MA Enrollment – the premise of SUD reform is that people are eligible and enrolled in MA. This is currently not the case in over 50% of the people we serve. We have concerns about providers doing what is necessary to get people and keep people enrolled in MA. Providers, MCOs, TX Service Coordinators – one required role must be to keep clients enrolled. CCDTF Eligibility Determination – this task will remain with the county, however, CCDTF eligibility does not align with current CFR statute. Will this change to align with CFR statute? The intake team puts a good deal of work/effort into determining county of financial responsibility when someone applies for R25. Who will do this work going forward? How will providers know that a person is eligible for CCDTF? Who will determine eligibility at the county? Utilization Review process – counties need to be part of this since we are still responsible for a good portion of all CCDTF costs Coordination in the ADC setting – this is an area that will prove challenging due to the lack of access that detainees have in this setting. Grant – Stacy Hennen 4//10/2018 RE: access for those that have no providers in their county. We have no providers and do not have an LADC so once this in fully implemented everyone needing a comprehensive assessment from our county will need to travel out of county to receive it. We have talked with our regional providers and I do not see any as wanting to or planning to pick up this service. I have concerns that the level and speed of service will suffer for those we serve and it will not only impact the people we serve but will impact things like child protection cases when we cannot get a CA done in a timely manner.
MA Enrollment – the premise of SUD reform is that people are eligible and enrolled in MA. This is currently not the case in over 50% of the people we serve. We have concerns about providers doing what is necessary to get people and keep people enrolled in MA. Providers, MCOs, TX Service Coordinators – one required role must be to keep clients enrolled. CCDTF Eligibility Determination – this task will remain with the county, however, CCDTF eligibility does not align with current CFR statute. Will this change to align with CFR statute? The intake team puts a good deal of work/effort into determining county of financial responsibility when someone applies for R25. Who will do this work going forward? How will providers know that a person is eligible for CCDTF? Who will determine eligibility at the county? Utilization Review process – counties need to be part of this since we are still responsible for a good portion of all CCDTF costs Coordination in the ADC setting – this is an area that will prove challenging due to the lack of access that detainees have in this setting. Grant – Stacy Hennen 4//10/2018 RE: access for those that have no providers in their county. We have no providers and do not have an LADC so once this in fully implemented everyone needing a comprehensive assessment from our county will need to travel out of county to receive it. We have talked with our regional providers and I do not see any as wanting to or planning to pick up this service. I have concerns that the level and speed of service will suffer for those we serve and it will not only impact the people we serve but will impact things like child protection cases when we cannot get a CA done in a timely manner.