors. a) Selective
More informationTable of substance use disorder diagnoses:
Table of substance use disorder diagnoses: ICD-9 Codes Description 291 Alcohol withdrawal delirium 291.3 Alcohol-induced psychotic disorder with hallucinations 291.4 Idiosyncratic alcohol intoxication
More informationPROVIDER HANDBOOK FOR PSYCHIATRIC AND PARTIAL HOSPITALIZATION SERVICES SECTION VII OTHER SERVICES CONTENTS
PROVIDER HANDBOOK FOR PSYCHIATRIC AND PARTIAL HOSPITALIZATION SERVICES SECTION VII OTHER SERVICES CONTENTS I. Mobile Mental Health Treatment A. Provider Qualifications for MA Payment...VII-1 B. Compensable
More informationFinancing Family and Youth Services Your Answer to the Workforce Gap is Peer Support Providers
Financing Family and Youth Services Your Answer to the Workforce Gap is Peer Support Providers National Technical Assistance Center for Children s Mental Health, Georgetown University Center for Child
More informationPENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE Office of Medical Assistance Programs
PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE Office of Medical Assistance Programs SUPPLEMENTAL PROVIDER AGREEMENT FOR THE DELIVERY OF PEER SUPPORT SERVICES This Supplemental Provider Agreement sets forth
More informationLOUISIANA MEDICAID PROGRAM ISSUED: 04/13/10 REPLACED: 03/01/93 CHAPTER 13: MENTAL HEALTH CLINICS SECTION13.1: SERVICES PAGE(S) 9 SERVICES
SERVICES The clinic services covered under the program are defined as those preventive, diagnostic, therapeutic, rehabilitative, or palliative items or services that are furnished to an outpatient by or
More informationWhat is the DSM. Diagnostic and Statistical Manual of Mental Disorders Purpose
DSM 5 The Basics What is the DSM Diagnostic and Statistical Manual of Mental Disorders Purpose Standardize diagnosis criteria (objectivity) Assist in research Provide common terminology Public health statistics
More informationDSM-5 UPDATE. Supplement to DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS, FIFTH EDITION
DSM-5 UPDATE Supplement to DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS, FIFTH EDITION October 2017 DSM-5 Update October 2017 Supplement to Diagnostic and Statistical Manual of Mental Disorders,
More informationAnxiety Coding Fact Sheet for Primary Care Pediatrics
01/01/2017 Anxiety Coding Fact Sheet for Primary Care Pediatrics Current Procedural Terminology(CPT ) Codes Initial assessment usually involves a lot of time determining the differential diagnosis, a diagnostic
More informationSTATE OF WASHINGTON ACCESS TO CARE STANDARDS
STATE OF WASHINGTON ACCESS TO CARE STANDARDS FOR BEHAVIORAL HEALTH ORGANIZATIONS Effective: 01 April 2016 NORTH SOUND BHO-THERAPEUTIC-MEDICAID-16-18 1 P a g e INTRODUCTION AND SCOPE The statewide Access
More informationYouth Using Behavioral Health Services. Making the Transition from the Child to Adult System
Youth Using Behavioral Health Services Making the Transition from the Child to Adult System Allegheny HealthChoices Inc. January 2013 Youth Using Behavioral Health Services: Making the Transition from
More informationFAMILY AND ADOLESCENT MENTAL HEALTH: THE PEDIATRICIAN S ROLE
FAMILY AND ADOLESCENT MENTAL HEALTH: THE PEDIATRICIAN S ROLE Mark Cavitt, M.D. Medical Director, Pediatric Psychiatry All Children s Hospital/Johns Hopkins Medicine OBJECTIVES Review the prevalence of
More informationVermont Recovery Network
Vermont Recovery Network 200 Olcott Drive White River Junction, VT 05001 vtrecoverynetwork@gmail.com www.vtrecoverynetwork.org 802-738-8998 The Vermont Recovery Network currently consists of 12 recovery
More informationHIBBING COMMUNITY COLLEGE COURSE OUTLINE
