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

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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

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INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority

Total = 61Fiscal Year 2007



Individual Service Fund Requests

# 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

$5,597.00

$161,300.12

$85,000.00

$0 $20,000 $40,000 $60,000 $80,000 $100,000 $120,000 $140,000 $160,000 $180,000

Average cost per recipient

Total Funds Spent

Total Encumbered

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INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority

and State of Alaska

Total = 54First Quarter, 2008

FY08 – $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

Individualized Service Funds

$4,300.00

$58,546.40

$169,377.00

$0 $20,000

$40,000

$60,000

$80,000

$100,000

$120,000

$140,000

$160,000

$180,000

Average cost perrecipient

Total Funds Spent

RemainingEncumbered

1st Qtr FY08

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INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority & State of Alaska

USE OF FUNDSFY 2007 and First Quarter 2008

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

Case Management 20 10

Tuition 14 11

Transportation 12 8

Camp 4 3

Respite 2 9

Family Therapy 8 6

Individual Therapy 10 8

Group Therapy 6 2

Functional Assessment 3 2

Psychiatric Evaluation 3 1

Individual Skills Development 17 7

Group Skills Development 11 5

Family Skills Development 7 3

Day Rehabilitation 4 1

Recipient Support Services 8 3

Housing 4 2

Translator 1 0

1:1 Accompaniment 3 2

Things 4 6

Medication Management 2 0

Services FY2007 First Qtr 2008

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DIVERSIONS THROUGH INDIVIDUAL SERVICE FUNDS(Numbers Based on New Recipients)

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

Custody Profile

Insurance Profile

Fourth Quarter 17 New Recipients; 28 Total Recipients

Fiscal Year 2007

44 New Recipients ; 61 Total Recipients

Custody Profile

Insurance Profile

Unknown, 1

Non-Custody, 32

Custody, 12

Medicaid, 29

Insurance, 7

No Insurance, 4

Unknown, 4

No Insurance, 1

Insurance, 3

Medicaid, 12

Custody, 6

Non-custody, 11

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DIVERSIONS THROUGH INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority

andState Of Alaska

(First Quarter, 2008)35 New Recipients; 54 Total Recipients

Numbers Based on New Recipients

Non-Custody, 29

Custody, 6

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

Custody ProfileInsurance Profile

Insurance, 2

Unknown, 2

Medicaid, 31

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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

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• 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

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• 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

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ADDITIONAL INFORMATION

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ALL AGENCIES THAT SIGNED THE PROVIDER AGREEMENT

FOR INDIVIDUAL SERVICE FUNDSN = 17

YOUTH

Mat Su Behavioral Health

Services

The

Arc

Presbyterian Hospitality House

Juneau Youth Services

Sitka Counseling

Alaska Children’s Services

Hope Community Resources

ACMHS

CMHC in Homer

Provid

ence

Kod

iak Is

land

MHC

Centra

l Pen

insula

Cou

nseli

ng S

ervic

es

Den

ali F

amily

Ser

vice

sKenai Peninsula Community Care Center

Family Centered Services of

Alaska




C.O

.H.O

. Mental H

ealth

Services

Ma

niil

aq

Ass

oci

atio

n

YOUTH

ISA

ISA

ISA ISA

Yu

kon

Kus

kokw

im H

ea

lth C

ente

r

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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.

DBH Policy & Planning,

November, 2007

Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests

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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



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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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