C - CoordinatingL - Linking

A - AccessingM - MonitoringP - Planning

Access to Recovery (ATR) is a “high-priority” federal initiative that provides vouchers to individuals to purchase services and supports linked to their recovery from substance use disorders.

ATR is a SAMHSA system transformation grant designed to build recovery support networks within communities.

ATR emphasizes the expansion of capacity within systems of care.

ATR projects involve clients in directing their own care and give them choices among appropriate providers.

Four year Access to Recovery (ATR) grant, Maryland RecoveryNet – awarded by to the Maryland Alcohol and Drug Abuse Administration for approximately $3.2 million per year.

2011 201420132012

Million

Time

Helps individual transition from intensive services (residential) to community recovery

Improve recovery outcomes for individuals and for the care system

Manage resources for high risk/high cost individuals

Promote continuity of care Connect individuals to recovery

resources in their community.

Meet with clients at their inpatient facility (or via phone if necessary) prior to their release from treatment for the Intake Interview.

Bi-weekly follow-up monitoring via telephone or at locations agreed upon by the Care Coordinator and client.

Review and monitor voucher usage and assist with plan for client accessing services. 

If the client is uninsured, determine the most appropriate insurance program and assist the client with applying for this benefit. (MA, PAC)

Make referrals to other available community-based recovery support services. (i.e. A.A. meetings, Sober Support, etc)

Assist clients with obtaining documents if needed.

 

Refer and/or schedule appointments for clients to receive primary medical care and mental health services if needed and requested.

Arrange transportation, if needed, in support of access to recovery services and activities.

Assess gaps in goods and services and utilize gap service voucher to meet needs in the recovery plan.

Maintain an ongoing relationship with the client

Administer and submit GPRA Discharge and 6-Month Follow-up Surveys and Client Satisfaction Survey.

Ability to build solid relationships based on trust

Understands recovery planning and resources needed/accessed that support the recovery plan

Aware of community resources and able to connect to community resources.

Knowledge of GPRA rules and implementation standards

Ability to encourage and empower individuals Troubleshoot and problem solve TRACK and locate ATR clients

A discharge and a 6 month GPRA are required (Care Coordinator function)

A minimum of 80% enrolled of ATR enrolled clients must complete the 6 month follow-up GPRA

Less than 90% follow-up rate = Technical Assistance and correction plan

6 month Follow-up GPRA must be given 5-8 months after initial enrollment

Discharge GPRA is due after 30 days of voucher inactivity. (Care Coordinator function can be via telephone and/or administrative is client is not located)

One time, face-to-face or telephone* interview with ATR client conducted prior to discharge from residential treatment program : (Requires 3-5 days notice from portal)

Purpose: Engage the client in Care Coordination

Insure that Care Coordinator has information needed to coordinate care and client understands the program

Explain the purpose and process of care coordination

Establish contact schedule GPRA 6 month follow-up appointment

Unit rate =$100.00 Maximum unit = 1

*More than 20 miles 0r 30 minutes travel time= Telephone intake with client while still in residential treatment.

Less then three -five (business) days notice of client discharge date.

Other: Requires RAC approval

Review and verification of: Participant Application for

RecoveryNet Services. Orient Client to Care

Coordination Recovery Plan Voucher Information Contact information and schedule

of contact 6 month GPRA Follow-up survey

Appointment

Documents the service in the provider’s records

Establish a client file, tracks each encounter (type, date, length), maintains updated contact information, records date of next appointment and GPRA 6 month follow-up.

Enters the encounter in the ATR SMART VMS

End Intake Interview service

Public transportation that supports client recovery activities. Passes are obtained by Care Coordination Provider agency and disseminated to clients. Providers are reimbursed through the SMART VMS. Includes administrative fee :Might be adjusted regionally

Public Transportation- Passes Unit rate= $80.00 Total Available units= 6 (30 day/ea.)

Transportation by taxi, van, or other care coordinator arranged transportation. Care Coordinators are reimbursed for transportation that they approve, arrange and pay for. Transportation must be related to client recovery activity. Max units=200

Unit= $1.00

Requires: Client signature verifying receipt of

service SMART authorization and documented

encounter Documentation in provider’s record

Care Coordination/ Vital Documents -Accessing critical vital documents for clients such as birth certificate, soc. security card, etc, Pays for any fees and administrative costs for obtaining documents. (This service does not pay for any transportation of documents. Includes care coordinator time for task required in document acquisition (cannot charge a unit rate with this))

Max. units = 2 Unit rate =$50.00

Requires: Email to RAC and inform of need Document purchase with receipt Document in the provider’s record Obtain client signature of

service/goods Document in the SMART VMS

Goods or services paid for by the Care Coordination Provider and reimbursed at the rate below to the Provider. This is a fund used to supplement client identified needs to temporarily support recovery needs and fill service gaps. Items which are appropriate to voucher include:

Clothing/Hygiene Food Medication Gap or Co-pay Medical Appointment Gap or Co-pay Grooming Dental Gap Service or Co-pay Other- Required goods or services that support

recovery and are approved by the Regional Manager.

Unit rate=$1.00 Max= 200Requires: Email RAC and inform of need Purchase the item alone for/ or with the

client Document purchase with receipt Document in the provider’s record Obtain client signature of service/goods Document in the SMART VMS

One time, face-to-face* meeting with client, conducted 5-8 months following admission to ATR, to assess satisfaction with ATR and to complete GPRA follow-up interview. Also includes obtaining client satisfaction information (Customer Satisfaction Survey mailed to ADAA – 55 Wade Ave. Catonsville, MD 21228) and issuing client $15 gift card. (must be completed within the 5-8 month required window)

Unit =1 sessionTotal availableUnits = 1Unit Rate =$160*telephone GPRA Waiver can be requested through the Project

Director

Requires: tracking and locating client for face to face

interview completing the GPRA Follow-up Interview and

entering it in the ATR VMS Administering and submitting to ADAA the Client

Satisfaction Survey (mailing to ADAA) giving client $15 gift card (i.e. Wal-Mart or Target)

and documenting clients receipt of gift card with signature

documenting the service in the provider’s records entering the encounter in the ATR VMS

Intake Interview ($100.00) Bi-weekly phone check-in (15 minute

units@ $12) Location calls and activities (15

minute units) Any client centered activity (15

minute units) GPRA Discharge (15 minute units) GPRA 6 month follow-up + Client

Satisfaction survey ($160.00)

Regional Area Coordinators (RAC) –Manage on Regional level

Care Coordinators (CC) – Manage on the client level

Client utilizes RecoveryNet resources to enhance and stabilize recovery

What are we looking at? Time interval between referral and

intake/length of pending status Number of in-person vs. telephonic intakes Client voucher burn rates Billing patterns Number of closed cases GPRA Discharge report GPRA Follow-up Rates

Recovery Champion Overseer of Recovery Resources Community Resource Connection Obstacle Mover System Changer, and A GPRA Getter

The Clinician Crisis Intervention Available 24/7 Psychiatrist Doctor Mother, or a Best Friend

Contact Deborah Green, Maryland ATR III Project Director – 410,402,8592

Email- dgreen@dhmh.state.md.usAnita Ray- Regional Coordinator- Region

III

Thanks!!!