HIBBING COMMUNITY COLLEGE COURSE OUTLINE COURSE NUMBER & TITLE: PSYC 1400: Abnormal Psychology CREDITS: 3 (3Lec 0 / Lab) PREREQUISITES: PSYC 1205: General Psychology CATALOG DESCRIPTION: Abnormal Psychology
More informationSerious Mental Illness (SMI) CRITERIA CHECKLIST
Serious Mental Illness (SMI) CRITERIA CHECKLIST BEHAVIORAL HEALTH COLLABORATIVE NEW MEXICO SMI determination is based on the age of the individual, functional impairment, duration of the disorder and the
More informationAdult Mental Health Services applicable to Members in the State of Connecticut subject to state law SB1160
Adult Mental Health Services Comparison Create and maintain a document in an easily accessible location on such health carrier's Internet web site that (i) (ii) compares each aspect of such clinical review
More informationDMAS UPDATE ON GAP PROGRAM. Cindi B. Jones, Director, DMAS House Appropriations Committee September 18, 2017
DMAS UPDATE ON GAP PROGRAM Cindi B. Jones, Director, DMAS House Appropriations Committee September 18, 2017 Bridging the Mental Health Coverage GAP GAP s Inception The Governor s Access Plan 1 of a 10
More informationOPIOID USE DISORDER CENTERS OF EXCELLENCE APPLICATION GENERAL INFORMATION
OPIOID USE DISORDER CENTERS OF EXCELLENCE APPLICATION GENERAL INFORMATION The Department of Human Services (DHS) is implementing 50 opioid use disorder (OUD) Health Homes or Centers of Excellence (COE)
More informationMedicaid Long-Term Services and Supports in Maryland:
Medicaid Long-Term Services and Supports in Maryland: FY 2009 to FY 2012 Volume 2 The Autism Waiver A Chart Book May 29, 2014 Prepared for Maryland Department of Health and Mental Hygiene TABLE OF CONTENTS
More informationSUBSTANCE USE/ABUSE CODING FACT SHEET FOR PRIMARY CARE CLINICIANS
SUBSTANCE USE/ABUSE CODING FACT SHEET FOR PRIMARY CARE CLINICIANS Current Procedural Terminology (CPT ) (Procedure) Codes Initial assessment usually involves a lot of time determining the differential
More informationAppendix A CABHC Reinvestment Project List
Projects inclusive of ALL Counties Respite Care All YAP 02-03, 04/05 05/06,07/08 08/09,10/11, 13/14 : Respite services offer short-term respite services to children, adolescents, and adults. The services
More informationSubstance Use/Abuse Coding Fact Sheet for Primary Care Pediatrics
1/1/13 CPT (Procedure) Codes Substance Use/Abuse Coding Fact Sheet for Primary Care Pediatrics Initial assessment usually involves a lot of time determining the differential diagnosis, a diagnostic plan,
More informationSubstance Use Disorders
Substance Use Disorders Substance Use Disorder This is a 15 minute webinar session for CNC physicians and staff CNC holds webinars monthly to address topics related to risk adjustment documentation and
More informationDMHAS ASAM SERVICE DESCRIPTIONS
(DMHAS) Fee for Service (FFS) ANNEX A1 DMHAS ASAM SERVICE DESCRIPTIONS Please carefully review the Service Descriptions that are included in the DMHAS FFS Initiatives in this Annex A1 contract section.
More informationBeginning the Journey
Beginning the Journey Alcohol & Drug Addiction Recovery Helping a Loved One with an Addiction ADRC of Brown County 920-448-4300 300 S. Adams Street Green Bay, WI 54301 adrcofbrowncounty.org facebook.com/adrcbrowncountywi
More informationDSM Comparison Chart DSM-5 (Revisions in bold)
317.0-318.2 DSM Comparison Chart DSM-IV-TR DSM-5 (Revisions in bold) Multi-axial system s Usually First Diagnosed in Infancy, Childhood and Adolescence Single line diagnosis with specifiers Neurodevelopmental
More informationNo An act relating to health insurance coverage for early childhood developmental disorders, including autism spectrum disorders. (S.
