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system of care for rhode island's children, youth and families

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Lead Agency Care Networks CEDARR Family Centers LCC’s<br />

! Participation by <strong>families</strong> is Participation by <strong>families</strong> is voluntary.<br />

voluntary.<br />

! Families have choice <strong>of</strong> provider.<br />

Family Choice ! Legal status - case plan driven<br />

! Non-legal status - voluntary<br />

participation by <strong>families</strong><br />

Funding<br />

State/Federal funding:<br />

! Title XIX, IV-E<br />

! Private sources<br />

! Grants<br />

State/Federal funding:<br />

! Title XIX, XX, XXI<br />

! Private sources<br />

! Grants<br />

State funds.<br />

Payment Mechanism Case rate <strong>for</strong> services. Fee <strong>for</strong> service. DCYF contracts.<br />

Scope <strong>of</strong> Service ! Assessment<br />

! Assessment<br />

! Care Planning<br />

! Care Planning<br />

! Referral<br />

! Referral<br />

! Evaluation<br />

! Evaluation<br />

! Coordination<br />

! Coordination<br />

! Lead agency restricted to<br />

providing no more than 25% <strong>of</strong><br />

direct services within their Care<br />

Network<br />

Utilization Management<br />

Function<br />

! State provides utilization<br />

management <strong>of</strong> Lead Agency.<br />

! Lead agency is responsible <strong>for</strong><br />

ensuring that subcontractors meet<br />

expectations.<br />

! Case based data tracking.<br />

! CEDARR Direct Services<br />

authorized when included in<br />

approved Family Care Plan.<br />

! Service coordination<br />

! Family Support<br />

! In<strong>for</strong>mation, education, advocacy<br />

! Non-traditional wraparound<br />

support not covered by other<br />

funding sources<br />

None<br />

72

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