1.52M health and well-being. members CARESOURCE A nonprofit - - PDF document

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1.52M health and well-being. members CARESOURCE A nonprofit - - PDF document

4/5/17 Community Transition Program (CTP) Our MISSION To make a lasting difference in our members' lives by improving their 1.52M health and well-being. members CARESOURCE A nonprofit health plan and national leader in Managed Care


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4/5/17 1

Community Transition Program (CTP)

  • A nonprofit health plan and national leader

in Managed Care

  • 27-year history of serving the low-income

populations across multiple states and insurance products

  • Currently serving over 1.5 million members

in Kentucky, Ohio, Indiana, West Virginia

  • Preparing to serve Georgia Medicaid

members in July 2017

CARESOURCE

1.52M

members

Our MISSION

To make a lasting difference in our members' lives by improving their health and well-being.

Confidential & Proprietary

Community Transition Program (CTP) Grant

OhioMHAS To administer clinical SUD services (for non-Medicaid population) & Recovery Services, including housing, transportation, vocational support Starts July 1, 2016

  • Initial 1 year

contract (anticipate scaling)

  • Goal to create

quality, scalable program Eligible Population Individuals released from an Ohio prison who received SUD treatment while incarcerated

Confidential & Proprietary

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CTP Pillars

EMPANEL Provider Network OPERATIONALIZE New Benefit CREATE Quality Framework ENHANCE Care Coordination

MEMBER

Confidential & Proprietary

The CTP Benefit

RECEIPIENTS WILL RECEIVE:

Confidential & Proprietary

Treatment Services

Available to CTP Members without Medicaid or other Health Insurance

Diagnostic Assessment Intensive Outpatient Services Urinalysis Outpatient Individual and Group SUD Residential Treatment Case Management MAT Crisis Intervention Ambulatory Detoxification including Naloxone

Recovery Services

Non-Medicaid Reimbursable available to all CTP Members

Housing (Recovery Housing, Permanent Supporting Housing) Employment Services, Job Training and Education Peer Recovery Supporter Transportation Life Skills Relapse Prevention Spiritual Support Individual and/or Group Identity Fund Administrative (In-Reach, Recovery Case Management, Data Collection)

Care Coordination Tools and Supports

E N H A N C E C a r e C o o r d i n a t i o n

Existing Care Coordinators who Member Interacts With:

Community Linkage CDS Parole CMHC/ AOD MCO

CareSource’s Enhanced Care Coordination Tools to Provide Linkage:

Reentry Tools and Linkage to CMHC/AOD Providers Program Information Brochures / FAQ Information Sharing / Portal Access / Utilization Reports Day of Release Transport and Support by Providers Member Level Program Level Clarify Roles Develop Processes Provide Program Metrics Improve Hand-Offs Confidential & Proprietary

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Provider Network

Confidential & Proprietary

59 Providers OhioMHAS AOD Certified 230+ Locations 64 Counties

  • Approx. 90 Providers

AOD Certified + Additional Provider Types 88 County Coverage CJ Competencies (In-Reach, Rec Case Mgmt.) Current Future

CTP Housing Model

Emergency Housing (14 Day Limit)

CSH MANAGED

  • Mitigation Services
  • Home Based Case Management
  • Mental Health
  • Resource Referrals
  • Vocational Support

Housing Supports

CTP Member Assessed Prior to Release (JD VI SPDAT) Peer Support

Confidential & Proprietary Ohio Recovery Housing Associates CTP Provider Owned and Operated Four Month Max Rental Benefit Landlord Based 4 Month Max Rental Benefit Benefit available until transition to permanent subsidy Estimated to be 10% of housing population for CTP

PSH Rapid Rehousing Recovery Housing

MEMBERS DEMOGRAPHICS GEOGRAPHIC CRIMINAL JUSTICE PROVIDER NETWORK MEDICAID SATURATION CARE COORDINATION & Quality

Housing COMMUNITY TRANSITION PROGRAM DASHBOARD

Average referrals per working day:

  • 2.2 referrals in July
  • 2.7 referrals in August
  • 4.4 referrals in September
  • 6.1 referrals in October
  • 9.2 referrals in November
  • 9.8 referrals in December
  • 12.3 referrals in January
  • 12.1 referrals in February

As of 2.28.2017

1168

Active Members Race 61% Caucasian 35% Black/African American 2% Hispanic 2% Not provided .1% Asian .9% Other Race or Ethnicity 25% have co-morbid Mental Health Diagnosis Average Age

36 18%

Female Male

82%

5% Convicted of Sex Offenses .3% Convicted of Arson 87% of referrals received prior to release 13% received post release

36% 4% PRC EDS Other 60% Release Type Focus groups with CTP staff & Community Linkage

  • complete. Provider survey

has been sent out.

Cuyahoga 16.27% | Franklin Co 11.13%| Summit 8% | Hamilton 6% | Montgomery 5%| Stark 5% | All Others 48%

25% of CTP members are homeless at time of referral

59 contracted providers 257 locations in 65 Counties

Dates of 1 day trainings are: May 12th in Dayton & June 12th in Akron

69% of the referrals placed prior to release were received >3 weeks before the release date.

[PER CENT AGE] [PER CENT AGE] [PER CENT AGE] [PER CENT AGE] [PER CENT AGE] [PER CENT AGE] [PER CENT AGE] Buckeye CareSource Molina Paramount United Health Ohio Medicaid Uninsured

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Contact

Kieran Hurley, Esq. Director, Criminal Justice Services 937-487-4150 Kieran.Hurley@CareSource.com Jillane Holland, LISW-S Manager, Criminal Justice Services 937-572-4140 Jillane.Holland@CareSource.com

Website

https://www.caresource.com/members/ohio/community-transition-program/

Discussion

Confidential & Proprietary