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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
INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority
Total = 61Fiscal Year 2007
DBH Policy & Planning, November, 2007
Data Sources: InterQual, Diversion Data Base,
Individual Service Fund Requests
# Youth Served 61 Custody 12
Amount Spent $161,300.12 Non-Custody 49
Amount Approved $85,000.00 Medicaid 25
Average Cost per Insurance 24
Recipient $5,597.00 No Insurance 7
Unknown 5
$5,597.00
$161,300.12
$85,000.00
$0 $20,000 $40,000 $60,000 $80,000 $100,000 $120,000 $140,000 $160,000 $180,000
Average cost per recipient
Total Funds Spent
Total Encumbered
3
INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority
and State of Alaska
Total = 54First 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 Served 54
Amount Spent $58,546.40
Amount Approved $169,377
Average Cost per Medicaid 43
Recipient $4300 Insurance 4
Custody 7 No Insurance 3
Non-Custody 47 Unknown 4
Individualized Service Funds
$4,300.00
$58,546.40
$169,377.00
$0 $20,000
$40,000
$60,000
$80,000
$100,000
$120,000
$140,000
$160,000
$180,000
Average cost perrecipient
Total Funds Spent
RemainingEncumbered
1st Qtr FY08
4
INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority & State of Alaska
USE OF FUNDSFY 2007 and First Quarter 2008
DBH Policy & Planning November, 2007Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests
Case Management 20 10
Tuition 14 11
Transportation 12 8
Camp 4 3
Respite 2 9
Family Therapy 8 6
Individual Therapy 10 8
Group Therapy 6 2
Functional Assessment 3 2
Psychiatric Evaluation 3 1
Individual Skills Development 17 7
Group Skills Development 11 5
Family Skills Development 7 3
Day Rehabilitation 4 1
Recipient Support Services 8 3
Housing 4 2
Translator 1 0
1:1 Accompaniment 3 2
Things 4 6
Medication Management 2 0
Services FY2007 First Qtr 2008
5
DIVERSIONS THROUGH INDIVIDUAL SERVICE FUNDS(Numbers Based on New Recipients)
DBH Policy & Planning, November 2007Data 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
DIVERSIONS THROUGH INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority
andState Of Alaska
(First Quarter, 2008)35 New Recipients; 54 Total Recipients
Numbers Based on New Recipients
Non-Custody, 29
Custody, 6
DBH Policy & Planning, November, 2007Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests
Custody ProfileInsurance Profile
Insurance, 2
Unknown, 2
Medicaid, 31
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
• 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
• 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
ADDITIONAL INFORMATION
11
ALL AGENCIES THAT SIGNED THE PROVIDER AGREEMENT
FOR INDIVIDUAL SERVICE FUNDSN = 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
Provid
ence
Kod
iak Is
land
MHC
Centra
l Pen
insula
Cou
nseli
ng S
ervic
es
Den
ali F
amily
Ser
vice
sKenai 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 H
ealth
Services
Ma
niil
aq
Ass
oci
atio
n
YOUTH
ISA
ISA
ISA ISA
Yu
kon
Kus
kokw
im H
ea
lth C
ente
r
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
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
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