1. 1 DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests Individualized Service Agreement (ISA) Fiscal Year 2007 & First Quarter, Fiscal Year 2008 Made possible by: The Alaska Mental Health Trust Authority and State of Alaska Amount FY07 – $780,000 FY08 - $1.2 million

2. 2 INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority Total = 61 Fiscal Year 2007 DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests # Youth Served61 Custody 12 Amount Spent$161,300.12 Non-Custody 49 Amount Approved$85,000.00 Medicaid 25 Average Cost per Insurance24 Recipient $5,597.00 No Insurance 7 Unknown 5

3. 3 INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority and State of Alaska Total = 54 First Quarter, 2008 FY08 – $1.2 Million (Trust= $500,000; General Fund= $700,000) DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests # Youth Served54 Amount Spent$58,546.40 Amount Approved$169,377 Average Cost per Medicaid43 Recipient $4300Insurance 4 Custody7No Insurance 3 Non-Custody47Unknown 4

4. 4 INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority & State of Alaska USE OF FUNDS FY 2007 and First Quarter 2008 DBH Policy & Planning November, 2007 Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests Case Management2010 Tuition1411 Transportation128 Camp43 Respite29 Family Therapy86 Individual Therapy108 Group Therapy62 Functional Assessment32 Psychiatric Evaluation31 Individual Skills Development177 Group Skills Development115 Family Skills Development73 Day Rehabilitation41 Recipient Support Services83 Housing42 Translator10 1:1 Accompaniment32 Things46 Medication Management20 ServicesFY2007First Qtr 2008

5. 5 DIVERSIONS THROUGH INDIVIDUAL SERVICE FUNDS (Numbers Based on New Recipients) DBH Policy & Planning, November 2007 Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests Custody Profile Insurance Profile Fourth Quarter 17 New Recipients; 28 Total Recipients Fiscal Year 2007 44 New Recipients ; 61 Total Recipients Custody Profile Insurance Profile Unknown, 1 Non-Custody, 32 Custody, 12 Medicaid, 29 Insurance, 7 No Insurance, 4 Unknown, 4 No Insurance, 1 Insurance, 3 Medicaid, 12 Custody, 6 Non-custody, 11

6. 6 DIVERSIONS THROUGH INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority and State Of Alaska (First Quarter, 2008) 35 New Recipients; 54 Total Recipients Numbers Based on New Recipients DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests Custody Profile Insurance Profile

7. 7 ISA funds marketing campaign In FY07, flexible mental health funds (ISA $) for severely emotionally disturbed youth were underused. –AK Mental Health Trust gave $780,000 –Word was spread personally by BH staff –17 providers enrolled The Trust and State of Alaska have slated $1.2 million for FY08 ISA funds, with up to 5% for marketing to increase usage

8. 8 BH surveyed providers, identified barriers and established the following solutions: –BH expanded the eligible provider pool Added providers of behavioral rehabilitation services and substance abuse treatment providers –Now give a $25 handling payment –Employed DHSS communications staff to raise awareness and give providers more information –The Trust has approved a marketing allowance of $60,000, or 5 percent of the $1.2 million

9. 9 DHSS Public Information Team plan: –Assist BH staff with outreach Poster PowerPoint Handouts –Educate and encourage providers Letter to directors Brochures to directors, RPTC discharge planners, others How-to Web site Contact reference for BH support –Inform, empower consumers Poster and brochures for lobby

10. 10 ADDITIONAL INFORMATION

11. 11 ALL AGENCIES THAT SIGNED THE PROVIDER AGREEMENT FOR INDIVIDUAL SERVICE FUNDS N = 17 YOUTH Mat Su Behavioral Health Services The Arc Presbyterian Hospitality House Juneau Youth Services Sitka Counseling Alaska Children’s Services Hope Community Resources ACMHS CMHC in Homer Providence Kodiak Island MHC Central Peninsula Counseling Services Denali Family Services Kenai Peninsula Community Care Center Family Centered Services of Alaska DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests C.O.H.O. Mental Health Services Maniilaq Association YOUTH ISA Yukon Kuskokwim Health Center

12. 12 INDIVIDUALIZED SERVICE AGREEMENT (ISA) Definition ISAs are flexible funds for eligible youth who are non-resourced. These funds can also be utilized to pay for services that insurances will not reimburse. DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests

13. 13 Individualized Service Agreement (ISA) Eligibility –A resident of the state –Under 22 years of age –Been assessed by a MH professional and meets criteria for SED –Has been assessed to meet residential level of care –Has been approved by DHSS for services –Is at risk of being removed from the home DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests

14. 14 INDIVIDUALIZED SERVICE AGREEMENT (ISA) Funding Process –Service provider must be a Community Mental Health Center (CMHC) or Substance Abuse (SA) provider administrated by Behavioral Health (BH) and have a signed Provider Agreement for ISA funding on file with BH –Or a Behavioral Residential Service (BRS) Medicaid provider administrated by the Office of Children’s Services (OCS) and have a signed Provider Agreement for ISA funding on file with BH. –These provider types may contract with other agencies for identified services. –Providers complete the Referral & Billing Form, which includes requested services for initial referral and every 90 days. –For programs administered by BH: forms Utilization Review staff along with initial Treatment Plan or quarterly Treatment Plan Review. –For programs administered by OCS: forms faxed to BRS Program Coordinator with initial Treatment Plan or quarterly Treatment Plan Review. BRS Program Coordinator forwards to UR staff for approval, tracking, and fund distribution. –Funds distributed every 30 days upon receipt of billing form. DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests