Iowa Mental Health and Disability Services System Redesign Interim ...

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A-5 Provide funding to eliminate any waiting period for eligible individuals within the HCBS BI Waiver, to decrease expensive and untoward medical outcomes and associated secondary conditions. A-6 Increase availability of acute to home neurobehavioral services across the service continuum to reduce need for out-of-state placement and increase ability to bring people back to Iowa. A-7 Increase availability of post-acute neurorehabilitation services across the service continuum to reduce need for out-of-state placement and increase ability to bring people back to Iowa. Expanded Core Services Prioritized expanded core services refer to moderate to mid costs, high impact adjustments to current core brain injury services. Prioritized Ranking for Recommendations Expanded Core Services B-1 Require regional administrative hubs to participate as IBIRN sites with adequate funding for regional resource materials (i.e., Brain Injury Tote Bags). B-2 Amend Iowa Code Chapter 135.22 Brain Injury Registry to align with the brain injury definition in IAC 441-83.81(249A) and require the BI Registry notification in administrative rule. B -3 Reduce the lag time for receipt of outreach letters generated from the Brain Injury Registry regarding brain injury services in order to increase timely access to services and supports. B-4 Expand the scope of the Residential Care Facilities specialized licensure (IAC 481-63.47(135C)) to include Brain Injury. B-5 Expand the current NRF services to accommodate the significant increase in utilization of this service to allow NRF caseloads to align with national averages and to develop veteran-specific NRF services. B-6 Optimize conflict-free case management for brain injury services by developing specialized brain injury case management within the case management structure. B-7 Increase and provide adequate funding for the unfunded Brain Injury Service Program cost-share component at the IDPH. B-8 Elevate the Governor’s Advisory Council on Brain Injuries to the Brain Injury Services Commission to expand the current scope to identify it as the state policy- making body for the provision of services to Iowans with brain injury. 120
New Core Services Prioritized new core services are moderate to mid costs, moderate to high impact new services, which are absent from the current service system. Prioritized Ranking for New Core Services Recommendations C-1 Implement a standardized brain injury screening tool identified in collaboration with the Brain Injury Services Commission (see item B-8) to be implemented at all access points to include, but not limited to: all agencies as required by 225C.23, domestic violence shelters, mental health centers, substance abuse treatment centers, emergency rooms, crisis intervention, homeless shelters, senior centers, schools, correctional facilities, and non-profit or community based organizations providing human services, etc. C-2 Form and support a state of Iowa interagency, intergovernmental Brain Injury Coordinating Committee to meet quarterly to continue deploying best practices for brain injury services. C-3 Review and revise funding mechanisms, rate structures, service definitions, and reimbursement methodologies, to emphasize and incentivize person-centered, community-based employment and interagency collaboration. C-4 Deploy brain injury competency training and education in existing and new crisis intervention programs. C-5 Deploy and expand tele-health services for Iowans with brain injury and multi-occurring disorders. C-6 Develop a statewide, interdisciplinary brain injury consultation team to serve the regions. C-7 Deploy brain injury competency training and education in existing and new jail diversion programs. C-8 Deploy and expand services to engage survivors of brain injury and their families in on-going education, peer support, mentoring, and advocacy. C-9 Develop and deploy a web-based, searchable, comprehensive brain injury resource information and services database/directory. C-10 Provide specialized brain injury training for direct service providers across the service array to include but not limited to human services, rehabilitation, nursing, home health agencies, assisted living, community and facility based providers, correctional, jail diversion, crisis intervention, and judicial agencies. C-11 Provide access to flexible and reliable transportation services for brain injury rehabilitative, medically necessary care and community integration. C-12 Deploy phone follow up service to individuals receiving brain injury registry outreach letter. 121
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Iowa Mental Health and Disability S
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E. Process and Timeframes for the F
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The second source of principles is
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order to standardize approaches, re
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Children’s Disability Services Wo
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The Workgroup strived to attain a r
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Psychiatric Medical Institutions fo
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performance measures developed by t
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II. METHODOLOGY Senate File 525 cal
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III. VISION AND PRINCIPLES FOR THE
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Individual Outcomes • People make
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IV. REPORT OF THE INTELLECTUAL AND
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• Financial - Medicaid eligible
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1. Service Coordination Service Coo
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5. Health and Primary Care People w
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- in these difficult budget times -
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D. Outcome Assessment and Performan
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By using the Quality Framework, sta
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The table below illustrates how typ
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• Increased requirements by the C
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of performance data, it is importan
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9. Given the current inclusion of a
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allows supervisors to track a DSP
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Furthermore, this redesign process
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C. Eligibility - Adults The Workgro
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service should be considered for co
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Any current or future state or regi
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1. Peer Run Self-help Centers: The
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areas. ACT teams in rural areas can
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F. Olmstead and System Rebalancing
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continuum, how it should be funded,
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The Workgroup also recommends that
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H. Provider Qualifications and Moni
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VI. REPORT OF THE CHILDREN’S SERV
Page 69 and 70: • PMIC bed/Residential Services -
Page 71 and 72: • Learning Supports for Students
Page 73 and 74: order to provide a strong system of
Page 75 and 76: D. Initial Recommendations Recommen
Page 77 and 78: Recommendation Two: Rollout of init
Page 79 and 80: under the Iowa Plan 50 . Services w
Page 81 and 82: • Planning for implementation can
Page 83 and 84: • The RFP will seek proposals fro
Page 85 and 86: o I am part of a community; I belon
Page 87 and 88: We get lots of kids from southern I
Page 89 and 90: Table One: Summary of the Potential
Page 91 and 92: families from among the different d
Page 93 and 94: to begin operations and transition
Page 95 and 96: Table Two: Timeframe for Regional F
Page 97 and 98: Function Yes No Comments Data colle
Page 99 and 100: Function Regional discretion within
Page 101 and 102: • Designation of access points o
Page 103 and 104: o o Process to be used and resource
Page 105 and 106: Performance Domain Examples from ot
Page 107 and 108: • Maintenance of the strength of
Page 109 and 110: Service Integration and Coordinatio
Page 111 and 112: B. Regions designate a transportati
Page 113 and 114: • Inclusion of Physician Assistan
Page 115 and 116: and were resolved by the team in th
Page 117 and 118: 9. Mental Health Courts and Identif
Page 119: See Appendix F for details of each
Page 123 and 124: IX. REPORT OF THE PSYCHIATRIC MEDIC
Page 125 and 126: X. INTEGRATION AND TRANSITION PLANN
Page 127 and 128: eligible for Medicaid after 2014, t
Page 129 and 130: XI. CONCLUSION This report presents
Page 131 and 132: Services Currently Provided to Adul
Page 133 and 134: CMS State Balancing Incentive Payme
Page 135 and 136: Appendix C Children’s Disability
Page 137 and 138: o Roles o Data o Communication o Co
Page 139 and 140: o Crisis teams o Immediate access t
Page 141 and 142: • State plan for college/universi
Page 143 and 144: Appendix D Recommended Definition o
Page 145 and 146: Appendix E Brain Injury Definitions
Page 147 and 148: Appendix F Brain Injury Workgroup R
Page 149 and 150: Corresponding # to narrative recomm
Page 161 and 162: Adult Intellectual and Developmenta
Page 163 and 164: Brain Injury Workgroup Name Agency
Page 165 and 166: Judicial-DHS Workgroup Name Agency
Page 167 and 168: PMIC Transition Workgroup Name Agen
Page 169: Regionalization Workgroup Name Agen
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Iowa Mental Health and Disability Services System Redesign Interim ...

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