Making Incentive Programs Work Presented by: Texoma Community Center Radley Chase, Director of IDD Services Brent Phillips-Broadrick, LPC-S, Operations Officer Danielle Sneed, LPC, Director of AMH and Crisis Services

What Is An Incentive Program? Incentive programs can be designed to fit the individual needs of your center. Incentives can be tailored to fit the Performance Contract Measures within each program. Incentive programs not only increase productivity, they also allow management to develop strategies which ensure overall compliance with minimum hours and paperwork requirements. When applied effectively, incentive programs greatly reduce staff turnover and improve client engagement

Developing An Incentive Program What are the goals for your center? Which programs might benefit from an incentive program? Introducing staff to a new paradigm is important. Especially for those who will not be eligible for incentive. Developing Policies and Procedures that fit your program will prevent difficulties later. Providing intensive oversight and fidelity management is critical to the success of incentive programs.

Policies and Procedures Fidelity and Monitoring of Hours Weekly review and monitoring of face-to-face hours and paperwork compliance for each case manager as reported to the database system Minimizes billing exceptions Helps monitor Medicaid billing guidelines Tracks service provision Monthly review--5th of the following month Overtime Billing exceptions Caseload Compliance Hour Minimums LOC 1 = 75 face-to-face hours and 85% caseload compliance LOC 3 and 4 = 100 face-to-face hours and 90% caseload compliance

Formula For Success The total number of FTF hours (up to a maximum of 130) minus 75 X 4 (units per hour) $2.00/unit = dollar amount of incentive payment to case manager

Example: LOC 3 CM X has a total of 134 billable hours for the previous month with no overtime or other exclusions. She maintained >= 90% paperwork compliance. Her incentive payment would be: 130-75 = 55 (total hours eligible for incentive) 55 hours X 4 (units per hour) = 220 (eligible units for incentive) 220 units X $2.00/unit = $440.00 incentive pay* *The center’s portion of those billable hours over 75 is $5940.00 (after incentive is paid to CM)

IDD Incentive Program for Service Coordinators 354 consumers 1 A contact = $92.80 1 B contact= $30.00 With 1 A and 3 B contacts for all 354 consumers = $64,711.20 per month available $64,711.20 / 5% = $3,235.56 $3,235.56 / 10 staff = $323.56 in monthly incentive if a Service Coordinator receives all required A and B contacts for their caseload A Service Coordinator must receive one A contact and 3 B collaterals on every individual on their assigned caseload.

IDD Incentive Program for Support Techs The IDD Incentive program began in January of 2015 Calculated with the same formula as Mental Health In comparing monthly billable hours for support techs from October of 2013 to April of 2016 the following trends have occurred: Average face-to-face hours from October 2013 to December 2014 = 44 hours Average face-to-face hours from January 2015 to April 2016 = 92.2

Questions?