Transcript Field Capable Clinical Services (FCCS) Outcomes

Field Capable Clinical
Services (FCCS) Outcomes
Miguel Juarez
Kara Taguchi, Psy.D.
MHSA Implementation Unit
FSP/FCCS Roundtable Meeting
October 7, 2010
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Reminders: Important Information
on FCCS Outcomes

Outcomes do not follow the client in FCCS.
 No Transfers
 No Re-establishments

The FCCS Start date is the first date you provide FCCS
Services (first claim to FCCS IS Plan).

There is a 45 day window around each 6 month update
(15 days before the due date to 30 days after)

Must do a termination outcome even if you just finished
an update.
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Reminders: Important Information
on FCCS Outcomes (cont.)

Remember to close out FCCS outcomes so
that if the client receives services elsewhere
that require outcomes, that provider can enter
them.

No paper data accepted, outcomes must be
entered into OMA.

You must have an open IS episode at the time
you enter a baseline into OMA.
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Reminders: Important Information
on FCCS Outcomes (cont.)

If a client is transferring from Full Service
Partnership (FSP) to FCCS, FSP outcomes
must be closed out first with a
discontinuation Key Event Change (no
provider site ID change needed) then FCCS
outcomes can be collected.

The FSP Partnership date will have no
bearing on the FCCS start date.
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Deletion Change Request

If I make an error that I cannot correct what do I do?
 Deletion Change Request Form:
http://dmhoma.pbworks.com/Data+Change+or+
Deletion+Request

If the OMA won’t let me enter my outcomes, what
do I do?
 Call the MHSA Implementation Unit
 Call the DMH Help Desk at (213) 351-1335
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FCCS Issues
1) Client has an age group program changes within a
single reporting unit single episode.

Example: The agency has multiple Age Group programs
within a single Reporting Unit, and a client switches from
one age group FCCS program to another after it is
determined the next age group FCCS is more clinically
appropriate.

Age Group Agreement: No change to the original OMA
program needed if client stays with the same provider site.
Provider should continue on with updates and termination
according to DMH rules.
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FCCS Issues
2) Client goes from FCCS to another program (i.e.,
FSP or Wellness) and then back to FCCS using the
same IS episode

Example: Client starts in FCCS, terminates FCCS, then
moves to some other program within the provider site, and
then goes back to FCCS all in the same IS episode.

Age Group Agreement: Delete the termination update and
continue with next update due once client returns to
FCCS. There should not be overlapping of programs.
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FCCS Issues
3) Multiple provider sites within a single Legal Entity
providing FCCS at the same time

Example provided: Client is receiving therapy at one
location, medication at another provider site, and all are
doing Outcomes for the same timeframe.

Age Group Agreement: One of the provider sites should
take responsibility for collecting the outcomes for the
FCCS services received as a whole. Will be evaluated
case by case; should be the exception not the rule.
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FCCS Issues
4) FCCS Services at multiple sites: different provider
numbers and different Legal Entities at the same
time

Example: Client is being claimed to FCCS at multiple sites
at different legal entities simultaneously.

Age Group Agreement: Only one set of FCCS outcomes
should be collected at a time. This example should not
happen. Coordination of services between providers
needs to occur to ensure no duplication.
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FCCS Issues
5) Short Term FCCS Client

Example: A client comes into an agency and is seen only
a few times. (billing FCCS). Outcomes were not collected.
Do I need to go back and do them?

Age Group Agreement: Clients receiving a single service
do not need to have outcomes. Client’s receiving more
than one claim over a span of 30 days require FCCS
outcomes. If you have questions, please consult your
age group representative or the MHSA Implementation
Unit.
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FCCS Issues
6) FCCS and FSP services at the same time

Example: Client receiving services from two different
programs (FCCS and FSP) during the same/overlapping
time period.

