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

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for coordination and inter-systems collaboration. For example, access to Home and Community Based waivers will also be facilitated through the Aging and Disability Resource Centers being established by the department on Aging. The workgroup did not recommend further action on these potential functions at this time. The Workgroup also discussed the degree to which regions should have discretion with regard to the implementation of certain regional functions. Table Four below summarizes the consensus recommendation of the Workgroup with regard to regional discretion. Table Four: Regional Discretion to Implement Essential regional Functions Function Regional discretion within state standards No discretion – must be consistent statewide Comments Regional Planning X Must follow DHS guidelines/topic areas Designation of Access Points X Must be able to meet access standards established by DHS Designation of TCM X Only can designate DHS/IME approved providers Plan for Core Services X Core services will be defined by DHS and all regions will have to assure that core services are consistently and equitably available within each region Plan for Systems of Care 60 Assure effective crisis prevention, response and resolution Provider network formation and X X X Must abide by state licensure/certification 60 In this context systems of care includes non-traditional services and providers, including employment, housing assistance, informal care-giving, self direction, and other activities that are essential to maintain people in systems of care but are not defined as core services. 98
Function Regional discretion within state standards No discretion – must be consistent statewide Comments management process and decisions Provider reimbursement approaches for non-fee for services or nontraditional systems of acre providers X Must use standard state uniform cost report Provider certification X X Yes for for non-traditional, non Medicaid services and providers that comprise systems of care; but no for providers licensed/certified by the state Grievances X Appeals X Quality Management/Quality Improvement X Payment of providers X Regional accountability but function can be shared/contracted out Funds accounting X Regional accountability but function can be shared/contracted out Financial forecasting X Data collection and reporting X Interagency and multisystem collaboration and care coordination X 99
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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
Page 47 and 48: Furthermore, this redesign process
Page 49 and 50: C. Eligibility - Adults The Workgro
Page 51 and 52: service should be considered for co
Page 53 and 54: Any current or future state or regi
Page 55 and 56: 1. Peer Run Self-help Centers: The
Page 57 and 58: areas. ACT teams in rural areas can
Page 59 and 60: F. Olmstead and System Rebalancing
Page 61 and 62: continuum, how it should be funded,
Page 63 and 64: The Workgroup also recommends that
Page 65 and 66: H. Provider Qualifications and Moni
Page 67 and 68: 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: Function Yes No Comments Data colle
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 and 120: See Appendix F for details of each
Page 121 and 122: New Core Services Prioritized new c
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
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Corresponding # to narrative recomm
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Adult Intellectual and Developmenta
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Brain Injury Workgroup Name Agency
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Judicial-DHS Workgroup Name Agency
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PMIC Transition Workgroup Name Agen
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Regionalization Workgroup Name Agen
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