New Jersey Department of Children and Families Division of Child Behavioral Health Services
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New Jersey Department of Children and Families Division of Child Behavioral Health Services Intensive In-Community and Behavioral Assistance Services Raymond Grimaldi, DCBHS Community Services Coordinator for IIC/BA Services Antoinette Gurden, DCBHS Training and Technical Assistance for IIC/BA Services Prepared and Presented by:
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New Jersey Department of Children and Families Division of Child Behavioral Health Services. Intensive In-Community and Behavioral Assistance Services. Prepared and Presented by:. Raymond Grimaldi, DCBHS Community Services Coordinator for IIC/BA Services Antoinette Gurden, - PowerPoint PPT Presentation
Transcript of New Jersey Department of Children and Families Division of Child Behavioral Health Services
New Jersey Department of Children and FamiliesDivision of Child Behavioral Health Services
Intensive In-Community andBehavioral Assistance Services
Raymond Grimaldi,DCBHS Community Services Coordinator for IIC/BA Services
Antoinette Gurden,DCBHS Training and Technical Assistance for IIC/BA Services
Prepared and Presented by:
Slide 2
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
Focused on (re)engaging the family into community based services
Provided based on an evaluation of
need
Address symptom reduction
Securing appointments
Part of a comprehensive plan
of care
Time limited
Preparing for appointments
Provided in the community
Focused on skill strengthening
Processing through transition
IIC and BA Services
What are IIC and BA Services?
Slide 3
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
IIC is Not:
IIC and BA Services
“In Home Therapy” delivered in the home only for the convenience of
the familyA long-term service
BA is Not:
Mentoring
A way to get supervision for the youth to get him/her out of the
houseA long-term service
A substitute for individual and/or family therapy
Slide 4
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
Assess
Transition
Treat
Engage
The Process
IIC and BA Services
Slide 5
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
IIC/BA Authorization Pattern
IIC and BA Services
Authorization for IIC
IIC links youth to community based svcs.
BA is authorized
after 60 days of IIC
Active IIC Treatment
Period*E-A-T-T
Plan of Care justifies need
for BA
Slide 6
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
IIC/BA Authorization Pattern
IIC and BA Services
Authorization for IIC
IIC links youth to community based svcs.
BA is authorized
after 60 days of IIC
Active IIC Treatment
Period*E-A-T-T
Plan of Care justifies need
for BA
The preparation for the family’s transition to community based services starts at the beginning of IIC services
and is the focus of treatment throughout
Slide 7
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
Crisis Assessment Tool (CAT)
Needs Assessment (Needs)
Strengths & Needs Assessment (SNA)
US
ER
PU
RP
OS
E
MRSSDCBHS,
DYFS, JJC, & Providers
CMO, YCM, Residential Providers
Referral, Level of Care
Determination
Child and Family Team Planning
Crisis Planning
What Assessment Tools Are Used?
Slide 8
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
Initial Community Assessment Template
IIC and BA Services
A completed ICA is required to be submitted along with a Needs Assessment
IIC providers must be certified by DCBHS to conduct a Needs Assessment to complete the
Initial Community Assessment
Assessments must be performed in clinically appropriate, non-office settings according to
family need and preference
Assessments must be typewritten on the ICA Template and autofaxed to ValueOptions within 10 business days of referral date
Slide 9
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
What are the three levels of IIC service?
IIC Services
*Supportive – Bachelor’s degree
*Professional – Master’s degree
Clinical – Licensed clinical professional
*the regulations concerning levels of service are currently under review
Slide 10
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
Any child, youth, young adult or family with moderate- to high- level needs receiving services from DCBHS is eligible for IIC
and/or BA services
We serve youth and families who are and are not eligible for Medicaid/NJ Family Care
Who is eligible to receive these services?
IIC and BA Services
Slide 11
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
Who is qualified to provide IIC and/or BA services?
IIC and BA Services
Individuals who are clinically licensed (LCSW, LPC, LMFT) or are under the supervision of a clinically licensed professional
Agencies or mental health practices that employ a clinically
licensed professional
Slide 12
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
What are the minimum credentials for IIC providers?
IIC Services
Clinical Services Level:
NJ Clinical Licensure as:
Psychiatrist
LCSW Rehabilitation Counselor
Psychologist
Advance Practical Nurse (mental health)
Clinical Mental HealthCounselor
LPC
Marriage and Family Therapist
Slide 13
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
What are the minimum credentials for IIC providers?
