Final Report - RI Department of Children, Youth & Families

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CHAPTER 4: FINANCING THE SYSTEM OF CARE and adults is a significant drain on our economy and devastating to individuals and families. Enhancing coverage of mental health and substance abuse in private health insurance programs can only serve to improve the quality of life for our children and families and to support our economy. The State’s new mental health parity statute is a first step in this direction. Credentialing issues create barriers in two ways: one, these limit the array of professionals and para-professionals that can practice and get reimbursed; two, the procedures are so arduous and onerous that providers often wait long periods of time to receive approval and bear the burden of the cost of providing services during this waiting period. 6. $ The DHS must continue its efforts to ensure that all children are covered by health insurance through focusing on further reducing the number of uninsured children in Rhode Island through expanded Medicaid/SCHIP access. To accomplish this, DHS maintains RI Medicaid’s current definitions of medically necessary services and assures that all Medicaid primary care providers deliver all EPSDT services. DHS must continue to extend Medicaid benefits to children and adolescents covered by SCHIP. In conjunction with the MHRH, the DHS assures that parents of both Medicaid and SCHIP covered children receive needed mental health and substance abuse treatment. The DHS is nationally recognized for expanding access to Medicaid for eligible children. This progressive approach has led to Rhode Island being the top state in regard to the number of children covered by health insurance 19 . Rhode Island’s Continuum of Care must continue this effort and support the DHS in expanding access to Medicaid. 7. $ The DHS, in collaboration with other state agencies, must ensure that Medicaid eligible children receive timely and appropriate assessments throughout their development. The DHS must emphasize that primary care providers use age appropriate screening for child/adolescent mental health and substance abuse problems. The DOH, the DHS, and DCYF must work collaboratively to ensure that children from birth to age three involved with DCYF are referred to Early Intervention programs for screening, assessment, and treatment as needed. There is a strong need for timely and quality assessments and evaluations for children and youth at all stages of the developmental continuum. Recent changes in the Early Intervention Program and the development of the CEDARR Family Centers show promise in being able to increase access to these services. State agencies must continue to work together in expanding this access and ensuring that a multidisciplinary team approach be utilized. 8. It is important that the system of care include independent local providers (see Appendix J) who may be able to intervene with children and families before tragedies happen or the children need to be removed from their homes. The Children’s Cabinet, through a designated agency or committee, must work with 19 According to the Annie E. Casey Foundation’s National KIDS COUNT data, only seven percent (7%) of Rhode Island children are uninsured compared to a national average of fifteen percent (15%). 200l KIDS COUNT Data Book Online at http://www.aecf.org/cgi-bin/kc2001.cgi?action=profile&area=Rhode+Island System of Care Task Force Report (January 2003) 42
CHAPTER 4: FINANCING THE SYSTEM OF CARE independent behavioral health providers and third party insurers to ensure the prompt and appropriate reimbursement for services and to ensure access to appropriate mental health services. Prompt and adequate payment from insurers and from the state will help to enhance and maintain a core of such providers. It is also important that subscribers receive appropriate treatment to effectively deal with their issues and not be cut short due to insurance limits. System of Care Task Force Report (January 2003) 43
Page 1: TOWARD AN ORGANIZED SYSTEM OF CARE
Page 5 and 6: TABLE OF CONTENTS TRANSMITTAL LETTE
Page 7 and 8: TRANSMITTAL LETTER Hon. Donald L. C
Page 9 and 10: TRANSMITTAL LETTER With strong stat
Page 11 and 12: PREFACE The Rhode Island System of
Page 13 and 14: EXECUTIVE SUMMARY This plan for an
Page 15 and 16: EXECUTIVE SUMMARY stakeholders have
Page 17 and 18: CHAPTER 1: OVERVIEW The Rhode Islan
Page 19 and 20: CHAPTER 1: OVERVIEW SYSTEM STRATEGY
Page 21 and 22: CHAPTER 1: OVERVIEW the four Region
Page 23 and 24: CHAPTER 2: COMMUNITY-STATE PREVENTI
Page 29 and 30: CHAPTER 3: STRENGTHENING DCYF AS A
Page 31 and 32: CHAPTER 3: STRENGTHENING DCYF C. Re
Page 33 and 34: CHAPTER 3: STRENGTHENING DCYF 5. $
Page 35 and 36: CHAPTER 3: STRENGTHENING DCYF (Marc
Page 37 and 38: CHAPTER 4: FINANCING THE SYSTEM OF
Page 39 and 40: CHAPTER 4: FINANCING THE SYSTEM OF
Page 41: CHAPTER 4: FINANCING THE SYSTEM OF
Page 45 and 46: CHAPTER 5: WORKFORCE DEVELOPMENT Wo
Page 47 and 48: CHAPTER 5: WORKFORCE DEVELOPMENT Ch
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Page 51 and 52: CHAPTER 6: PERFORMANCE MEASURES AND
Page 53 and 54: CHAPTER 6: PERFORMANCE MEASURES AND
Page 55 and 56: CHAPTER 7: IMPLEMENTATION CHAPTER 7
Page 57 and 58: CHAPTER 7: IMPLEMENTATION i. Legisl
Page 59 and 60: CHAPTER 7: IMPLEMENTATION programmi
Page 61 and 62: APPENDICES 61
Page 63 and 64: APPENDIX A: RHODE ISLAND SYSTEM OF
Page 65 and 66: APPENDIX A: SYSTEM OF CARE TASK FOR
Page 71 and 72: APPENDIX B: PRINCIPLES OF FAMILY CE
Page 73 and 74: APPENDIX C: DEFINITIONS, CORE VALUE
Page 75 and 76: APPENDIX C: CULTURAL COMPETENCY cri
Page 77 and 78: APPENDIX D: VALUES AND PRINCIPLES F
Page 79 and 80: APPENDIX E: SERVICE AND PROGRAM COM
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APPENDIX H: COMPARISON CHART OF COM
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APPENDIX I: DCYF RECOMMENDATIONS TO
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APPENDIX J: LISTING OF LICENSED AND
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APPENDIX K: PERFORMANCE MEASURES AN
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APPENDIX L: REPORT OF THE FOSTER CA
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APPENDIX L: FOSTER CARE COMMITTEE R
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APPENDIX M: REPORT OF THE CURRENT R
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RHODE ISLAND SYSTEM OF CARE TASK FO
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Introduction The Current Reality Su
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APPENDIX M: CURRENT REALITY COMMITT
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System of Care Task Force Report (J
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APPENDIX N: GENDER SPECIFIC PROGRAM
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Final Report - RI Department of Children, Youth & Families

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