No. 158. An act relating to health insurance coverage for early childhood developmental disorders, including autism spectrum disorders. (S.223) It is hereby enacted by the General Assembly of the State
More informationImpacting Youth: Mental Health Awareness to Treatment
Impacting Youth: Mental Health Awareness to Treatment Jeannie Von Stultz, Ph.D Director of Mental Health Services Bexar County Juvenile Probation Danielle Housley, MPH Northside ISD Health & PE Department
More informationTHE ADDICTED BRAIN: WHAT S GOING ON IN THERE? 3 CE hours. Sandra Morgenthal, PCC-S, CCFC, RN Copyright 2016 Sandra Morgenthal All rights Reserved
THE ADDICTED BRAIN: WHAT S GOING ON IN THERE? 3 CE hours Sandra Morgenthal, PCC-S, CCFC, RN Copyright 2016 Sandra Morgenthal All rights Reserved You can contact this author at sandymorgenthal@yahoo.com
More informationMany people are confused about what Social Security benefits might be available to them. Here are answers to frequently asked questions.
Many people are confused about what Social Security benefits might be available to them. Here are answers to frequently asked questions. What is the difference between SSI and SSDI? SSDI or Social Security
More informationTop 50 Topics. 2. Abuse and Neglect of Elderly and Dependent Clients Know examples of clinical mandates
1. Child Abuse and Neglect Signs of physical abuse Signs of sexual abuse Signs of neglect Sex between minors Reporting responsibilities Top 50 Topics 2. Abuse and Neglect of Elderly and Dependent Clients
More informationFACT SHEET: Federal Parity Task Force Takes Steps to Strengthen Insurance Coverage for Mental Health and Substance Use Disorders
The White House Office of the Press Secretary For Immediate Release October 27, 2016 FACT SHEET: Federal Parity Task Force Takes Steps to Strengthen Insurance Coverage for Mental Health and Substance Use
More informationAntidepressants for treatment of depression.
JR3 340 1 of 9 PSYCHOTROPIC MEDICATIONS PURPOSE The use of psychotropic medication as part of a youth's comprehensive mental health treatment plan may be beneficial. The administration of psychotropic
More informationIntegration How Can Behavioral Health And Health Care Be Better Coordinated?
Integration How Can Behavioral Health And Health Care Be Better Coordinated? Mental Health America Annual Conference June 8, 2013 Harvey Rosenthal, NYAPRS New York Association of Psychiatric Rehabilitation
More informationAn Alternative Payment Model Concept for Office-based Treatment of Opioid Use Disorder
An Alternative Payment Model Concept for Office-based Treatment of Opioid Use Disorder CONTENTS I. Need for an Alternative Payment Model for Opioid Use Disorder and Addiction... 2 A. Improving Services
More informationUnmanaged Behavioral Health Puts Your Company At Risk. Presented by: Dr. Sam Mayhugh Integrated Behavioral Health
Unmanaged Behavioral Health Puts Your Company At Risk Presented by: Dr. Sam Mayhugh Integrated Behavioral Health Behavioral Health Management Webinar Overview History of BH management Prevalence of behavioral
More informationTESTIMONY Of Pam Gehlmann Executive Director/ Assistant Regional Director Pinnacle Treatment Centers Alliance Medical Services-Johnstown
TESTIMONY Of Pam Gehlmann Executive Director/ Assistant Regional Director Pinnacle Treatment Centers Alliance Medical Services-Johnstown Center for Rural Pennsylvania On Confronting the Heroin Epidemic
More informationDSM Review. MFT Clinical Vignette Exam Study System. Identify the key diagnostic features as they would appear in a vignette.