IIC Services
Clinical Supervisor:
NJ Clinical Licensure as noted previously
One year of relevant experience in the provision of mental health services to children and families
Slide 14
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
What are the minimum credentials for IIC providers?
IIC Services
Professional Services level*:
Must be supervised by a clinical supervisor as described
Master’s Degree in related field, including, but not limited to:
Social Work
Psychology
Counseling
Nursing
One year of relevant experience in the provision of mental health services to children and families
*the regulations concerning levels of service are currently under review
Slide 15
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
What are the minimum credentials for IIC providers?
IIC Services
Supportive Services level*:
Must be supervised by a clinical supervisor as described
Bachelor’s Degree in related field, including, but not limited to:
Social Work
Psychology
Counseling
Nursing
One year of relevant experience in the provision of mental health services to children and families
*the regulations concerning levels of service are currently under review
Slide 16
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
What are the minimum credentials for BA providers?*
BA Services
High School diploma/equivalent
One year of relevant experience in the provision of mental health services to children and families
21 years of age
*the regulations concerning minimal credentials for BA providers are currently under review
Slide 17
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
What is the process to enroll as a provider?
IIC and BA Services
Prospective Provider sends application to
DCBHS
DCBHS certifies the application and forwards it to Medicaid Provider
Enrollment Unit
Medicaid processes the application and issues a provider number to the
applicant
Medicaid shares this provider number
with Value Options
Slide 18
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
How does a provider get referrals?
IIC and BA Services
New providers get referrals by making themselves known to
the requestor agencies
Slide 19
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
Referrals may comefrom any of these
four entities
Who are the requestor agencies?
IIC and BA Services
CMO MRSS
YCMCSA
Slide 20
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
What is the IIC Service Plan?
IIC Services
A written plan that includes the following:
Specific interventions with definable outcomes
Identified strategies
Specific timeframes
Credentials of person(s) rendering each service
Provisions to assure sustainability and normalization
Slide 21
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
What is the BA Individual Service Plan?
the BA ISP has been standardized effective November 12, 2007
A written plan that is:
and includes the following:
Recommendations for specific intervention strategies
Definable outcomes or goals
Developed and periodically reviewed by a licensed clinical professional
Specific time expectations for achievement of goals
BA Services
Implemented by a Behavioral Assistant
Documentation of progress toward meeting outcome or goal
Specific target behaviors
Slide 22
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
Records needed regarding employees:
Criminal background check
Verification of New Jersey clinical licensure
Verification of experience working with youth and families
Verification of a valid driver’s license
What are the general record keeping requirements?
IIC and BA Services
Slide 23
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
For services provided to 3560 eligible youth:
CMO Youth
For services provided to Medicaid/NJ FamilyCare eligible youth:
A completed CMS 1500 form
A completed CMS 1500 form
Send original to Medicaid directly
Service Delivery Encounter Documentation form
Keep original in youth’s file for future auditing purposes
Send original to Medicaid
Service Delivery Encounter Documentation form
Send original to CMO; keep copy in youth’s file
CSA, MRSS, YCM Youth
A completed CMS 1500 formSend original to requestor
agency
Service Delivery Encounter Documentation form
Keep original in youth’s file for future auditing purposes
Slide 24
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
What are the billing guidelines for these services?
IIC and BA Services
Providers may only bill for face to face services in the community, not in an office setting
Providers must make themselves available to provide the number of units that are authorized
according to family need and preference
Units billed may include face to face contact only, not travel time, paperwork, collateral contacts, etc.
Slide 25
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
How are providers reimbursed?
Reimbursement is on a fee-for-service basis
Services must be authorized by the CSA to be eligible for reimbursement
Rates of reimbursement:
$39/hour
$73/hour
$85/hour
$113/hour
Behavioral Assistance Services
IIC – Bachelor’s Level*
IIC – Master’s Unlicensed Level*
IIC – Clinically Licensed
*currently under review
IIC and BA Services
Slide 26
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
Site Review Process
IIC and BA Services
DCBHS and Medicaid will
conduct joint site visits to monitor
compliance
Slide 27
New Jersey Department of Children and Families ▪ Division of Child Behavioral Health Services
Intensive In-Community and Behavioral Assistance Services
Who do I contact if I have questions about IIC/BA?
IIC and BA Services
Division of Child Behavioral Health Services
Contact Person:
(609) 292-0994
E-mail Address:
Phone Number:
Raymond Grimaldi
