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McSilver Institute for Poverty Policy and Research, MCTAC

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Presentation on theme: "McSilver Institute for Poverty Policy and Research, MCTAC"— Presentation transcript:

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:


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