TA Network

MEETING MATERIALS

• PowerPoint Slides

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

• Hawaii MOU

Oregon

• Oregon Health Authority Measure Sets: November 2014

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