1. SEACOAST YOUTH SERVICES, (SYS) SEABROOK, NH NIATx Initiative Start Date: 01/26/2012 Change Team Members: Lynn Madden, NIATx Coach, APT Foundation Vic Maloney, Executive Director, SYS Barry Timmerman, Clinical Director, SYS Bob Cashen, Collaborator, Direction Behavioral Health

2. Discover what we can bill for; Learn the CPT Codes for those services that we offer; Increase Service Provision Revenue; Utilize Credentialed Staff to their full potential; Become Medicaid Eligible; Develop an EMR and On-line Billing System; Develop an Adolescent Assessment Service for the Lower Seacoast

3. Formed a Change Team; Became a Medicaid Provider; Became a Certified GAIN-I Site; Staff got NPI #s; Agency got NPI #; Staff got on CAQH; Had first Billing Episode with Medicaid; Instituted Office Alley Electronic Billing and completed training; Began Collaboration talks with Psychiatrist to develop Billing protocol with Major Insurance Providers

4. We did our first GAIN Evaluation and got paid; We billed Medicaid and received payment; Despite the additional services we are now offering, referral sources are slow to respond; For services we previously received no income for, we are now receiving income through self-pay and third party billing- the number is small- one client for a GAIN evaluation and four family therapy sessions were billed; We improved our physical plant with paint, new floors, new rugs and furniture

5. Increase Medicaid billing; Get credentialed staff on other insurance panels; Increase marketing efforts of our programs in the region; Continue collaboration with Direction Behavioral Health, specific to developing an EMR; Utilize Basis 24 as an outcome measurement tool; Train other staff in doing intakes and GAIN evaluations

6. Increase of needed services for customer base; Became more professional in our physical plant and in how we present ourselves to the customers; The tediousness and complexities of applying for Medicaid eligibility and predicted re-application can be discouraging; We are becoming less reliant on grant funding and placing ourselves in a position to survive continued major state funding cuts through the ability to do third party billing; Hopefulness and renewed energy to continue our mission