What is a PASSE? • The P rovider-led A rkansas S hared S avings E ntity (PASSE) is a model of organized care created by Act 775 of 2017. • Providers have entered into partnerships with each other along with an experienced organization that performs administrative functions similar to insurance companies • Under Act 775, the governing body of each PASSE must include several types of providers licensed or certified to deliver services in Arkansas: • a Developmental Disabilities Services specialty provider • a Behavioral Health Services Specialty provider • a Hospital • a Physician • a Pharmacist 1 110818
Who is served by the PASSEs? PASSE Enrollment Population includes only: ‒ Individuals receiving services through DD Waiver ‒ Individuals who are on the DD Waiver Waitlist ‒ Individuals who are in private DD Intermediate Care Facilities ‒ Individuals that have a Behavioral Health Diagnosis and have received an Independent Assessment that determines they need services in Tiers 2 or 3 2 110818
What services are covered? State Plan Services Personal Care Physician Specialists Family Planning Primary Care Physician Pharmacy Inpatient Psychiatric Durable Medical Equipment Hospital Services Outpatient Behavioral Health Counseling Occupational Therapy Physical Therapy Speech Therapy Nursing Services Community & Employment Support Services Respite Supplemental Support Consultation Supported Employment Adaptive Equipment Crisis Intervention Supported Living Specialized Medical Supplies Community Transition Services Environmental Modifications Arkansas Community Independence Services Supportive Employment Planned Respite Behavior Assistance Peer Support Emergency Respite Crisis Intervention Family Support Partners Therapeutic Host Home Mobile Crisis Intervention Child & Youth Support Services Supportive Life Skills Group Life Skills Development Therapeutic Communities Supportive Housing Partial Hospitalization Adult Rehabilitation Day Community Reintegration Individual Life Skills Treatment Program Development 3 110818
What services are covered? The following services will be available to PASSE members, but the service provider will continue to bill Medicaid directly for these services. • Nonemergency medical transportation • Dental benefits • School-based services provided by school employees If a client has any problems accessing the services above through another Medicaid program, they can contact their care coordinator. 4 110818
Resources for your Clients 1. If a member has a question or issue, that member should contact the PASSE first. 2. If the member has a concern about their PASSE, that member can call the PASSE Ombudsman office. 3. AFMC is also available for Choice Counseling until we get the Beneficiary Support line set up. Arkansas Foundation for Medical Care 1-833-402-0672 PASSE Choice Counseling 501-320-6006 PASSE Ombudsman 5 110818
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