“The question is not whether we can afford to invest in every child; it ...

Information Calculation Cost Benefit
86% of 394 youth served
remained in the home (339)
Average cost of placement
$57,788
339 youth
X
$57,788 =
$19,590,132
IHBT Grant FY 08 & 09 (394 youth) 394 x $7,500 =
$2,955,000
Typical Case Rate for IHBT =
$7,500
55 youth placed 55 x $57,788=
$3,178,340
Average cost of placement
$57,788
394 youth served in IHBT Grant
FY 08 and 09
Cost saved minus cost of IHBT
and cost of youth placed
$13,456,792 divided by total
youth served (394)
Total Benefit (19,590,132 –
3,178,340)/Total Service Cost
(2,955,000)
$2,955,00
Total cost of
IHBT
$3,178,340
Total cost of
placement
For every ($1)
dollar spent in
IHBT
$19,590,132
Placement costs avoided
Total Benefit
$13,456,792 (for all youth
served)
$34,154 (Cost savings per
youth)
$5.55 is returned in placement
costs avoided
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• Over $16.4 million in placement costs saved at the
cost of approximately $3 million (IHBT for 394 youth)
• Total Cost Benefit over $13.4 million saved for 394
youth served (IHBT grant 2009)
• The total cost savings per youth is $34,154
• For every dollar spent in IHBT/MST there was a
return of $5.55 or 555% in placement costs avoided.
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• Technical Assistance is needed to maximize effectiveness of
IHBT
• Agency/program level funding requires more than Medicaid
• A uniform data collection system is necessary in order to
provide timely clinical feedback and track quality improvement
• Stakeholders/funders increasingly relying on data to make
financial decisions
• Multiple partners and multiple systems are needed to support
implementation
• High level training and ongoing coaching and monitoring of
fidelity
So, where is
Ohio on IHBT?
ODMH committed to adding IHBT to
Medicaid service menu by FY ‘13
IHBT workgroup completed its review
ODMH conducting rate setting exercise
Next Steps: Prepare SPA and submit to
CMS
Training and roll out
Current IHBT status
• Approximately 20+ certified IHBT sites
• 16 MST teams for 10 counties
• Other non-certified in home programs
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