Simplify funding streams move from siloed payments

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Simplify funding streams Move from siloed payments streams towards population based payments Increase payment predictability Increase provider flexibility 5 4/23/2018
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Create foundation for unified provider reporting, corrective action and quality improvement standards Advance goal of cohesive program oversight & monitoring across the AHS Move to standardized payment structure and quality measurement for complementary services across the AHS Reduced administrative burden to providers and the AHS Collect integrated & actionable data to support future program design & policymaking Standardized Program Administration Drives Service Integration 6 4/23/2018
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What Does Payment Reform Mean For…. Individuals & Families Providers Agency of Human Services 7 ALIGNED GOALS SUPPORTED BY CLEAR AND CONSISTENT MESSAGES 4/23/2018
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8 Goals of Payment Reform Individuals & Families Mental Health Payment Reform gives communities more flexibility with funding and decision-making, so agencies can focus on the needs of the children, youth, adults and families they serve; and provide the right supports and services, at the right time. This will enable individuals & families to: Access primary and secondary prevention, including early intervention to reduce risk factors; Decide on necessary services based on a person’s unique treatment and/or support plan needs and social determinants of health, including use of home-and community-based services; and Navigate service delivery across the care continuum . 4/23/2018
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9 What Does Payment Reform Mean For Individuals & Families Before IFS After IFS What does this mean for families? Individual/client focus Focus on healthy children, family, schools, child and family environments including communities Offer a parenting support/education group in Bristol – made possible by using flexible funding for staff to facilitate the group. Eligible only when circumstances became bad enough to qualify for services Early intervention, treatment and support “John” –a young man with an extensive history of hospital and residential placement-- was supported with a skills worker. As a result, he has been able to remain at home with his mother for the last two years, has successfully attended the Teen Center and is now able to move towards greater independence. Prior to IFS, skills workers were only available to 1-3 youth annually who received Medicaid Waiver services. Through IFS, 34 youth received this service during FY 14. Multiple individual providers with separate systems and standards, intakes, budgets based on separate expectations from each AHS division/department Unified local network/continuum for direct services Multi-disciplinary team approach available with consistent guidelines in each region Prior to IFS, services were limited to case management supports for children not on developmental services (DS) waivers. IFS has enabled families to receive full wraparound supports if needed, including home-based services, Applied Behavior Analysis (ABA) consultation, and respite care Lessons From “Integrating Family Services” Communities 4/23/2018
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  • Fall '19
  • Department of Mental Health, Agency of Human Services

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