2015 Managed Care Resources
RESOURCES POST-ACADEMY
- HHS Trauma Letter to Medicaid State Directors 7-11-2013
- Wisconsin Crisis Benefit (WI Emergency Mental Health Service Programs)
- Louisiana CSoC Quality Measures Document
- Louisiana CSoC Areas of Focus Priority Report Requests
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
STATE RESOURCES
State Plan Amendments/Waivers
Montana
Maryland
- 1915i Approval Package
- 1915i State plan HCBS Administration and Operation
- Targeted Case Management Services: Care Coordination for Children and Youth
New Jersey
Massachusetts
Policy & Regulation:
Louisiana
New Jersey
Maryland
RFP/Contracts
Milwaukee
- Child Welfare Contract
- Medicaid Contract
- Milwaukee County DHS BH Division Community Access to Recovery Services Wraparound Milwaukee Year 2015 RFP
Maryland
New Jersey
- RFP for ASO
- NJ DCF RFP Unified CMO for Burlington County
- Contracted System Administrator for the Children’s System of Care
Massachusetts
Louisiana
- Coordinated System of Care Community Application (RFA)
- RFI for Provision of Statewide Family Support Services
Service Definitions
Massachusetts
- Targeted Case Management Services: Intensive Care Coordination Performance Specifications
- Family Support & Training Performance Specifications
- Mobile Crisis Performance Specs
- In Home Therapy Performance Specs
- Therapeutic Mentoring Performance Specs
Maryland
- 1915i State plan HCBS Administration and Operation
- Targeted Case Management Services: Care Coordination for Children and Youth
New Jersey
Louisiana
Medical Necessity Criteria
New Jersey
Massachusetts
- MNC: TCM Services ICC
- MNC: Family Support and Training
- Mobile Crisis MNC
- In Home Therapy MNC
- Therapeutic Mentoring MNC
Louisiana
Milwaukee
Operational Documents
Milwaukee
New Jersey
- Division of Medical Assistance and Health Services Case Management Service Manual
- DHS Children’s System of Care Initiative: CMO Standards of Operation Manual
- PerformCare Provider Service Code Guidelines
Louisiana
Massachusetts
- CSA ICC and Family Support and Training Program Description and Operations Manual
- Rates for CBHI Services
- MCO Authorization Parameters for CBHI Services
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
- AHRQs Child Quality Tool Box
- Case Management vs Care Coordination
- ICC Wraparound Quick Reference Snapshots
- Customizing Health Homes for Children with Serious BH Challenges
- Hawaii MOU
- Peer support in mental health care: is it good value for money?
- Oregon Health Authority Measure Sets: November 2014
- 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
- Wisconsin Emergency Mental Health Service Programs Benefit
- CHCS Reengineering Residential Treatment Webinar
- Increasing Access to Behavioral Healthcare: Managed Care Options and Requirements
- 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
- Medicaid Coverage of Social Interventions: A Road Map for States
- Integrating Behavioral Health into Medicaid Managed Care: Design and Implementation Lessons from State Innovators
- CMS Managed Care Information
- CMS MCO Contract Approval
- CMS Rate Development Guide