KIDCONNECTIONS COMMUNITY CONVENING MEETING SEPTEMBER 30, 2019 - - PowerPoint PPT Presentation

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KIDCONNECTIONS COMMUNITY CONVENING MEETING SEPTEMBER 30, 2019 - - PowerPoint PPT Presentation

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:


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KIDCONNECTIONS COMMUNITY CONVENING MEETING

SEPTEMBER 30, 2019 PRESENTER: JENNIFER PHAM, LCSW

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Part I: The history and background of KidConnections services in Santa Clara County. Part II: The proposed KidConnections services. Part III: Questions & Feedback.

AGENDA

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  • 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.

GOALS OF THE COMMUNITY CONVENING:

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18-Oct-19

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Request for proposals for KidConnections services Launch services

Begin community trainings, education, public services announcements, and other outreach efforts to promote the proposed system of care

October 2019 Fall 2019

Complete Community Convenings

Summer 2020

June 1, 2020 through December 31, 2020

ESTIMATED TIMELINE OF EVENTS

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History: Screening, Assessment & Treatment Services

KIDCONNECTIONS BACKGROUND

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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.

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KIDCONNECTIONS CONTINUUM OF CARE

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Centralized Call Center Integrated KCN Services

  • 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

  • ther community resources
  • Care Coordination with healthcare and other care

providers

Self Referrals, Friends/Families Community Service Providers (e.g., Early Learning, FRCs, Courts) Health Providers (e.g., Pediatricians, Public Health Nurses)

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KIDCONNECTION CONTINUUM OF CARE

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Coordination and Connection throughout KCN experience (as needed)

  • Early Start Program
  • School District
  • FIRST 5 Family Resource Centers
  • Targeted Diagnostic Assessment (TDA) Consultation and Referral

Centralized Call Center

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CHILDREN, YOUTH, TRANSITION AGE YOUTH, AND FAMILY SYSTEM OF CARE

PREVENTION AND EARLY INTERVENTION

Crisis Services can be accessed across the continuum of care and offers Mobile Crisis, Community Transition Service and Crisis Stabilization Unit

OUTPATIENT INTENSIVE OUTPATIENT INTENSIVE

WRAPAROUND

RESIDENTIAL

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  • 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

  • rganizations (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

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DEPARTMENT OF HEALTH CARE SERVICES REQUIREMENT

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  • Managed Care Rule – Timely Access Standard

18-Oct-19

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DEPARTMENT OF HEALTH CARE SERVICES REQUIREMENT

Service Type Timely Access Standards (from request to appointment) Time & Distance Standards (from beneficiary’s place of residence) Outpatient Mental Health Services Within 10 business days 15 miles or 30 minutes Psychiatry Within 15 business days 15 miles or 30 minutes Outpatient Drug Medi-Cal Organized Delivery System (DMC-ODS Substance Use Disorder (SUD) Services Within 10 business days 15 miles or 30 minutes DMC-ODS Opioid Treatment Programs Within 3 business days 15 miles or 30 minutes Hospital N/A 15 miles or 30 minutes Pharmacy Prior authorization: 24 hours Emergency supply: 72 hours 10 miles or 30 minutes

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  • Managed Care Rule – Provider/Beneficiary Ratios

18-Oct-19

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DEPARTMENT OF HEALTH CARE SERVICES Ratio Standards Psychiatry Outpatient SMHS Adults (18+) 1:263 1:50 Children/Youth (0-17) 1:230 1:31

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KIDCONNECTION PROPOSED SERVICES

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Centralize referral process for all seeking birth through age 5 services. Increase capacity for timely access to services through a centralized behavioral and developmental assessment process. Create teams available in key geographic locations in the County (North, Central, & South) that are embedded in the community and available to provide timely access to ongoing family support and treatment services.

CULTURAL HUMILITY, INCLUSION & EQUITY

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Visit Our Website for PowerPoint: https://www.sccgov.org/sites/bhd/Pages/home.aspx

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QUESTIONS & FEEDBACK

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FOR MORE INFORMATION CONTACT :

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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