Transcript Presentation Title Here

ValueOptions Care
Coordination Program
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Program Scope and Objectives
• Single point of contact for an individual child and
family whose needs are complex and severe
•Supports family in coordination of services and
focuses on the family
•Family driven, youth guided and child centered
•Assures that adequate and appropriate assessments
are conducted and that systems come together to
tailor services based on needs of the beneficiary
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Program Scope and Objectives
•Promote effective and efficient use of natural
resources and promote positive outcomes for
individuals and families
•Care Coordinators are assigned specific regions
within the State and are resource experts within
their geographical region
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Program Goals
• Increase time living in the community and
unification with family/significant others
• Decreased admissions to acute inpatient
psychiatric settings and to residential programs
• Timely discharge planning and linkages into the
community
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Program Goals
• Shorter length of stay in residential programs
• Increased utilization of outpatient services and
community supports
• Reduction in duplication of services by accessing
existing System of Care initiatives
• Improved treatment planning and coordination
among care givers
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Care Coordination Map
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2 Types of Care Coordination
• Consultation
• Intervention at the request of the provider,
family member, state agency, etc.
• Intensive Case Management
• Beneficiaries meet at least one of the
ValueOptions criteria
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Criteria for Intensive Case
Management
• Beneficiaries under age 6 who are admitted to acute or
residential inpatient services;
• Beneficiaries who are admitted to acute inpatient services 2 or
more times within a 3 month period of time;
• Beneficiaries whose length of stay for their first acute
hospitalization is more than 28 calendar days;
• Beneficiaries who are admitted to residential treatment
programs and have a length of stay of greater than 12 months;
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Criteria for Intensive Case
Management
• Beneficiaries in out of state residential facilities (excludes the
border facilities);
• Beneficiaries who have 2 or more residential admissions in one
calendar year;
• Beneficiaries in residential treatment with a stay longer than 24
months who have a sexual abuse diagnosis secondary to their
mental illness;
• Beneficiaries who are admitted to acute or residential inpatient
services that have a chronic comorbid medical diagnosis.
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Consultations
• An intervention that is made at the request of
the family, provider, state agency, etc.
• Please contact the coordinator in your area to
make this referral.
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Services provided by
Care Coordination
• Monthly follow up and collaboration via
telephone to the guardian and the provider
• Education
• Advocacy
• Referrals
• Identification and linkages to natural supports in
their community
• Discharge planning
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Discharge Criteria
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Stable
Relocation out of state
Refusal to participate in outpatient therapy
Unable to locate despite multiple documented
attempts to contact
• Jail or DYS (Division of Youth Services)
• DDS placement (such as ICF/MR program)
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Questions for Providers
• How is the client doing?
• What are his/her recent symptoms and behavior?
• How is the client progressing towards their
treatment goals?
• Is the family participating in treatment and if so,
how often?
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Questions for Providers
• Have there been any medication changes?
• Have recent referrals to wraparound or other services
been helpful?
• What are the plans for discharge?
• Can you think of anything this child or family might need
at this time? Any additional supports or resources?
• How can I help you with this client?
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Discharge Planning
• Care coordinators advocate for early and timely
discharge planning from acute and/or residential facilities
• Care Coordinators will ask the following:
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What are the recommendations from the treatment team upon
discharge?
Where will the beneficiary follow up for outpatient mental health
services?
What is the discharge location for the beneficiary?
What are the education recommendations?
What resources or supports does the beneficiary/family need in order
to successfully discharge? (Wraparound, Medicaid Transportation,
Parent Training, etc.)
Is there a safety plan and has it been reviewed with the
parent/guardian?
ValueOptions Health Alert
• ValueOptions offers a unique and very helpful resource
for the State of Arkansas’ beneficiaries called Health
Alert.
• Outpatient providers can set up OP appointment
reminders and/or medication reminders by logging on to
ProviderConnect.
• Inpatient providers can set up OP appointment
reminders when completing IP discharges via
ProviderConnect.
• Members can also manage their appointments and/or
medication reminders by logging onto Member
Connect. The member can be reached via telephone
or email.
• http://arkansas.valueoptions.com/providers.htm
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ValueOptions Health Alert
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ValueOptions Health Alert
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Achieve Solutions
• Achieve Solutions is a website available to both Providers
and Beneficiaries providing statewide resources and
information.
• To Access Achieve Solutions visit the ValueOptions Arkansas
website and click on “For Members”
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Achieve Solutions
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The Arkansas System of Care
• Care Coordination refers often to the Arkansas System of
Care initiatives including
• CASSP (Child and Adolescent Service System Program)
• Wraparound
• MAPS (Multi Agency Planning Services)
• Youth MOVE
• Parenting Seminars
• Family Fun Nights/Activities
• Family Support Partners
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Links for the
Arkansas System of Care
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Link for CASSP Providers:
http://humanservices.arkansas.gov/dbhs/Documents/CASSP%20Providers
.pdf
Link for Wraparound Providers:
https://ardhs.sharepointsite.net/ARSOC/Lists/Announcements/DispForm.as
px?ID=74&Source=https%3A%2F%2Fardhs%2Esharepointsite%2Enet%2
FARSOC%2Fdefault%2Easpx
Brochure for the Arkansas System of Care:
http://humanservices.arkansas.gov/dbhs/Documents/System%20of%20Car
e%20Brochure.pdf
Brochure for Wraparound:
http://humanservices.arkansas.gov/dbhs/Documents/Children's%20Wrapar
ound%20Brochure.pdf
Brochure for the Care Coordination Council:
http://humanservices.arkansas.gov/dbhs/Documents/Care%20Coordinating
%20Council%20Brochure.pdf
Meet the Care Coordinators
From left to right: Kirsten Bird, RN; Corinne Sappington, LCSW; Melanie Hilt, LPC; Jamie Ables, LCSW;
Ginger Cheek, LPC; Jill Sorrow, LCSW; and Tosha Brown, LCSW
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Contact a Care Coordinator
Jamie Ables, LCSW
Clinical Services Manager-Care Coordination
501-707-0961
[email protected]
Central East Region
Tosha Brown, LCSW
Care Coordinator
501-707-0969
[email protected]
Northeast Region
Ginger Giddens, LPC
Care Coordinator
501-707-0954
[email protected]
Central West Region
Jill Sorrows, LCSW
Care Coordinator
501-707-0952
[email protected]
Southern Region
Corinne Sappington, LCSW
Care Coordinator
501-707-0974
[email protected]
Northwest Region
Melanie Hilt, LPC
Care Coordinator
501-707-0921
[email protected]
North Central Region
Kirsten Bird, RN
Care Coordinator
501-707-0971
[email protected]
Comorbid Coordinator
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Thank You
Presented by Jamie Ables, LCSW
[email protected]
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