Mental Health Waiver Provider Meeting January 26 2021

Mental Health Waiver Provider Meeting January 26, 2021

Agenda Waiver Update � Average enrolled by month � Temporary Changes to Waiver during Coronavirus � � Telephone Contact Rate Increase update � Boundaries � HIPAA and email � Staffing availability � Utilization � Authorization limits � EVV � MHW renewal � MHW Advisory Council �

Waiver Update (as of 1/25/2021) � Active clients on the waiver: 596 � Actively planning for admission to waiver (MHW & MFP): 28 � Referrals pending disposition (MHW & MFP): 57 � Waitlisted referrals for MHW community: 27 � Community Census for Waiver Year 12: 615 Additional Slots for MFP clients Waiver Year 12: 60 � If you are making a referral to the MHW please remember to send in any psychosocial and functional assessments to assist with eligibility determination. �

21 n- 20 ec - 20 0 -2 ov - Ja D N ct O 20 p- Se 20 g- Au l-2 0 20 n- Ju 0 20 ay - Ju M 11 10 9 8 7 6 5 4 3 2 1 r-2 Y Y Ap W W Y Y Y Y W W W Y Y Y W W Average Enrolled by Month 25, 0 20, 0 15, 0 10, 0 5, 0 0, 0

Telephone Contact � DSS has allowed that CSP and RA services can be provided via telephone during the Coronavirus period. � Billing for CSP and RA telephone services cannot exceed 2 hours per day, and also must not exceed the weekly authorized amount. � CSP and RA service provided by phone must still be documented on the encounter note, and monthly notes are still required. � Please keep clinicians updated if services will no longer be provided face-to-face or if hours are not able to be fulfilled due to staffing shortages.

Current Rate Schedule Service Type Proc Code Unit Cost 1 Unit = Recovery Assistant - Agency Recovery Assistant - Self Directed Recovery Assistant Group 2 Recovery Assistant Group 3 Recovery Assistant Group 4 Overnight Recovery Assistant CSP Group ADH Full Day Non-Medical ADH Full Day Medical ADH Half Day Assisted Living- Level 1 - Occasional Assisted Living- Level 2 - Limited Assisted Living- Level 3 - Moderate Assisted Living- Level 4 - Extensive Assisted Living Core Service DEMO Assisted Living- Level 1 - Occasional DEMO Assisted Living- Level 2 - Limited DEMO Assisted Living- Level 3 - Moderate DEMO Assisted Living- Level 4 - Extensive DEMO Assisted Living Core Service Transitional Case Management Supported Employment Peer Supports Brief Espisode Stabilization PERS Installation PERS Monthly Service Chore Service - Agency Highly Skilled Chore Service Home Delivered Meals - Single Home Delivered Meals - Double Home Delivered Meals - Kosher Double Non-Medical Transportation- Agency Non-Medical Transportation- Individual Specialized Medical Equipment Home Accesibility Adaptations Assistive Technology 1213 M 1212 M 1214 M 1215 M 1216 M 1217 M H 2015 HQ 1200 z 1201 z 1202 z 1430 z 1431 z 1432 z 1433 z 1434 z 1435 z 1436 z 1437 z 1438 z 1439 z G 9012 H 2023 H 0038 1229 z 1222 z 1223 z 1206 z 1208 z 1218 z 1220 z 1221 z 1262 z S 0215 T 2029 1209 M 1397 Z 6. 02 3. 47 4. 51 3. 48 3. 05 6. 02 25. 42 6. 29 70. 44 74. 74 47. 42 25. 32 41. 69 58. 71 75. 59 4. 65 differs by site differs by site 16. 51 12. 58 11. 05 36. 06 60. 09 4. 34 < 10, 000 5. 43 9. 93 25. 41 0. 44 < 10, 000 < 1, 000 15 min 15 min 1 day 1 day 1 day 1 day 15 min 1 service 1 month 15 min 1 unit 1 trip 1 mile 1 service

Boundaries � There has been an increase in complaints of staff taking money or things from clients. Please remember that boundaries within this population are crucial and should be an ongoing topic in supervision. � Reminder that CSP and RA staff must have access to clinical supervision and RA staff are still required to complete boundaries training. If your agency is not currently providing boundaries training, please contact ABH if you need assistance in development. � Please contact Ann Marie if you are having difficulty providing boundaries training or yearly required 6 hours of training for RA staff during the pandemic for assistance.

HIPAA and emails � Please remind your staff that client names cannot be included in the subject line or body of non-secure emails. � We have received reports of multiple emails being received from provider agencies containing names of clients. � If your agency does not have the capability of sending a secure email, please utilize the Client ID number in the ABH portal for the communication. � Emails sent from ABH and DMHAS containing identifying client information will be sent securely.

Staffing availability � MFP and MHW clinicians are continuing to assess and enroll clients onto the Mental Health Waiver. � Please keep ABH updated as to your ability to accept new referrals for CSP and RA services. � Please be honest about your ability to provide the services that are being requested. � Please alert us if one of your staff has tested positive for COVID-19 and which clients they may have had contact. � Please keep ABH updated of any contact/supervisor changes.

Utilization � Service utilization numbers are low at this time. � Please remember to make clinicians aware of your ability to provide service during the pandemic. � If you are still utilizing telehealth to provide service, please ask for your authorization to be decreased accordingly.

Authorization Limits � Please remember to track your authorizations. � Any increase in authorization must be pre-approved. � Any retroactive request for increased units must now be requested through ABH. �

Electronic Visit Verification � DSS has been approved for the funding request needed to implement EVV on the Mental Health Waiver � If you agency is not already utilizing Sandata, there will be workshops scheduled in the future to assist you. � We are in the process of beginning meetings with Sandata, DSS and Gainwell to discuss the implementation. If you are already using Sandata and have suggestions, please forward them to Ann Marie. � DSS is hoping to have EVV implemented by March 21, 2021

MHW renewal 4/1/2022 � The Mental Health Waiver is due for renewal 4/1/2022. � If you have any suggestions for additional services or changes to the MHW, please submit them to Ann Marie. DMHAS will begin the renewal process on February 4 th. � The following services are being considered as additions to the MHW: � Mental Health Counseling � Interpreter Services

MHW Advisory Council � Meets twice a year in April and October � Open to any MHW provider to send a representative � We encourage staff to identify MHW clients who might be interested in participating. Staff can bill for time spent with client at meeting.

ABH Contact Information � Ann � Marie Luongo, Program Manager (860) 704 -6211 aluongo@abhct. com � Lori-Lynn � French, Quality Assurance Supervisor 860 -704 -6177 lfrench@abhct. com � Chastity Holloway, Program Specialist (Maternity Leave starting in February; please contact Ann Marie for coverage) � � (860) 638 -5341 cholloway@abhct. com Vacant, Claims Coordinator � 860 -704 -6201 @abhct. com � Chasaree � Dow, Utilization Review Support 860 -704 -6186 cdow@abht. com � NEW FAX NUMBER 860 -920 -4456