BH Service Delivery to Children in Foster Care December 5, 2016 - - PowerPoint PPT Presentation

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BH Service Delivery to Children in Foster Care December 5, 2016 - - PowerPoint PPT Presentation

Feb 20, 2023 483 likes •756 views

BH Service Delivery to Children in Foster Care December 5, 2016 Purpose of Meeting Quarterly meeting with BH contractors who serve foster/kinship/adoptive children Forum to update on major initiatives aimed at improving service delivery

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BH Service Delivery to Children in Foster Care

December 5, 2016

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Purpose of Meeting

  • Quarterly meeting with BH contractors who

serve foster/kinship/adoptive children

  • Forum to update on major initiatives aimed

at improving service delivery to children in foster care

  • System of Care Plan
  • Network Development and Management Plan
  • Behavioral Health Utilization and Timeframes for CMDP Members
  • DCS Rapid Response Monthly Reconciliation Report
  • Performance Monitoring Report

2 Reaching across Arizona to provide comprehensive quality health care for those in need

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Goals of SOC Serving Foster/Kinship/Adoptive Children

  • Access to timely and evidence based

services

  • Better outcomes
  • Improved mental/emotional health
  • Decreased placement disruptions
  • Decreased time to permanency

3 Reaching across Arizona to provide comprehensive quality health care for those in need

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Current Standards

4 Reaching across Arizona to provide comprehensive quality health care for those in need

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BH Appointment Standards

  • Rapid Response when a child enters out-of-home

placement within the timeframe indicated by the behavioral health condition, but no later than 72 hours after notification by DCS that a child has been or will be removed from their home

  • Initial Evaluation within seven calendar days after referral
  • r request for behavioral health services
  • Initial Appointment within timeframes indicated by clinical

need but no later than 21 days after the initial evaluation

5 Reaching across Arizona to provide comprehensive quality health care for those in need

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BH Appointment Standards

  • Subsequent Behavioral Health Services within the

timeframes according to the needs of the person, but no longer than 21 days from the identification of need

  • Psychotropic Medications: If clinically indicated, provide

an appointment with a Behavioral Health Medical Professional (BHMP) within the timeframe indicated by clinical need, but no later than 30 days from the identification of need

  • A minimum of one monthly service is required for the first

six months post removal.

6 Reaching across Arizona to provide comprehensive quality health care for those in need

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Performance Measures

  • Follow-Up After Hospitalization for Mental Health,

7 days

  • Follow-Up After Hospitalization for Mental Health,

30 days

  • Mental Health Utilization
  • Use of multiple concurrent antipsychotics in

children and adolescents

  • Access to Services: first six months post DCS

removal*

7 Reaching across Arizona to provide comprehensive quality health care for those in need

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Results of 6 month measure

  • 4 reporting months for GO scorecard to

date

  • Numerator: total number of claims

adjudicated for population

  • Denominator: total number of claims

expected based on length of enrollment for first six months in out of home

8 Reaching across Arizona to provide comprehensive quality health care for those in need

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Statewide Results

9 Reaching across Arizona to provide comprehensive quality health care for those in need

Month Range Result

10/1/15-3/31/16

70.1%

9/1/15-2/29/16

69.9%

8/1/15-1/31/16

69.9%

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Reaching across Arizona to provide comprehensive quality health care for those in need

6 month measure by RBHA

BHS Site Total Months Months with Matching Claims Claim/Month Percentage CENPATICO 3 565 513 90.80% NORTHERN AZ REG BEHAVIORAL SER 2,021 1,751 86.64% COMM PARTNER SO AZ SVC AREA 5 5,174 4,253 82.20% HEALTH CHOICE 1,451 1,155 79.60% CENPATICO 2 462 360 77.92% CENPATICO 5,641 4,385 77.73% CENPATICO 4 1,613 1,147 71.11% MERCY MARICOPA 31,315 20,839 66.55% UHCCP/CHILDRENS REHAB 1,018 319 31.34%

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21 Day Measure

  • 2442

“IF AFTER THE SCREENING AND EVALUATION IT IS DETERMINED THAT THE CHILD IS IN NEED OF BEHAVIORAL HEALTH SERVICES, THE REGIONAL BEHAVIORAL HEALTH AUTHORITY SHALL PROVIDE AN INITIAL BEHAVIORAL HEALTH APPOINTMENT FOR THE CHILD WITHIN TWENTY-ONE CALENDAR DAYS AFTER THE INITIAL EVALUATION.”

