Final Report - RI Department of Children, Youth & Families

APPENDIX G: COMPREHENSIVE CARE NETWORKS
! Treatment planning and conducting treatment team meetings with family members and
clinicians
! Implementing Continuous Quality improvement
! Collaborating with schools, law enforcement, court, medical providers and others to
ensure goals and treatment needs are being met
! As necessary developing, implementing and evaluating written interagency agreements
with LEA’s.
! Maximizing Medicaid/SCHIP, private insurance and education funding
! Coordinating, reviewing and authorizing direct care providers’ claims and bills for clinical
and non-clinical services
! Submitting required reports (fiscal, performance, outcomes, etc.) to DCYF
! Comprehensive Care Network budget management
! Providing supports and services not currently funded by the current payment methodology
(e.g., class trips, recreation, music lessons, tutoring, other special needs of children and
families)
DCYF Regional Office functions
! Overseeing and participating in gate keeping into the comprehensive care networks
! Serving as the primary liaison to the comprehensive care networks
! Case management and clinical conferencing with the comprehensive care networks
! Monitoring day-to-day service utilization, program performance and performance
indicators
! Participating in planning and coordinating services among the lead agency, care network
providers, DCYF staff, community partners and other parties
! Technical assistance and training
! Participating in service expansion and new service development
! Developing network protocols and procedures
! Conflict resolution
! Regional budget management
DCYF Central Office Functions
! Oversight of the Comprehensive Care Network Initiative
! Establishing gate keeping procedures and arrangements with other state agencies
(particularly DHS)
! Planning and developing system enhancements
! Developing blended funding solutions with DHS
System of Care Task Force Report (January 2003) 84