& Corrections Committee July 17, 2018 Program Overview - - PowerPoint PPT Presentation

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& Corrections Committee July 17, 2018 Program Overview - - PowerPoint PPT Presentation

Oct 28, 2023 44 likes •215 views

Presentation to the Senate Human Services & Corrections Committee July 17, 2018 Program Overview Previously, Medicaid medical benefits for children in the foster care program were provided on a fee-for-service (FFS) basis

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Presentation to the Senate Human Services & Corrections Committee

July 17, 2018

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  • Previously, Medicaid medical benefits for children in the foster care

program were provided on a fee-for-service (FFS) basis

  • Legislation passed in 2014 directed HCA to move the medical

coverage from FFS to managed care through a competitive RFP process in 2015

  • Apple Health Foster Care program began April 1, 2016
  • Coordinated Care’s name for Apple Health Foster Care program is

Apple Health Core Connections

Program Overview

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Coordinated Care is serving approx. 24,000 members in this program across the state (ALL 39 COUNTIES):

  • Children and youth in out-of-home placements
  • Children and youth receiving Adoption Support
  • Extended Foster Care (18-21)
  • Alumni of Foster Care (aged out the month of their 18th

birthday or after, enrolled until 26)

**American Indian or Alaska Native may choose AHFC/Apple Health Core Connections but will not be automatically enrolled

Note: Extended Foster Care and Alumni are all referred to as “Alumni” for the purposes of available benefits.

Who Does Apple Health Core Connections Serve?

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Coordinated Care (through our parent company – Centene) has operational, clinical, and policy leadership in delivering managed Medicaid services to children in child welfare.

  • Established first Managed Care program specifically for

children in Foster Care (Texas)

  • Currently provides managed Medicaid services to foster

care children in 10 States

– California, Florida, Kansas, Louisiana, Mississippi, Missouri, New Hampshire, Indiana, Texas, Washington

National Expertise

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Support Child & Family Services Review (CFSR) which include Safety, Permanency and Well-being Outcome Measures Solution tailored to align with states’ initiatives and goals aimed at fully integrating care and services for vulnerable populations

  • Improve access to care by establishing an integrated medical home
  • Improve coordination of physical and behavioral health services
  • Support improvement of functional outcomes and overall stability of children

and youth in foster care through enhanced quality of services

Alignment with National and State Goals

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Apple Health Core Connections Benefits

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  • Medical services
  • Doctor office visits
  • Including urgent care
  • Vision exams
  • Prescriptions
  • Hearing exams
  • Hearing aids (under 21)
  • Durable Medical

Equipment (DME)

  • Hospital care
  • Home health
  • Emergency Room visits
  • Physical therapy
  • Specialty therapies
  • Mild to Moderate

Behavioral health

  • utpatient
  • Lab tests/x-rays
  • Transplants
  • Family planning
  • Disease management
  • (Asthma, Diabetes, etc)
  • Transgender Benefits
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  • Health Care Coordination Teams staffed by:

– Behavioral Health Care Managers – Nurse Care Managers – Health Care Social Workers – Community Health Workers

At the Heart of the AHCC Model

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Our Members

Foster Care 11,222 47% Adoption 11,024 46% Alumni 1717 7%

23,966 Total Members

Foster Care Adoption Alumni 8

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  • Zero Suicide Education/Retraining
  • WISe Outreach
  • ABA Outreach

– Over 800 members

  • SOGIE (Sexual Orientation Gender Identity)
  • Emergency Room (ER) Diversion
  • a2A (adolescent to Adult)

Programs, Pilots, Processes

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We Care

(homeless youth shelter outreach)

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2017

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  • Increased Mental Health visits: 20.14%
  • Decreased preventable ER visits: 10.01%
  • Decreased inpatient admissions: 44.92%

2017 Outcomes

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Integrated Managed Care Jan 1, 2019

  • Whole-person care: behavioral health services integrated with

physical service, including social determinants of health

  • No Access to Care standards
  • Low, moderate and high-intensity
  • Services available inside and outside of county
  • Members can self-refer
  • Easier access to outpatient services
  • Collaboration early, often with providers and allied health

systems

  • Trauma-informed care
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COMMUNITY TRAININGS

AHCC Program Overview or Topics Trauma Informed Care Hope for Healing Resilence Other Clinical Topics

900 trainings 12,000+ people Increased community knowledge

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No-Cost Training

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  • ACEs (Adverse Childhood

Experiences)

  • Adolescent 2 Adult program
  • verview (a2A)
  • AHCC Overview
  • Child Development
  • Coping with Holiday Stress
  • Hope for Healing
  • Resiliency
  • Sexual Health in Foster Care
  • Substance Use Disorder
  • Suicide Prevention
  • Things I Wish My Therapist Knew

(about the foster care system)

  • Trauma-Informed Care for

Educators and School Counselors

  • Trauma-Informed Care for

Caregivers

  • Trauma-Informed Care for

Providers

  • Whole Brained Parenting

No-Cost Training

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When Advocates Work Together: Passage of HB 2530

  • July 1, 2018

Extends AHFC benefits for

  • ne year
  • Jan 1, 2019

Behavioral Health Integration

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Andrea (Tull) Davis Director of Government & External Relations Coordinated Care atull@coordinatedcarehealth.com Julie Lowery Manager of Operations, Apple Health Core Connections, Coordinated Care Julie.M.Lowery@coordinatedcarehealth.com

Questions?

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