KIDCONNECTIONS COMMUNITY CONVENING MEETING SEPTEMBER 30, 2019 PRESENTER: JENNIFER PHAM, LCSW
AGENDA Part I: The history and background of KidConnections services in Santa Clara County. Part II: The proposed KidConnections services. Part III: Questions & Feedback. 2
GOALS OF THE COMMUNITY CONVENING: 1. Inform and discuss with attendees the proposed KidConnections services tentatively slated for RFP release Fall 2019 (FY20). 2. Gather feedback, answer questions about the proposed plans. 3
ESTIMATED TIMELINE OF EVENTS June 1, 2020 through October 2019 Fall 2019 Summer 2020 December 31, 2020 Begin community trainings, Request for education, public Complete services proposals for Launch Community announcements, KidConnections services Convenings and other outreach services efforts to promote the proposed system of care 18-Oct-19 4
KIDCONNECTIONS BACKGROUND History: Screening, Assessment & Treatment Services Since 2006, FIRST 5 Santa Clara County and the Behavioral Health Services Department have partnered to provide high quality, trans-disciplinary screening and assessment, home visitation and therapeutic services for children under 6 years of age through the KidConnections System of Care . 5
KIDCONNECTIONS CONTINUUM OF CARE Integrated KCN Services Self Referrals, Friends/Families • Assessment for Intervention • Targeted Diagnostic Assessment • Home Based Therapeutic Services • Developmental Home Visitation Services • Behavioral Home Visitation Services • Case Management Services: Linkage and connection to FRCs, Early Start, School Districts, preschool and Community Service Providers other community resources (e.g., Early Learning, FRCs, Courts) • Care Coordination with healthcare and other care Centralized Call Center providers Health Providers (e.g., Pediatricians, Public Health Nurses) 6
KIDCONNECTION CONTINUUM OF CARE Centralized Call Center Coordination and Connection throughout KCN experience (as needed) •Early Start Program •School District •FIRST 5 Family Resource Centers 7 •Targeted Diagnostic Assessment (TDA) Consultation and Referral
CHILDREN, YOUTH, TRANSITION AGE YOUTH, AND FAMILY SYSTEM OF CARE PREVENTION INTENSIVE INTENSIVE RESIDENTIAL AND EARLY OUTPATIENT OUTPATIENT WRAPAROUND INTERVENTION Crisis Services can be accessed across the continuum of care and offers Mobile Crisis, Community Transition Service and Crisis Stabilization Unit 8
DEPARTMENT OF HEALTH CARE SERVICES REQUIREMENT • Managed Care Rule- What is the Managed Care Rule? – The Managed Care Rule is a comprehensive effort to update & modernize the rules that Medicaid (Medi-Cal) managed care programs need to follow. – It is the first major update to the rules in more than a decade – The effective date of the Managed Care Rule was July 5, 2016, with phased implementation over a three year period. – Applies to the provision of Medicaid Managed Care (MMC) programs and managed care organizations (MCOs), Pre-paid Inpatient Health Plans (PIHPs), and Pre-paid Ambulatory Health Plans (PAHPs). – As PIHPs, MHPs and DMC-ODS pilots are subject to federal managed care regulations related to beneficiary rights and protections, quality improvement and review, and adequacy and availability of services (among others). 18-Oct-19 9
DEPARTMENT OF HEALTH CARE SERVICES REQUIREMENT • Managed Care Rule – Timely Access Standard Time & Distance Standards Timely Access Standards Service Type (from beneficiary’s place of (from request to appointment) residence) Outpatient Mental Health Within 10 business days 15 miles or 30 minutes Services Psychiatry Within 15 business days 15 miles or 30 minutes Outpatient Drug Medi-Cal Organized Delivery System Within 10 business days 15 miles or 30 minutes (DMC-ODS Substance Use Disorder (SUD) Services DMC-ODS Opioid Treatment Within 3 business days 15 miles or 30 minutes Programs Hospital N/A 15 miles or 30 minutes Prior authorization: 24 hours Pharmacy 10 miles or 30 minutes Emergency supply: 72 hours 18-Oct-19 10
DEPARTMENT OF HEALTH CARE SERVICES • Managed Care Rule – Provider/Beneficiary Ratios Outpatient Ratio Standards Psychiatry SMHS Adults (18+) 1:263 1:50 Children/Youth 1:230 1:31 (0-17) 18-Oct-19 11
KIDCONNECTION PROPOSED SERVICES Create teams available in key geographic locations in the Increase capacity for timely County (North, Central, & South) Centralize referral process for all access to services through a that are embedded in the seeking birth through age 5 centralized behavioral and community and available to services. developmental assessment provide timely access to ongoing process. family support and treatment services. CULTURAL HUMILITY, INCLUSION & EQUITY 12
QUESTIONS & FEEDBACK Visit Our Website for PowerPoint: https://www.sccgov.org/sites/bhd/Pages/home.aspx 13
FOR MORE INFORMATION CONTACT : Behavioral Health Services Department Family & Children’s Services Division 725 E. Santa Clara St. Suite 301, San Jose, CA 95112 Jennifer Pham, LCSW Phone: (408) 794-0767 Jennifer.Pham@hhs.sccgov.org 14
Recommend
More recommend
