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Home & Community Based Expanded Services Art, Equine & Pet Therapies.

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Presentation on theme: "Home & Community Based Expanded Services Art, Equine & Pet Therapies."— Presentation transcript:

1 Home & Community Based Expanded Services Art, Equine & Pet Therapies

2 About MTM  One of the largest transportation & healthcare service managers in the country  Established in 1995 to manage Medicaid & Medicare transportation benefit  Manages home & community based services for members of managed care programs  WellCare of Florida is one of our primary clients  URAC accredited

3 National Network  750+ provider network spans 28 states  Seven million encounters managed annually  Network Management  Recruiting  Credentialing  Training  Managing claims  Performing outreach

4 Licensed Health Professional Credentials  Licensed/registered therapist, counselor, or practitioner  Copy of current license or registration as behavioral, medical, or social services practitioner  If pets or horses are used in mental health treatment, proof of training is required

5 Art Therapist Credentials  Current certification or registration from Art Therapy Certification Board (ATCB)  Evidence showing completion of Master’s in Art Therapy degree  Seeking registration as an art therapist/under supervision of an ATR

6 Equine-Assisted Psychotherapist Credentials  Licensed/registered psychologist, behavioral therapist, mental health disorder specialist, social worker, or physical/ occupational therapist  Qualified to provide therapy using animals  Documentation of training, licenses & certifications  Two years of experience providing Equine-Assisted Therapy  Current liability insurance certificate with at least $1 million CSL  Criminal background checks, no older than one year, for staff that may come in contact with members  Current business license & tax ID or Social Security number

7 Equine-Assisted Therapist Credentials  Proof of training as Equine Therapist  Two years’ experience providing Equine-Assisted Therapy  Employment at an Equine Therapy center that meets credentialing requirements

8 Equine Center Credentials  Current membership in at least one professional association such as:  Equine Assisted Growth & Learning Association (EAGALA)  Professional Association of Therapeutic Horsemanship (PATH)  Human Equine Alliance for Learning (HEAL)  National Association of Certified Professionals in Equine Therapy (NACPET)  Those engaging in Animal-Assisted Therapy must be adequately trained

9 Equine Center Credentials Cont’d.  Horses used must be certified by one or more of the following:  Certified Therapy Horse Association (CTHA)  International Association of Equine Assisted Psychotherapy (EAGALA)  Therapy horses must be:  Examined by a licensed veterinarian within previous 12 months  Certified as able to participate in the program  Receive annual exams & certification  Safety equipment for all riders including riding helmets, safety belts & appropriate saddles/bridles

10 Equine Center Credentials Cont’d.  Equipped to protect all therapy horses, including adequate space for:  Each horse to be housed & exercised  Disposal of waste  Appropriate equipment & supplies to feed & water each horse  Equipment to properly groom each horse  Satisfy all national, state & local standards for proper, humane treatment of animals  Current liability insurance certificate with at least $1 million CSL

11 Equine Center Credentials Cont’d.  Criminal background checks, no older than one year, for staff that may come in contact with members  Staff or volunteers with convictions of felony, abuse, sexual misconduct, or abuse of animals must be excluded  Horses must have at least two years of experience in handicapped/therapeutic operations or as a school horse used in a daily lesson program  Current business license & tax ID or Social Security number

12 PATH Premium Accreditation  Evidence of current Premium Accreditation  Current liability insurance certificate with at least $1 million CSL  Criminal background checks, no older than one year, for staff that may come in contact with members  Current business license & tax ID or Social Security number

13 Psychotherapist Using Pets Credentials  Licensed/registered psychologist, behavioral therapist, mental health disorder specialist, social worker, or physical/ occupational therapist  Documentation of training, licenses & certifications

14 Pet Therapist Credentials  Therapy pets must be:  Examined by a licensed veterinarian within previous 12 months  Certified for therapy purposes  Pets must have at least one year of experience providing pet- or canine-assisted therapy  Current liability insurance certificate with at least $1 million CSL  Adequate space for each animal according to local codes & ordinances

15 Pet Therapist Credentials Cont’d.  Therapist must have current membership in at least one professional association such as:  American Humane Society or its affiliates  International Association of Canine Professionals (IACP)  Other similar professional association.  Proof of training in pet therapy  Criminal background checks, no older than one year, for staff that may come in contact with members  MTM will conduct background check for volunteers  Current business license & tax ID or Social Security number (if paid for services

16 Policies & Procedures  Obtaining written consent from a parent, guardian, or legally responsible person before beginning services  HIPAA & the limits of confidentiality in handling all medical & personal information  Formulating & following therapy plan for members, including duration & frequency  Safety training

17 Policies & Procedures Cont’d.  Fees, financial arrangements & dealing with third- party payers  Discontinuing or completing therapy  Complaint resolution & tracking  Conflict of interest  Dealing with cultural expectations & variations  Assuring quality, measuring outcomes & reporting service quality

18 Following Credentialing & Contracting  An MTM Care Coordinator will get a referral from member’s health plan for therapy  Care Coordinator will contact therapy provider based on location & specialty  Computer-based program will exchange information regarding member & treatment notes  HCBS-dedicated phone number

19 Rates  Individual therapy session of at least 45 minutes conducted by a licensed mental health professional or Art Therapist: $75  Group therapy session of at least 45 minutes conducted by a licensed mental health professional or Art Therapist: $35 per group member  Therapeutic riding session of at least 40 minutes conducted at an equine therapy center by an equine therapist: Public rate of $35-$45

20 Planned Town Hall Meetings  March 13, 2 to 4 p.m., Homewood Suites, 287 Apalachee Parkway, Tallahassee  March 14, 10 a.m. to 12 p.m., Crowne Plaza, 1201 Riverplace Blvd, Jacksonville  April 28, 4 to 6 p.m., Mariott Waterside, 700 S. Florida Ave., Tampa  April 29, 10 a.m. to 12 p.m., Courtyard, 4455 Metro Parkway, Ft. Meyers  April 29, Miami, Location TBD

21 Contact Us  For more information:  network/home-healthcare-provider-network-application/ network/home-healthcare-provider-network-application/  Feiruz Awcash; Education, Training & Outreach Manager  Phone:  Fax:   Tamara Snowden; Network Management Recruiter  Phone:  Fax: 


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