Age Group Agreement: Age group FSP programs and
FCCS should not be overlapping. Clients are considered
to be in FSP until authorization to disenroll is requested
and approved by countywide. Outcomes must be collected
for FSP until the client’s authorized signature date for
disenrollment. FCCS data collection should start only after
all FSP data collection is complete. An Executive
discussion needs to take place regarding concurrent
Wraparound FSP, FCCS, and/or FSP services.
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FCCS OMA Questions from Child
Providers
Question: “Can WRAP, WRAP FSP, FSP, and FCCS
services be provided at the same time?”
Answer: An Executive discussion needs to take place
regarding concurrent Wraparound FSP and
Wraparound and FCCS. The age group leads
agreed there should not be concurrent FCCS and
Age group FSP services, except in the instance
where a client is transitioning out of FSP.
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FCCS OMA Questions from Child
Providers
Question: “If a client is enrolled in WRAP FSP and a
Child FCCS agency, would the FCCS OMA need
to be terminated? Can FCCS still be provided
without OMA data collection?”
Answer: The OMA does not allow for data collection in
two different programs at the same time. Wrap
FSP outcomes need to be sent to the state so the
FSP outcomes have priority over FCCS. Outcome
data collection for FCCS must stop once a client is
enrolled in Wrap FSP so that outcomes can be
collected for entire enrollment period of Wrap FSP.
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FCCS OMA Questions from Child
Providers
Question: “If a client is willing to stay beyond the age of
16 in the FCCS-Child program, what ‘program age
group’ would be indicated at the top of the FCCS
OMA form? Would this be based on client’s age
group at the time of first service/entering the FCCS
program? Or the actual chronological age?”
Answer: No change to the original OMA program
needed if client stays with the same provider site.
Provider should continue on with updates and
termination according to DMH rules.
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FCCS OMA Questions from Child
Providers
Question: “When a client changes from FCCS-Child to
FCCS-TAY, does the agency close the FCCS-Child
episode in the IS and open a FCCS-TAY episode?
What is the protocol in OMA?”
Answer: The IS episode does not need to be closed
when changing FCCS age group programs within
the same provider site. No change needs to be
made with OMA for FCCS. The IS billing plan that is
claimed for the service should change when the
client switches age group FCCS programs as
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clinically indicated.
FCCS OMA Questions
Question: “Is there a ‘cheat sheet’ of all the various dates
associated with disenrollment?”
Answer: No, there is no tool that exists like this. There is
only one FSP disenrollment date. It is the last date of
FSP services delivered on or after the countywide
authorized signature date. If no services were rendered
after the authorization to disenroll, then use the
signature date as the disenrollment date for outcomes.
Please refer to the OMA Chat regarding FSP
disenrollment/ discontinuation dates vs. IS episode
closing dates.
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FCCS OMA Questions
Question: “My understanding of termination date from
IS for FSP is that it has to be the date on or after
the disenrollment authorization date signed by the
CWs. Is this correct?”
Answer: Refer to OMA chat handout (Date: 5/11/2010
Issue/Topic: FSP Disenrollment dates vs. IS
episode close dates)
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Training for FCCS and Resources

FCCS Forms Trainings via WebEx
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Oct 28, 2010 from 9:00-10:00 am
Nov 9, 2010 from 9:00-10:00 am
Nov 30, 2010 from 9:00-10:00 am
Dec 14, 2010 from 9:00-10:00 am
Upcoming FCCS Hands on Trainings
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Oct 28, 2010 from 10:30 am - noon
Nov 9, 2010 from 10:30 am - noon
Nov 30, 2010 from 10:30 am - noon
Dec 14, 2010 from 10:30 am – noon

Project Website: dmhoma.pbworks.com/FCCS

Email alert system: FCCS OMA

To Subscribe, email your request to [email protected]
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Contact Information

What if I really miss talking to one of those cool OMA Team
people?

Contact us!

Kara Taguchi, Program Head, (213) 251-6818,
[email protected]

Richard Hoskins, Ph.D., (213) 251-6865,
[email protected]

Miguel Juarez, (213) 251-6829,
[email protected]

John Flynn, Ph.D., (213) 251-6404,
[email protected]
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