2015 Financing Resources
Academy on Effective Financing Strategies for Youth with Mental Health & Substance Abuse Disorder Challenges & Their Families
MEETING MATERIALS
CONTRACT LANGUAGE/STATE EXAMPLES
Louisiana
- State of Louisiana Executive Order Coordinated System of Care Governance Board
- Coordinated System of Care Community Application (RFA)
- RFI for Provision of Statewide Family Support Services
- Louisiana Behavioral Health Partnership (LBHP) Service Definitions Manual
- CSoC Standard Operating Procedures
- Who might the CSoC by right for?
- Louisiana CSoC Quality Measures Document
- Louisiana CSoC Areas of Focus Priority Report Requests
Milwaukee/Wisconsin
- Child Welfare Contract
- Medicaid Contract
- Milwaukee County DHS BH Division Community Access to Recovery Services Wraparound Milwaukee Year 2015 RFP
- Provider Practice Guidelines
- Policies and Procedures
- Crisis Benefit (WI Emergency Mental Health Service Programs)
New Jersey
- CMO Regs
- RFP for ASO
- DCF RFP Unified CMO for Burlington County
- Contracted System Administrator for the Children’s System of Care
- Division of Medical Assistance and Health Services Case Management Service Manual
- CSOC CMO Service Guidelines: Moderate
- CSOC CMO Service Guidelines: High
- DHS Children’s System of Care Initiative: CMO Standards of Operation Manual
- PerformCare Provider Service Code Guidelines
Maryland
- CCO RFP Draft
- 1915i State plan HCBS Administration and Operation
- Targeted Case Management Services: Care Coordination for Children and Youth
- 1915i regs
- TCM regs
Massachusetts
- CME RFP
- Targeted Case Management Services: Intensive Care Coordination Performance Specifications
- Targeted Case Management State Plan Amendment
- Family Support & Training Performance Specifications
- Mobile Crisis Performance Specs
- In Home Therapy Performance Specs
- Therapeutic Mentoring Performance Specs
- Medical Necessity Criteria: TCM Services ICC
- Medical Necessity Criteria: Family Support and Training
- Medical Necessity Criteria: Mobile Crisis
- Medical Necessity Criteria: In Home Therapy
- Medical Necessity Criteria: Therapeutic Mentoring
- CSA ICC and Family Support and Training Program Description and Operations Manual
- Rates for CBHI Services
- MCO Authorization Parameters for CBHI Services
Hawaii
Oregon
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 5/7/2013
- 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 1/26/2015
- Medicaid Innovation Accelerator Program (IAP)
- State Medicaid Director Letter: New Service Delivery Opportunities for Individuals with SUD 7/27/2015
- CMS Questions & Answers: Administrative Claiming Related to Training and Registry Costs 7/8/2015
- CMCS Informational Bulletin: Delivery Opportunities for Individuals with a Substance Use Disorder 10/29/2014
- Joint Informational Bulletin: Medication Assisted Treatment for Substance Use Disorders 7/11/2014
- CMCS Information Bulletin Updates on Medicaid/CHIP 7/13/2011
OTHER RESOURCES
- TA Network Financing Tool: Analyzing Aggregate Child and Adolescent Service Use and Expenditures Accross Systems 9/2015
- TA Network Financing Tool: Analyzing Service Use and Costs at the Individual Child Level 9/2015
- TA Network Finacning Tool: Analyzing Return on Investment 9/2015
- 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
- Intensive Care Coordination Using High-Quality Wraparound for Children with Serious Behavioral Health Needs: State and Community Profiles
- Medicaid Financing for Family and Youth Peer Support: A Scan of State Programs
- FFCMH National Certification for Parent Support Providers
- AHRQs Child Quality Tool Box
- Case Management vs Care Coordination
- ICC Wraparound Quick Reference Snapshots
- Customizing Health Homes for Children with Serious BH Challenges
- Peer support in mental health care: is it good value for money?
- State Guide to CMS Criteria for Managed Care Contract Review and Approval
- Making Medicaid Work for Children in Child Welfare: Examples from the Field
- Community Catalyst: Network Adequacy Checklist
- CHCS Reengineering Residential Treatment Webinar
- The Child and Adolescent Health Measurement Initiative
- Youth with High Behvioral Health Needs in Colorado: Cross-System Utilization Patterns
- Determining Care Management Entity Costs to Inform Financing - CHCS & Choices Webinar
- HHS Trauma Letter to Medicaid State Directors 7-11-2013
- Coverage of Direct Service Workforce Continuing Education & Training within Medicaid Policy & Rate Setting: A Toolkit for State Medicaid Agencies 8/2013
- Return on Investment in Systems of Care for Children with Behavioral Health Challenges 4/2014
- Effective financing strategies for Systems of Care: Examples from the field—A resource compendium for financing systems of care 2nd Edition 2009
- “At-a-Glance” Guide to Federal Medicaid Authorities Useful in Restructuring Medicaid Health Care Delivery or Payment
- Toolkit for Expanding the System of Care Approach 5/2015
- Implementation of Health Reform for Children's Mental Health 5/2015
- Implementation & Financing of Home and Community-Based Services for Children's Mental Health 5/2015
- Issue Brief: Return on Investment in Systems of Care for Children with Behavioral Health Challenges 2/2015