Academy on Effective Financing Strategies for Youth with Mental Health & Substance Abuse Disorder Challenges & Their Families

 

Johns Hopkins University, Rockville, MD

September 9 and 10

 

 

 

MEETING MATERIALS

• PowerPoint Slides

 

 

CONTRACT LANGUAGE/STATE EXAMPLES

• Louisiana

  • State of Louisiana Executive Order Coordinated System of Care Governance Board

  • Coordinated System of Care Community Application (RFA)

  • RFI for Provision of Statewide Family Support Services

  • Louisiana Behavioral Health Partnership (LBHP) Service Definitions Manual

  • CSoC Standard Operating Procedures

  • Who might the CSoC by right for?

  • Louisiana CSoC Quality Measures Document

  • Louisiana  CSoC Areas of Focus Priority Report Requests

• Milwaukee/Wisconsin

  • Child Welfare Contract

  • Medicaid Contract

  • Milwaukee County DHS BH Division Community Access to Recovery Services Wraparound Milwaukee Year 2015 RFP

  • Provider Practice Guidelines

  • Policies and Procedures

  • Crisis Benefit (WI Emergency Mental Health Service Programs)  

• New Jersey

  • ​CMO Regs

  • RFP for ASO

  • DCF RFP Unified CMO for Burlington County

  • Contracted System Administrator for the Children’s System of Care

  • Division of Medical Assistance and Health Services Case Management Service Manual

  • CSOC CMO Service Guidelines: Moderate  

  • CSOC CMO Service Guidelines: High

  • DHS Children’s System of Care Initiative: CMO Standards of Operation Manual

  • PerformCare Provider Service Code Guidelines

• ​Maryland

  • CCO RFP Draft

  • 1915i State plan HCBS Administration and Operation

  • Targeted Case Management Services: Care Coordination for Children and Youth

  • 1915i regs

  • TCM regs

• ​Massachusetts

  • CME RFP

  • Targeted Case Management Services: Intensive Care Coordination Performance Specifications

  • Targeted Case Management State Plan Amendment

  • Family Support & Training Performance Specifications

  • Mobile Crisis Performance Specs

  • In Home Therapy Performance Specs

  • Therapeutic Mentoring Performance Specs

  • Medical Necessity Criteria: TCM Services ICC

  • Medical Necessity Criteria: Family Support and Training

  • Medical Necessity Criteria: Mobile Crisis 

  • Medical Necessity Criteria: In Home Therapy

  • Medical Necessity Criteria: Therapeutic Mentoring

  • CSA ICC and Family Support and Training Program Description and Operations Manual

  • Rates for CBHI Services

  • MCO Authorization Parameters for CBHI Services

• Hawaii

  • Hawaii MOU

• Oregon

  • Oregon Health Authority Measure Sets: November 2014

 

 

FEDERAL RESOURCES

• CMCS Informational Bulletin - Prevention and Early Identification of Mental Health and Substance Use Conditions

• Joint CMCS and SAMHSA Informational Bulletin: Coverage of Behavioral Health Services for Children, Youth, and Young Adults with Significant Mental Health Conditions  5/7/2013  

• CMCS Informational Bulletin: Clarification of Medicaid Coverage of Services to Children with Autism  

• Joint CMCS and SAMHSA Informational Bulletin: Coverage of Behavioral Health Services for Youth with Substance Use Disorders  1/26/2015  

• Medicaid Innovation Accelerator Program (IAP)

• State Medicaid Director Letter: New Service Delivery Opportunities for Individuals with SUD  7/27/2015

• CMS Questions & Answers: Administrative Claiming Related to Training and Registry Costs  7/8/2015

• CMCS Informational Bulletin: Delivery Opportunities for Individuals with a Substance Use Disorder  10/29/2014

• Joint Informational Bulletin: Medication Assisted Treatment for Substance Use Disorders  7/11/2014

• CMCS Information Bulletin Updates on Medicaid/CHIP  7/13/2011

 

 

OTHER RESOURCES

• TA Network Financing Tool: Analyzing Aggregate Child and Adolescent Service Use and Expenditures Accross Systems  9/2015

• TA Network Financing Tool: Analyzing Service Use and Costs at the Individual Child Level  9/2015

• TA Network Finacning Tool: Analyzing Return on Investment  9/2015

• Intensive Care Coordination Using High-Quality Wraparound for Children with Serious BH Needs: State and Community Profiles

• Intensive Care Coordination Using High-Quality Wraparound: Care Coordinator to Child and Family Ratios

• Intensive Care Coordination Using High-Quality Wraparound: Supervisor to Care Coordinator Ratios

• Intensive Care Coordination Using High-Quality Wraparound: Rates and Billing Structure

• Children's Faces of Medicaid Resources

• Case Rate Scan for Care Management Entities  

• Intensive Care Coordination Using High-Quality Wraparound for Children with Serious Behavioral Health Needs: State and Community Profiles

• Medicaid Financing for Family and Youth Peer Support: A Scan of State Programs

• FFCMH National Certification for Parent Support Providers

• AHRQs Child Quality Tool Box

• Case Management vs Care Coordination

• ICC Wraparound Quick Reference Snapshots

• Customizing Health Homes for Children with Serious BH Challenges

• Peer support in mental health care: is it good value for money?

• State Guide to CMS Criteria for Managed Care Contract Review and Approval

• Making Medicaid Work for Children in Child Welfare: Examples from the Field

• Community Catalyst: Network Adequacy Checklist

• CHCS Reengineering Residential Treatment Webinar

• The Child and Adolescent Health Measurement Initiative

• Youth with High Behvioral Health Needs in Colorado: Cross-System Utilization Patterns

• Determining Care Management Entity Costs to Inform Financing - CHCS & Choices Webinar

• HHS Trauma Letter to Medicaid State Directors 7-11-2013

• Coverage of Direct Service Workforce Continuing Education & Training within Medicaid Policy & Rate Setting: A Toolkit for State Medicaid Agencies  8/2013

• Return on Investment in Systems of Care for Children with Behavioral Health Challenges  4/2014

• Effective financing strategies for Systems of Care: Examples from the field—A resource compendium for financing systems of care 2nd Edition 2009

• “At-a-Glance” Guide to Federal Medicaid Authorities Useful in Restructuring Medicaid Health Care Delivery or Payment

• Toolkit for Expanding the System of Care Approach  5/2015   

• Implementation of Health Reform for Children's Mental Health  5/2015

• Implementation & Financing of Home and Community-Based Services for Children's Mental Health  5/2015

• Issue Brief: Return on Investment in Systems of Care for Children with Behavioral Health Challenges  2/2015