DSM Review Identify the key diagnostic features as they would appear in a vignette. Major Depressive Disorder Persistent Depressive Disorder Unspecified Depressive Disorder Bipolar I Disorder Bipolar II
More informationEligibility and Claims
5.0 Eligibility Eligibility and Claims SECTION 5: ELIGIBILITY AND CLAIMS A beneficiary means any person certified as eligible under the Medi-Cal Program according to Title 22, California Code of Regulations,
More informationContents Opioid Treatment Program Core Program Standards... 2
2017 OPIOID TREATMENT PROGRAM PROGRAM DESCRIPTIONS Contents Opioid Treatment Program Core Program Standards... 2 Court Treatment (CT)... 2 Detoxification... 2 Day Treatment... 3 Health Home (HH)... 3 Integrated
More informationGERIATRIC SERVICES CAPACITY ASSESSMENT DOMAIN 5 - CAREGIVING
GERIATRIC SERVICES CAPACITY ASSESSMENT DOMAIN 5 - CAREGIVING Table of Contents Introduction... 2 Purpose... 2 Serving Senior Medicare-Medicaid Enrollees... 2 How to Use This Tool... 2 5 Caregiving... 3
More informationEliada Assessment Center Application for Services
Student s Name: Record # Date of Birth: Race: Biological Sex: Male Female Gender Identity: Male Female Transgender/Non-Binary Date Placement Needed: SSN: - - Legal Custodian: Name, Address, Phone, Email
More informationFACT SHEET. Women in Treatment
FACT SHEET Women in Treatment February 2011 The data in this fact sheet are based on clients in publicly funded and/or monitored alcohol and other drug treatment services in California during State Fiscal
More informationState of California Health and Human Services Agency Department of Health Care Services
State of California Health and Human Services Agency Department of Health Care Services JENNIFER KENT DIRECTOR EDMUND G. BROWN JR. GOVERNOR DATE: MHSUDS INFORMATION NOTICE NO.: 18-053 TO: SUBJECT: SUPERSEDES:
More informationTraining and Education Course Catalog. Volume 2018, No. 1
Training and Education Course Catalog Volume 2018, No. 1 Table of Contents Welcome...4 About This Catalog...4 How To Access Our Programs... 5 Relias E-Learning... 5 Continuing Education Information...6
More informationABA Services. Presented by: Tara Karbiner, LCSW & Kelly Griess, LPC, BCBA, Jeffrey Stumm & Karli Schilling April 25, 2017
ABA Services Presented by: Tara Karbiner, LCSW & Kelly Griess, LPC, BCBA, Jeffrey Stumm & Karli Schilling Today s Objectives Understanding of ABA as a Covered Benefit under BHRS Review of ABA prescription
More informationUnderstanding Mental Health Preadmission Screening and Resident Review (PASRR) and Form Valerie Krueger Mental Health PASRR Specialist
Understanding Mental Health Preadmission Screening and Resident Review (PASRR) and Form 1012 Valerie Krueger Mental Health PASRR Specialist Session Objectives At the conclusion of this session participants
More informationALTERNATIVES : Do not adopt the resolution or authorize the signing of the Reduction in the State Fiscal year allocation.
