MLTSS Sub MAAC CCBHC Update 212017 DHSOMHSAS 992021

MLTSS Sub. MAAC CCBHC Update 2/1/2017 DHS/OMHSAS 9/9/2021 Click to add footer text 1

Humor On the lighter side! 9/9/2021 Click to add footer text 2

Certified Clinics • • • Berks Counseling Center, Berks County Cen Clear Child Services, Clearfield County Cen Clear Punxsy, Jefferson County Community Council Health Systems, Philadelphia County NHS, Delaware County Northeast Treatment Centers, Philadelphia County Pittsburgh Mercy, Allegheny County Resources for Human Development, Montgomery County Safe Harbor Behavioral Health of UPMC Hamot, Erie County The Guidance Center, Mc. Kean County 9/9/2021 Click to add footer text 3

Goals • Provide the most complete scope of services under the criteria to individuals eligible for medical assistance under the state Medicaid program; • Improve the availability of, access to, and participation, services under the criteria; • Demonstrate the potential to expand available behavioral health services and increase the quality of such services without increasing net federal spending. 9/9/2021 Click to add footer text 4

Payment • Prospective Payment System (PPS-1) implemented as a fixed daily rate that reflects the expected cost of all CCBHC services provided on any given day to a Medicaid beneficiary. This is a cost based, per clinic rate that applies uniformly to all services rendered by a CCBHC 9/9/2021 Click to add footer text 5

Core Services • Crisis mental health services. • Screening, assessment, and diagnosis, including risk assessment. • Patient-centered treatment planning. • Outpatient mental health and substance use services. • Outpatient clinic primary care screening and monitoring of key health indicators and health risk. • Targeted case management. • Psychiatric rehabilitation services. • Peer support and counselor services and family supports • Community-based mental health care for members of the armed forces and veterans. 9/9/2021 Click to add footer text 6

Evidence Based Practices-Adults • • • • ASSERT (SBIRT) Cognitive Behavioral Therapy (CBT) Cognitive Behavioral Social Skills Training Cognitive Enhancement Therapy (CET) Cognitive Processing Therapy for PTSD (CPT-PTSD) Community Reinforcement and Family Training (CRAFT) Dialectical Behavior Therapy (DBT) Eye Movement Desensitization Reprocessing (EMDR) MATRIX Model Medication-Assisted Treatment (MAT) Motivational Enhancement Therapy Motivational Interviewing (MI) Prolonged Exposure Therapy for PTSD (PE) Seeking Safety Trauma Focused CBT (TF-CBT) Wellness Recovery Action Plan (WRAP)

Evidence Based Practices-Children & Youth • • • • Alternatives for Families: Cognitive Behavioral Therapy (AF-CBT) Attachment Based Family Therapy (ABFT) ASSERT (SBIRT) CBT for Adolescent Depression Cognitive Enhancement Therapy (CET) Child Parent Psychotherapy (CPP) Community Reinforcement and Family Training (CRAFT) Coping Cat Functional Family Therapy (FFT) Multidimensional Family Therapy Multisystemic Therapy (MST) Parent Child Interaction Therapy (PCIT) Trauma Focused CBT (TF-CBT) Treatment Foster Care Oregon (TFCO) Wellness Recovery Action Plan (WRAP)

Key Points • • Two year demonstration Implementation July, 1, 2017 Performance Metrics Quality Bonus Payments 9/9/2021 Click to add footer text 9