Cathy Cope Melissa Hulbert Centers for Medicare & Medicaid Services
Download 2.18 Mb.
|
- Navigate this page:
- Recommendation
- Products None. Massachusetts Primary Purpose
- Lessons Learned and Recommendations
- Mississippi
MarylandPrimary PurposeThe grant’s primary purpose was to examine the feasibility of developing a wraparound model of home and community-based services (HCBS) that could be funded through Medicaid, to provide a level of care for children with serious emotional disturbance (SED) comparable to that provided in psychiatric residential treatment facilities (PRTFs). If feasible, the State would develop an implementation and evaluation plan for the demonstration. The grant was awarded to the Maryland Department of Health and Mental Hygiene, Mental Hygiene Administration. The grant was subcontracted to the University of Maryland School of Medicine, Center for Mental Health Services Research, to implement the grant. ResultsGrant staff conducted a study, which determined that the HCBS wraparound model was feasible and provided information on how to develop and implement such a model, which would include outpatient mental health therapies, respite care, and in-home support services for youth and their families. The information was given to the State Departments of Education, Juvenile Services, Human Resources, Health and Mental Hygiene, and the Governor’s Office for Children. The study’s findings guided the State’s application for a CMS-funded psychiatric residential treatment facility demonstration grant and in December 2006 the state was awarded the grant to extend HCBS wraparound services to youth who meet the criteria for admission to a PRTF and are Medicaid eligible. RecommendationCongress should amend Section (§) 1915(c) of the Social Security Act to allow psychiatric residential treatment facilities for children with serious emotional disturbance to be considered institutions so that these children can receive home and community-based services through §1915(c) waivers. ProductsNone. MassachusettsPrimary PurposeThe grant’s primary purpose was to evaluate the feasibility of using a Section (§) 1915(c) waiver to provide community-based treatment alternatives for children with serious emotional disturbance (SED). The study included a review of other states’ §1915(c) waiver programs for this target population. The grant was awarded to the State’s Executive Office of Health and Human Services. The University of Massachusetts Medical School, Center for Health Policy & Research, was a subcontractor on the grant. (Subcontractor staff are referred to as grant staff.) ResultsGrant staff conducted an analysis of current service and reimbursement options and relevant Medicaid laws governing services for children with SED, in particular, those receiving care through the State’s Coordinated Family Focused Care (CFFC) program, to determine which services could be eligible for federal financial participation through a §1915(c) waiver program. (When the State applied for the Community-based Treatment Alternatives for Children [CTAC] grant, there was a discussion at the federal level about a possible statutory change that would allow psychiatric residential treatment facilities [PRTFs] to be considered an institutional level of care for purposes of determining eligibility for services under a §1915(c) waiver for certain targeted groups. However, the statutory change was never made.) Grant staff also interviewed staff in states with §1915(c) waivers for children with SED and states that use the Rehabilitation option to serve this population. The feasibility study determined that if PRTFs were considered to be institutions under §1915(c) of the Social Security Act, only a subset of CFFC participants might meet the level-of-care criteria for §1915(c) waiver services.
ProductsThe Grantee produced a report and corresponding presentation that describes grant activities, including findings and lessons learned from five states and a detailed analysis of the §1915(c) waiver as a feasible service delivery option for serving children with SED. MississippiPrimary PurposeThe grant’s primary purpose was to conduct a study to determine the feasibility of developing a Section (§) 1915(c) waiver program to provide home and community-based services (HCBS) for children with serious emotional disturbance (SED) who have a history of placement in psychiatric residential treatment facilities (PRTFs) or who are at immediate risk of being placed in a PRTF. The grant’s ultimate goal was to win a 5-year Community Alternatives to PRTF demonstration grant, authorized by the Deficit Reduction Act of 2005. The grant was awarded to the Mississippi Division of Medicaid. Mississippi Families as Allies for Children’s Mental Health and Vanderbilt University were subcontractors. ResultsThe feasibility study determined that the State’s existing service system would be able to handle the operation of a §1915(c) HCBS waiver for children with SED and that the cost neutrality requirement could be met. The study’s findings, along with findings from focus groups conducted by the Mississippi Families as Allies for Children’s Mental Health, guided the State’s application for a §1915(c) waiver and an application for a Community Alternatives to PRTF demonstration grant, and a corresponding implementation plan. The State was awarded the demonstration grant in December 2006. RecommendationSection 1915(c) of the Social Security Act should be amended to allow PRTFs to be considered institutions. Currently, federal policy allows HCBS to be provided only as an alternative to PRTFs under a §1115 research and demonstration waiver or under the Community Alternatives to Psychiatric Residential Treatment Facilities Demonstration Grant Program. Products
Directory: sites -> nasuad -> files -> hcbs -> files sites -> 587 Return function, r i(X) r i(0) r i(1) r i(2) r i(3) 1 0 2 4 6 Thermal Station, I 2 0 1 5 6 3 0 3 5 6 10 sites -> Glossary for Chapter 1 Algorithm sites -> North Carolina Inclusion Initiative Mapping Where Children with ieps are Being Served Purpose sites -> Northern England’s set-jetting locations sites -> Physical custody of 1033 program property accountibility form statement of Physical Custody: By signing for the below 1033 property I am a Law Enforcement Officer of the aforementioned Law Enforcement Agency sites -> Nstructions for Acquiring Excess Equipment online, through the 1033 Program sites -> Memorandum of agreement files -> Acronyms introduction: The most important fact about acronyms and professional jargon is that it is not necessary for any of this work. In fact Download 2.18 Mb. Share with your friends:
|