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DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base,

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

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DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base,

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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. DBH Policy & Planning, November, 2007 Data Sources:InterQual, Diversion Data Base, Individual Service Fund Requests INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority Total = 61Fiscal Year 2007 # 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

  3. DBH Policy & Planning, November, 2007 Data Sources:InterQual, Diversion Data Base, Individual Service Fund Requests INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority and State of AlaskaTotal = 54First Quarter, 2008FY08 – $1.2 Million (Trust= $500,000; General Fund= $700,000) # 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

  4. DBH Policy & Planning November, 2007 Data Sources:InterQual, Diversion Data Base, Individual Service Fund Requests INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority & State of AlaskaUSE OF FUNDSFY 2007 and First Quarter 2008 Services FY2007 First Qtr 2008

  5. DBH Policy & Planning, November 2007 Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests DIVERSIONS THROUGH INDIVIDUAL SERVICE FUNDS(Numbers Based on New Recipients) Fourth Quarter 17 New Recipients; 28 Total Recipients Custody Profile Unknown, 1 Insurance Profile Custody, 6 No Insurance, 1 Insurance, 3 Non-custody, 11 Medicaid, 12 Fiscal Year 2007 44 New Recipients ; 61 Total Recipients Unknown, 4 No Insurance, 4 Custody, 12 Insurance, 7 Medicaid, 29 Non-Custody, 32 Insurance Profile Custody Profile

  6. DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests DIVERSIONS THROUGH INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority andState Of Alaska(First Quarter, 2008)35 New Recipients; 54 Total RecipientsNumbers Based on New Recipients Insurance Profile Custody Profile

  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. DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests ALL AGENCIES THAT SIGNED THE PROVIDER AGREEMENT FOR INDIVIDUAL SERVICE FUNDSN = 17 Presbyterian Hospitality House Maniilaq Association The Arc Mat Su Behavioral Health Services Juneau Youth Services ISA Hope Community Resources Sitka Counseling YOUTH ISA ISA YOUTH ACMHS CMHC in Homer Alaska Children’s Services ISA Providence Kodiak Island MHC Kenai Peninsula Community Care Center Family Centered Services of Alaska Denali Family Services Central Peninsula Counseling Services C.O.H.O. Mental Health Services Yukon Kuskokwim Health Center

  12. DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests 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.

  13. DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests 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

  14. DBH Policy & Planning, November, 2007 Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests 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.

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