1. The Intersection of Health Homes & Adult Behavioral Health HCBS: The Provider Experience
McSilver Institute for Poverty Policy and Research, MCTAC
Meg Baier, LMSW, Managed Care Technical Assistance Center (MCTAC)
ICL
Deidre Summers, HCBS Director
Tacha Fletcher, Health Home Supervisor
Samantha Worme, Health Home Supervisor
Circare
Molly Stuttler-James, Circare Adult Services Coordinator 1

2. AGENDA Welcome and Introductions ICL’s Experience Circare’s Experience
Resources
Q&A

3. New Employee Orientation
8/2/2018
The Intersection of Health Homes & Adult Behavioral Health HCBS: One Provider’s Experience
Deidre Summers, HCBS Director, ICL
Tacha Fletcher, Health Home Supervisor, ICL
Samantha Worme, Health Home Supervisor, ICL
Institute for Community Living, Inc.

4. New Employee Orientation
8/2/2018
The Value of HCBS
Origin of Home and Community Based Services (HCBS)
Health Home is gatekeeper
Person-centered
Value/Benefits
Deidre – 5 min. Health and Recovery Plan.
Medicaid costs were high. Change needed. HCBS innovative approach. Bring services to people. Person-centered.
End with a brief story about SS. Transition: We have seen positive results with HCBS. Took a lot of effort to grow these services. Turn it over to Samantha and Tacha who will talk to the challenges in getting started.
Institute for Community Living, Inc.

5. New Employee Orientation
8/2/2018
How did we get here?
It was hard, we struggled with:
Building knowledge about HCBS
Developing workflows
Completing training
Engaging members
Samantha starts. Completing training
Institute for Community Living, Inc.

6. New Employee Orientation
8/2/2018
Engaging Members
HCBS services can support you and help you reach your goal.
Some HARP members may not be interested at first:
Explore with a conversation
Use language that is easily understood
Services not a program
Institute for Community Living, Inc.

7. New Employee Orientation
8/2/2018
Workflow
Check HARP eligibility
Conduct HCBS Eligibility Assessment
Complete abbreviated Plan of Care, submit to MCO
Receive Letter of Service Determination and review with member
Care Coordinator refers member to HCBS provider
We are sharing tips and strategies for EACH part of workflow. Talk to the difference between new and existing Health Home members.
Institute for Community Living, Inc.

8. New Employee Orientation
8/2/2018
Warm hand-off to HCBS provider
Samantha or Tacha starts slide. Then Deidre explains briefly what happens once she receives the referral.
Institute for Community Living, Inc.

9. Understanding HCBS Services
New Employee Orientation
8/2/2018
Understanding HCBS Services
Tier 1
Tier 2
Prevocational
Transitional employment
Intensive supported employment
Ongoing supported employment
Education support services
Peer Support
In addition to Tier 1 services
Psychosocial Rehabilitation
Community Psychiatric Support and Treatment (CPST)
Habilitation
Family Support
Deidre – talk about N to illustrate the services.
Institute for Community Living, Inc.

10. New Employee Orientation
8/2/2018
Marketing HCBS
Presentations
Flyer/Brochure/Handouts
Available as a resource
Building relationships
Deidre. Presentations to MCOs and Health Homes
Institute for Community Living, Inc.

11. Sustaining Relationships
New Employee Orientation
8/2/2018
Sustaining Relationships
Health Home
CMAs
Member
MCO
HCBS
Deidre starts. Don’t work in silos. Open, ongoing communication
Tacha and Samantha will add to Deidre’s points from their perspective. Give example of recent presentation with MCO.
Institute for Community Living, Inc.

12. Circare’s Perspective

13. Q & A

14. Thank you!

15. Resources Ctacny.org ICL Provider Perspective Tool Kit:
Tool Kit Offering 1
Tool Kit Offering 2
Tool kit Offering 3
Contact Info:
Meg Baier:
Tacha Fletcher:
Samantha Worme:
Deidre Summers:
Molly Stuttler-James: