1. 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

2. 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

9. 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.

10. 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

11. 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

12. 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:
= 55 (total hours eligible for incentive)
55 hours X 4 (units per hour) = 220 (eligible units for incentive)
220 units X $2.00/unit = $ incentive pay*
*The center’s portion of those billable hours over 75 is $ (after incentive is paid to CM)

13. 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, per month available
$64, / 5% = $3,235.56
$3, / 10 staff = $ 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.

14. 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 = 92.2

15. Questions?