MENTAL HEALTH (707) 464-7224 Fax: (707) 465-4272 TOLL FREE: 1-888-446-4408 COUNTY OF DEL NORTE 206 WILLIAMS DRIVE CRESCENT CITY, CALIFORNIA 95531 MICHAEL F. MILLER, L.M.F.T., DIRECTOR MENTAL HEALTH, ALCOHOL
More informationMental Health Information For Teens, Fourth Edition
Teen Health Series Mental Health Information For Teens, Fourth Edition Health Tips About Mental Wellness And Mental Illness Including Facts About Recognizing And Treating Mood, Anxiety, Personality, Psychotic,
More informationSTATE OPERATIONS MANUAL
STATE OPERATIONS MANUAL Appendix W Survey Protocol, Regulations and Interpretive Guidelines for Critical Access Hospitals (CAHs) And Swing-Beds in CAHs Revisions 84, 06-07-21013 C-0151 Physician Ownership
More informationADVANCED BEHAVIORAL HEALTH, INC. Clinical Level of Care Guidelines
The Clinical Level of Care Guidelines contained on the following pages have been developed as a guide to assist care managers, physicians and providers in making medical necessity decisions about the least
More informationSmall Group. SG_Ren_
Small Group UnitedHealthcare of California updates the Combined Evidence of Coverage and Disclosure Form ( EOC ), Schedule of Benefits (Schedules) and U.S. Behavioral Health Plan, California (USBHPC) EOC
More informationThe Virtual En-psych-lopedia by Dr. Bob. DSM-IV Diagnoses and Codes, Alphabetical Listing
The Virtual En-psych-lopedia by Dr. Bob DSM-IV Diagnoses and Codes, Alphabetical Listing DSM-5 listings: alphabetical, by diagnosis numerical, by ICD-9-CM and ICD-10-CM code This is just an alphabetical
More informationThurston Mason Behavioral Health Organization 2017 Budget (Jan-Dec)
Thurston Mason Behavioral Health Organization (Jan-Dec) Social Services Programs Program: D611 & D699 Chemical Dependency Administration Description: This program is responsible for implementing the program
More informationFY17 SCOPE OF WORK TEMPLATE. Name of Program/Services: Medication-Assisted Treatment: Buprenorphine
FY17 SCOPE OF WORK TEMPLATE Name of Program/Services: Medication-Assisted Treatment: Buprenorphine Procedure Code: Modification of 99212, 99213 and 99214: 99212 22 99213 22 99214 22 Definitions: Buprenorphine
More informationReport to the Social Services Appropriations Subcommittee
Report to the Social Services Appropriations Subcommittee Medicaid Coverage and Reimbursement for Outpatient Physical Therapy and Outpatient Occupational Therapy Prepared by the Division of Medicaid and
More informationFY2017 ANNUAL REPORT
FY2017 ANNUAL REPORT 1 OUR MISSION The mission of the Medina County Alcohol, Drug Addiction and Mental Health (ADAMH) Board is to assure the availability of high quality alcohol, drug addiction and mental
More informationKirsten Barlow, Executive Director County Behavioral Health Directors Association of California (CBHDA)
Kirsten Barlow, Executive Director County Behavioral Health Directors Association of California (CBHDA) May 2017 Who do counties serve? * All ages * Primarily Medi-Cal beneficiaries * People with a serious
More informationand Supports in Maryland: The Autism Waiver
Medicaid Long Term Services and Supports in Maryland: The Autism Waiver FY 2006 to FY 2009 A Chart Book December 3, 2010 Prepared for: Maryland Department of Health and Mental Hygiene Overview of Medicaid
More informationClient Session:3004, John, Aug 03, 2017, jh. CARS Diagnostic Report Prepared for: jh TABLE OF CONTENTS
Client Session:3004, John, Aug 03, 2017, jh CARS Diagnostic Report Prepared for: jh TABLE OF CONTENTS CARS Diagnostic Case Summary Detailed Diagnostic Reports Alcohol Abuse Alcohol Dependence GAD Risk
More informationRISK FACTORS FOR PSYCHIATRIC HOSPITALIZATION AMONG ADOLESCENTS
SILBERMAN S C H O O L of S O C I A L W O R K RISK FACTORS FOR PSYCHIATRIC HOSPITALIZATION AMONG ADOLESCENTS Jonathan D. Prince, Ph.D Marina Lalayants, Ph.D. Child Welfare in the U.S. and Russia May 30
More informationMedicaid-Funded Peer Support Services in Pennsylvania Frequently Asked Questions
Medicaid-Funded Peer Support Services in Pennsylvania Frequently Asked Questions 1. Question: Is every county required to offer Peer Support Services? Answer: Yes, under Medicaid. Pennsylvania submitted
More informationOral Health Provisions in Recent Health Reform: Opportunities for Public-Private Partnerships
Oral Health Provisions in Recent Health Reform: Opportunities for Public-Private Partnerships 2010 National Primary Oral Health Conference Tuesday, October 26, 2010 Catherine M. Dunham, Executive Director
More informationOHIO LEGISLATIVE SERVICE COMMISSION
OHIO LEGISLATIVE SERVICE COMMISSION Joseph Rogers and other LSC staff Fiscal Note & Local Impact Statement Bill: H.B. 117 of the 132nd G.A. Sponsor: Reps. Huffman and Brenner Status: As Introduced Local
More informationMEDICAID WAIVERS FOR PEOPLE WITH INTELLECTUAL DISABILITIES OR AUTISM
(800) 692-7443 (Voice) (877) 375-7139 (TDD) www.disabilityrightspa.org MEDICAID WAIVERS FOR PEOPLE WITH INTELLECTUAL DISABILITIES OR AUTISM Pennsylvania s Medical Assistance ( Medicaid ) program includes
More informationPsychotropic Medication
FOM 802-1 1 of 10 OVERVIEW The use of psychotropic medication as part of a child s comprehensive mental health treatment plan may be beneficial and should include consideration of all alternative interventions.
