Presentation on theme: "Rev. 1-06 THE CHILDRENS MENTAL HEALTH WAIVER An introduction to the concept of a Medicaid waiver program The services and parameters of the Childrens Mental."— Presentation transcript:
rev THE CHILDRENS MENTAL HEALTH WAIVER An introduction to the concept of a Medicaid waiver program The services and parameters of the Childrens Mental Health (CMH) Waiver Lin Christensen IME Program Manager
rev What is a Medicaid Waiver? A person eligible for a Medicaid waiverwaives his(her) entitlement to receive services in an institution. Approximately 2/3 of the cost of waiver services is covered by the Federal govt. and 1/3 of the cost of waiver services is covered by the county or the state.
rev History of Medicaid Waivers in Iowa Began implementation in 1984 Iowas Medicaid waiver program is referred to as Home & Community Based Services (HCBS). Over 15,000 persons currently receive waiver services Nearly 7,000 waiver service providers
rev Iowas Medicaid Waivers Home & Community Based Services Ill and Handicapped Elderly Aids/HIV Mental Retardation Brain Injury Physical Disability Childrens Mental Health Waiver
rev The Basic Concepts of a Medicaid Waiver Funded through Title XIX Offers a menu of services from which an individualized service plan is developed to meet the support needs of each individual Each individual is supported by an interdisciplinary team in which the individual is the focus and the main source of information
rev Supporting The CMH Waiver Eligible Child State Plan Services Iowa Plan Services CMH Waiver Services
rev Teamwork Teamwork is an integral part of providing quality services. Each child approved for the CMH Waiver and his/her family is part of an interdisciplinary team (IDT). Each child, as a requirement for the CMH Waiver,must receive service oversight and service coordination from a Medicaid targeted case manager. Other IDT members: – Service providers – Teachers &/or education personnel – Iowa Plan – Other persons that the child and family would like to participate
rev The Crisis Intervention Plan (Mental Health Wellness Plan) This plan will be developed during IDT planning. The targeted case manager will write the plan. All members of the IDT will use the same crisis intervention plan. If changes occur or become necessary, the TCM must be contacted. The TCM will redistribute the dated and revised plan to IDT members.
rev The Crisis Intervention Plan (Mental Health Wellness Plan) The focus should be on wellness not crisis. This plan should include the following for the child: – Things to do everyday to maintain wellness or feeling right – Things that need to be done (or would be good to be done) – Triggers – What to do if triggers happen – Early warning signs – Symptoms of breaking down – What to do if symptoms occur – Supporters-family and friends – Medical Information Professionals involved in care Medications Treatment centers and/or facilities The targeted case manager will write the plan. All members of the IDT will use the same crisis intervention plan. If changes occur or become necessary, the TCM must be contacted. The TCM will redistribute the dated and revised plan to IDT members.
rev The Crisis Intervention Plan (Mental Health Wellness Plan) This plan should also include these components: – Supporters Family, friends, neighbors – Medical Information Professionals involved in care Medications Treatment that must be provided or must be avoided Treatment centers and/or facilities
rev If you want to play the game.... You have to follow the rules!
rev Iowa Administrative Code Rules for the CMH Waiver Chapter 77 – Service Provider Standards Chapter 78 – Service Descriptions Chapter 79 – Service Reimbursement Rates Chapter 83 – Recipient Eligibility and Appeal Rights
rev Where Can I Find the Iowa Administrative Code Rules Online? Click on A-Z services. Click on Administrative Rules. Click on Policy Analysis. Click on Medical Assistance book icon. Click on desired IAC chapter.
rev Im overwhelmed!!! I need help! Do not fear! Your friendly HCBS-CMH Waiver specialist is near. – Geri Derner – Mary Jacobs (Jake) – Lori LaCarte – Cheri Reisner – Susan Slauson – Annie Volker
rev Two Ways To Contact Your HCBS- CMH Specialist By – On the CMH Waiver website Waiver.html Waiver.html click on the link in the Questions box. An message is automatically created to the specialist assigned to each county. By telephone: – Refer to the telephone listing by county. It is also posted on the website.