Program Administration and Policy Track

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Day 1 Presentation

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Day 2 Presentation

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Federal Resources

• CMCS Informational Bulletin - Prevention and Early Identification of Mental Health and Substance Use Conditions

• Joint CMCS and SAMHSA Informational Bulletin: Coverage of Behavioral Health Services for Children, Youth, and Young Adults with Significant Mental Health Conditions  

• CMCS Informational Bulletin: Clarification of Medicaid Coverage of Services to Children with Autism  

• Joint CMCS and SAMHSA Informational Bulletin: Coverage of Behavioral Health Services for Youth with Substance Use Disorders

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State Resources

State Plan Amendments/Waivers

• Maryland

  • 1915i Approval Package

  • 1915i State Plan HCBS Administration and Operation

  • Targeted Case Management Services: Care Coordination for Children and Youth

• New Jersey

  • Section 1115 Demonstration Comprehensive Waiver

• Massachusetts

  • Targeted Case Management SPA

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Policy & Regulation:

• New Jersey

  • CMO regs

• Maryland

  • 1915i regs

  • TCM regs

 

RFP/Contracts

• Milwaukee

  • Child Welfare Contract

  • Medicaid Contract

  • Milwaukee County DHS BH Division Community Access to Recovery Services Wraparound Milwaukee Year 2015 RFP

• Maryland

  • CCO Draft RFP

• New Jersey

  • RFP for ASO

  • NJ DCF RFP Unified CMO for Burlington County

• Massachusetts

  • CME RFP

• Louisiana

  • Coordinated System of Care Community Application (RFA)

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Service Definitions

• Massachusetts

  • Targeted Case Management Services: Intensive Care Coordination Performance Specifications

  • Family Support & Training Performance Specifications

• Maryland  

  • 1915i State plan HCBS Administration and Operation

  • Targeted Case Management Services: Care Coordination for Children and Youth

• Louisiana

  • Louisiana Behavioral Health Partnership (LBHP) Service Definitions Manual

 

Medical Necessity Criteria

• New Jersey  

  • CSOC CMO Service Guidelines: Moderate  

  • CSOC CMO Service Guidelines: High

• Massachusetts

  • MNC: TCM Services ICC

  • MNC: Family Support and Training

 

Operational Documents

• Milwaukee

  • Policies and Procedures 

• New Jersey

  • PerformCare Provider service code guidelines

• Massachusetts  

  • CSA ICC and Family Support and Training Program Description and Operations Manual

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OTHER RESOURCES

• Intensive Care Coordination Using High-Quality Wraparound for Children with Serious BH Needs: State and Community Profiles

• Intensive Care Coordination Using High-Quality Wraparound: Care Coordinator to Child and Family Ratios

• Intensive Care Coordination Using High-Quality Wraparound: Supervisor to Care Coordinator Ratios

• Intensive Care Coordination Using High-Quality Wraparound: Rates and Billing Structure

• Children's Faces of Medicaid Resources

• Case Rate Scan for Care Management Entities  

• FFCMH National Certification for Parent Support Providers