More informationFAMILY & CHILDREN S SERVICES STRATEGIC PLAN
2014-2019 FAMILY & CHILDREN S SERVICES STRATEGIC PLAN WHO WE ARE Family & Children s Services is a leading provider of behavioral health care and family services for people of all ages in Tulsa and surrounding
More informationTexas Financial Mapping Report: Expenditures and Youth Served in the Child and Adolescent Substance Use and Co-Occurring Disorder System of Care
Texas Financial Mapping Report: Expenditures and Youth Served in the Child and Adolescent Substance Use and Co-Occurring Disorder System of Care State Fiscal Year 2016 Supplement Financial Mapping Subcommittee
More informationMEDICAL POLICY Children's Intensive Behavioral Service/ Applied Behavioral Analysis (ABA)
POLICY: PG0335 ORIGINAL EFFECTIVE: 12/17/15 LAST REVIEW: 07/10/18 MEDICAL POLICY Children's Intensive Behavioral Service/ Applied Behavioral Analysis (ABA) GUIDELINES This policy does not certify benefits
More informationSTATE OF WEST VIRGINIA
STATE OF WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES OFFICE OF INSPECTOR GENERAL Earl Ray Tomblin BOARD OF REVIEW Karen L. Bowling Governor 1400 Virginia Street Cabinet Secretary Oak Hill, WV
More informationDepartment of Human Services/Oregon Health Authority Addictions and Mental Health Division (AMH) November 25, 2009
Disclaimer High Level Briefing on Addiction Treatment System Prepared for the Alcohol and Drug Policy Commission This paper reflects only the highest level briefing information about the addiction treatment
More informationImpact of Florida s Medicaid Reform on Recipients of Mental Health Services
Impact of Florida s Medicaid Reform on Recipients of Mental Health Services Jeffrey Harman, PhD John Robst, PhD Lilliana Bell, MHA The Quality of Behavioral Healthcare : A Drive for Change Through Research
More informationBEHAVIORAL H E A L T H T R E A T M E N T. for a bright future
BEHAVIORAL H E A L T H T R E A T M E N T Hope for a bright future Providing a comprehensive mental health and addiction treatment continuum for senior adults, adults and adolescents Offering a Comprehensive
More informationOpioid Response Package Awaits President s Signature Trinity Tomsic
Issue Brief 18-38, October 19, 2018 Opioid Response Package Awaits President s Signature Trinity Tomsic 202-624-8577 ttomsic@ffis.org Summary Congress passed the SUPPORT for Patients and Communities Act
More informationKay Johnson, MPH, EdM February 14, 2012 Association of Maternal and Child Health Programs, Washington DC
Implementing Health Reform and Improving MCH: Opportunities Kay Johnson, MPH, EdM February 14, 2012 Association of Maternal and Child Health Programs, Washington DC Acknowledgements This presentation builds
More informationGUIDELINES FOR POST PEDIATRICS PORTAL PROGRAM
GUIDELINES FOR POST PEDIATRICS PORTAL PROGRAM Psychiatry is a medical specialty that is focused on the prevention, diagnosis, and treatment of mental, addictive, and emotional disorders throughout the
More information