  • Current methodological limitations
  • Feedback on future direction

11 Reaching across Arizona to provide comprehensive quality health care for those in need

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High fidelity Wraparound and Care Management

12 Reaching across Arizona to provide comprehensive quality health care for those in need

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BH Case/Care Management

  • Provider Level
  • Regular CM
  • HNCM
  • RBHA Level
  • Care management
  • Children’s Services Liaison
  • CMDP Level
  • Care management

13 Reaching across Arizona to provide comprehensive quality health care for those in need

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Care Management Entity

  • A CME is an organizational entity that

serves as a centralized accountable hub to coordinate all care for youth with complex behavioral health challenges who are involved in multiple systems and their families.

14 Reaching across Arizona to provide comprehensive quality health care for those in need

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High Fidelity Wraparound

  • Vandenberg recommended model 1:10-15
  • Current standard for RBHAs 1:20
  • Option to go as high as 25 for sibling groups or

those transitioning to lower level of care

15 Reaching across Arizona to provide comprehensive quality health care for those in need

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CMDP BH Unit Overview

  • Referral Sources include DCS Field Staff,

Caregivers, BH community, Juvenile Probation

  • Assist with complex BH situations

16 Reaching across Arizona to provide comprehensive quality health care for those in need

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CMDP BH Unit Overview

  • Participate/facilitate CFTs
  • Develop service plans
  • Gather clinical information related to service

requests

  • Assist with discharge planning
  • CMDP and RBHA Medical Director staffings
  • Appeals to service denials
  • Attendance at court

17 Reaching across Arizona to provide comprehensive quality health care for those in need

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CMDP BH Assistance: Sept 2016

  • CIC 64 members
  • MMIC 85 members
  • HCIC 116 members
  • CRS 7 members

18 Reaching across Arizona to provide comprehensive quality health care for those in need

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CMDP Children Assigned HNCM

  • Ad Hoc Report due in to AHCCCS DHCM

SOC Unit by December 19

19 Reaching across Arizona to provide comprehensive quality health care for those in need

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Statewide Standardized RR Referral Form

20 Reaching across Arizona to provide comprehensive quality health care for those in need

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Quarterly Reporting Template

21 Reaching across Arizona to provide comprehensive quality health care for those in need

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Next Quarterly RBHA Meeting

  • Standardized reporting template will be

sent out to RBHAs

  • Focused on BH appointment standards

(rapid response), Monthly Services for first Six Months, Performance Measures, and 2442 reporting requirements

22 Reaching across Arizona to provide comprehensive quality health care for those in need

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Summary of RBHA Deliverables

23 Reaching across Arizona to provide comprehensive quality health care for those in need

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Summary of RBHA Deliverables: BH Needs of Children in Foster Care

Monthly

  • DCS & Adopted Children Services Reporting: Calls and

Reconciliation

  • DCS & Adopted Children Services Reporting: Rapid

Response Monthly Reconciliation Report Quarterly

  • DCS & Adopted Children Services Reporting: Access to

Services

  • DCS & Adopted Children Services Reporting: Provider

Termed Due to Rates (CRS)

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Summary of RBHA Deliverables: BH Needs of Children in Foster Care

  • System of Care Plan
  • Network Development and

Management Plan

  • Behavioral Health Utilization and

Timeframes for CMDP Members

  • Performance Monitoring Report

25 Reaching across Arizona to provide comprehensive quality health care for those in need