Care coordination overview for service providers
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C - Coordinating L - Linking A - Accessing M - Monitoring P - Planning. Care Coordination Overview for Service Providers.

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Care Coordination Overview for Service Providers

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C - Coordinating

L - Linking

A - Accessing

M - Monitoring

P - Planning

Care Coordination Overview for Service Providers


  • 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.

What is ATR


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.

ATR III in Maryland

Million

2011

2012

2013

2014

Time


Numbers to be Served


  • 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.

Purpose and Goal


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. 

Scope of Service


  • 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.

Scope of Service


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.

Scope of Service


Maintain an ongoing relationship with the client

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

Scope of Service


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

Knowledge and Competencies


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)

Critical GPRA Facts


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

Care Coordination Intake Interview


*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

Telephone Intake Interview type


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

ATR Intake Interview Description


  • 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

Documentation of Intake Interview


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.)

Care Coordination transportation


  • 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

Transportation by Taxi or van


Requires:

  • Client signature verifying receipt of service

  • SMART authorization and documented encounter

  • Documentation in provider’s record

Transportation


  • 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

Care Coordination Vital Documents


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

Vital documents


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.

Care Coordination Gap Services


Unit rate=$1.00 Max= 200

Requires:

  • 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

Gap Services


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 session

Total available

Units = 1

Unit Rate =$160

*telephone GPRA Waiver can be requested through the Project Director

GPRA Follow-up Interview


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

GPRA Follow-up Interview


  • 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)

What can I bill for?


Relationships in the Project

Regional Area Coordinators (RAC) –Manage on Regional level

Client utilizes RecoveryNet resources to enhance and stabilize recovery

Care Coordinators (CC) – Manage on the client level


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

Data measures


Recovery Champion

Overseer of Recovery Resources

Community Resource Connection

Obstacle Mover

System Changer, and

A GPRA Getter

ATR Care Coordinator is:


The Clinician

Crisis Intervention

Available 24/7

Psychiatrist

Doctor

Mother, or a

Best Friend

ATR Care Coordinator is Not:


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

Email- [email protected]

Anita Ray- Regional Coordinator- Region III

Thanks!!!

Questions? And more Information


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