Division of Addiction Services Income and Program Eligibility (DASIE) Pilot

1. Division of Addiction ServicesIncome and Program Eligibility (DASIE) Pilot November 6, 2009

2. DASIE • The DASIE is an electronic tool to assess clients for financial and program eligibility to receive publicly-funded funded treatment • DAS has implemented a pilot of the DASIE as part of the roll out plan • Agencies volunteered to participate in the pilot • Pilot participants include a range of agencies with varied geographic locations and modalities of care

3. Why Uniform Eligibility Screening?? • 2001- 2005 Average Substance Abuse Treatment Need, Demand and Served • There are 817,151 citizens of New Jersey who are in need of Substance Abuse Treatment • There are 86,866 citizens of New Jersey who would participate in treatment if available (Demand) • 53,586 Clients were treated in our system • A treatment gap of 33,280 or 38%

4. Why, cont. • We have an obligation to utilize our resources in the most efficient and responsible manner to help meet this demand • Uniform program and income eligibility polices and procedures used throughout the system support a level playing field for the providers and equitable access for clients

5. How Was the DASIE Developed? • We used the current Medicaid definitions of household size and household income • We analyzed Initiative and Program Guidelines to determine program eligibility

6. What Information Is Being Collected? • Financial information for pilot analysis purposes • Is the client’s household income above the 350% of FPL income eligibility threshold? • Does the client meet the agency’s income eligibility policy? • Client fees charged, if applicable

7. Client Fee Information at Admission • If the client is charged a fee, the information below will be collected at admission for pilot analysis purposes

8. Client Fee Information at Discharge • If the client is charged a fee, the information below will be collected at discharge for pilot analysis purposes

9. Pilot Timeline • Pilot participant agencies were trained on October 14th • Feedback was obtained from the pilot participants and incorporated into the DASIE module design • Providers participating in the pilot will start using the DASIE on November 16, 2009 • Data will be collected and monitored from November 16, 2009 through January 31, 2010 • Data will be analyzed in February 2010 • DASIE will continue to be available to pilot participants • All clients at all pilot agency sites will be screened with the DASIE

10. Pilot Timeline, cont. • All clients will be screened with the DASIE at admission or intake • The client’s DASIE should be reviewed when he/she changes levels of care at the agency or the client has a change in household size or income

11. DASIE Pilot Agencies • First Step • John Brooks Recovery Center • Preferred Behavioral Health • Post House • Seashore Addictions Treatment • Spring House • Straight and Narrow • Somerset Treatment Services • Turning Point

12. Reports • Pilot agencies will be able to obtain DASIE reports from the system • Federal Poverty Level calculations and Household Size/Income Eligibility by client • Program Eligibility by client • Summary reports of all clients • Other reports will be developed for statewide implementation

13. What Next? • Pilot Agencies will be invited to a follow up meeting after January 31 to: • Discuss their experience and provide feedback for improvements • Review the data and analysis • Make recommendations on reports to be generated

14. Statewide Implementation • When results of pilot have been analyzed and used to improve the DASIE the goal is a state wide implementation for all agencies receiving public funding. • DAS will be holding meetings and trainings as that roll out begins.