New Jersey Department of Children and Families Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services Raymond Grimaldi, DCBHS Community Services Coordinator for IIC/BA Services Antoinette Gurden, DCBHS Training and Technical Assistance for IIC/BA Services Prepared and Presented by:

Slide 2 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services Focused on (re)engaging the family into community based services Provided based on an evaluation of need Address symptom reduction Securing appointments Part of a comprehensive plan of care Time limited Preparing for appointments Provided in the community Focused on skill strengthening Processing through transition IIC and BA Services What are IIC and BA Services?

Slide 3 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services IIC is Not: IIC and BA Services “In Home Therapy” delivered in the home only for the convenience of the family A long-term service BA is Not: Mentoring A way to get supervision for the youth to get him/her out of the house A long-term service A substitute for individual and/or family therapy

Slide 4 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services Assess Transition Treat Engage The Process IIC and BA Services

Slide 5 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services IIC/BA Authorization Pattern IIC and BA Services Authorization for IIC IIC links youth to community based svcs. BA is authorized after 60 days of IIC Active IIC Treatment Period *E-A-T-T Plan of Care justifies need for BA

Slide 6 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services IIC/BA Authorization Pattern IIC and BA Services Authorization for IIC IIC links youth to community based svcs. BA is authorized after 60 days of IIC Active IIC Treatment Period *E-A-T-T Plan of Care justifies need for BA The preparation for the family’s transition to community based services starts at the beginning of IIC services and is the focus of treatment throughout

Slide 7 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services Crisis Assessment Tool (CAT) Needs Assessment (Needs) Strengths & Needs Assessment (SNA) USER PURPOSE MRSS DCBHS, DYFS, JJC, & Providers CMO, YCM, Residential Providers Referral, Level of Care Determination Child and Family Team Planning Crisis Planning What Assessment Tools Are Used?

Slide 8 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services Initial Community Assessment Template IIC and BA Services A completed ICA is required to be submitted along with a Needs Assessment IIC providers must be certified by DCBHS to conduct a Needs Assessment to complete the Initial Community Assessment Assessments must be performed in clinically appropriate, non-office settings according to family need and preference Assessments must be typewritten on the ICA Template and autofaxed to ValueOptions within 10 business days of referral date

Slide 9 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services What are the three levels of IIC service? IIC Services *Supportive – Bachelor’s degree *Professional – Master’s degree Clinical – Licensed clinical professional *the regulations concerning levels of service are currently under review

Slide 10 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services Any child, youth, young adult or family with moderate- to high- level needs receiving services from DCBHS is eligible for IIC and/or BA services We serve youth and families who are and are not eligible for Medicaid/NJ Family Care Who is eligible to receive these services? IIC and BA Services

Slide 11 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services Who is qualified to provide IIC and/or BA services? IIC and BA Services Individuals who are clinically licensed (LCSW, LPC, LMFT) or are under the supervision of a clinically licensed professional Agencies or mental health practices that employ a clinically licensed professional

Slide 12 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services What are the minimum credentials for IIC providers? IIC Services Clinical Services Level: NJ Clinical Licensure as: Psychiatrist LCSWRehabilitation Counselor Psychologist Advance Practical Nurse (mental health) Clinical Mental Health Counselor LPC Marriage and Family Therapist

Slide 13 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services What are the minimum credentials for IIC providers? IIC Services Clinical Supervisor: NJ Clinical Licensure as noted previously One year of relevant experience in the provision of mental health services to children and families

Slide 14 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services What are the minimum credentials for IIC providers? IIC Services Professional Services level*: Must be supervised by a clinical supervisor as described Master’s Degree in related field, including, but not limited to: Social Work Psychology Counseling Nursing One year of relevant experience in the provision of mental health services to children and families *the regulations concerning levels of service are currently under review

Slide 15 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services What are the minimum credentials for IIC providers? IIC Services Supportive Services level*: Must be supervised by a clinical supervisor as described Bachelor’s Degree in related field, including, but not limited to: Social Work Psychology Counseling Nursing One year of relevant experience in the provision of mental health services to children and families *the regulations concerning levels of service are currently under review

Slide 16 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services What are the minimum credentials for BA providers?* BA Services High School diploma/equivalent One year of relevant experience in the provision of mental health services to children and families 21 years of age *the regulations concerning minimal credentials for BA providers are currently under review

Slide 17 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services What is the process to enroll as a provider? IIC and BA Services Prospective Provider sends application to DCBHS DCBHS certifies the application and forwards it to Medicaid Provider Enrollment Unit Medicaid processes the application and issues a provider number to the applicant Medicaid shares this provider number with Value Options

Slide 18 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services How does a provider get referrals? IIC and BA Services New providers get referrals by making themselves known to the requestor agencies

Slide 19 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services Referrals may come from any of these four entities Who are the requestor agencies? IIC and BA Services CMOMRSS YCMCSA

Slide 20 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services What is the IIC Service Plan? IIC Services A written plan that includes the following: Specific interventions with definable outcomes Identified strategies Specific timeframes Credentials of person(s) rendering each service Provisions to assure sustainability and normalization

Slide 21 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services What is the BA Individual Service Plan? the BA ISP has been standardized effective November 12, 2007 A written plan that is: and includes the following: Recommendations for specific intervention strategies Definable outcomes or goals Developed and periodically reviewed by a licensed clinical professional Specific time expectations for achievement of goals BA Services Implemented by a Behavioral Assistant Documentation of progress toward meeting outcome or goal Specific target behaviors

Slide 22 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services Records needed regarding employees: Criminal background check Verification of New Jersey clinical licensure Verification of experience working with youth and families Verification of a valid driver’s license What are the general record keeping requirements? IIC and BA Services

Slide 23 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services For services provided to 3560 eligible youth: CMO Youth For services provided to Medicaid/NJ FamilyCare eligible youth: A completed CMS 1500 form Send original to Medicaid directly Service Delivery Encounter Documentation form Keep original in youth’s file for future auditing purposes Send original to Medicaid Service Delivery Encounter Documentation form Send original to CMO; keep copy in youth’s file CSA, MRSS, YCM Youth A completed CMS 1500 form Send original to requestor agency Service Delivery Encounter Documentation form Keep original in youth’s file for future auditing purposes

Slide 24 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services What are the billing guidelines for these services? IIC and BA Services Providers may only bill for face to face services in the community, not in an office setting Providers must make themselves available to provide the number of units that are authorized according to family need and preference Units billed may include face to face contact only, not travel time, paperwork, collateral contacts, etc.

Slide 25 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services How are providers reimbursed? Reimbursement is on a fee-for-service basis Services must be authorized by the CSA to be eligible for reimbursement Rates of reimbursement: $39/hour $73/hour $85/hour $113/hour Behavioral Assistance Services IIC – Bachelor’s Level* IIC – Master’s Unlicensed Level* IIC – Clinically Licensed *currently under review IIC and BA Services

Slide 26 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services Site Review Process IIC and BA Services DCBHS and Medicaid will conduct joint site visits to monitor compliance

Slide 27 New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services Who do I contact if I have questions about IIC/BA? IIC and BA Services Division of Child Behavioral Health Services Contact Person: (609) Address: Phone Number: Raymond Grimaldi