How are people selected to participate
in the Care Coordination Program?
A.
This program is available to adults who live in the
participating counties who are diagnosed with serious
mental illness with a high need for clinical and social
support services.
Individuals who are interested in the program should
contact their county Single Point of Access (SPOA).
Contact information can be found on the County page
of this web site.
Q.
How will service recipients benefit
from the Care Coordination Program?
A.
People who participate in this program will benefit
in the following ways:
•
They will participate in development of a personal
plan for receipt of services to help them in their
recovery. Information about development of this
Individualized Services Plan (ISP) can be found
on the Care Coordination page of this site.
•
They will receive assistance from a Care Coordinator
in arranging for services they need.
•
Their Care Coordinator will meet with them to
make sure that they are receiving the services
they want and that they are doing well.
•
As needed, the Care Coordinator will provide
assistance to help Participants in a crisis.
•
Care Coordinators will have the flexible use
of available financial resources to purchase services
and make effective linkages to providers to meet
the needs of individual recipients.
Q.
Is participation voluntary?
A.
Participation is entirely voluntary.
Q.
Isn't the Care Coordination Program
just another form of Assisted Outpatient Treatment (AOT)?
A.
No. The Assisted Outpatient Treatment program is
a process for involvement of the courts in directing
a small group of persons to participate in treatment.
The Care Coordination Program is an additional service
to eligible persons.
Some individuals who are involved in the AOT program
may ask to be enrolled in the Care Coordination Program
or may want to enroll after their AOT process is complete.
But that would happen after the AOT process is complete.
Q.
What benefit do provider organizations
get from participating in the Care Coordination Program?
A.
Licensed outpatient providers that participate in
the Care Coordination Program will have greater flexibility
in operation of their programs. In addition, they
will be able to deliver and receive Medicaid reimbursement
for a broader array of outpatient mental health services.
Q.
What are the obligations of participating
provider organizations?
A.
Participating provider organizations must agree to:
•
Cooperate with Care Coordinators.
•
Give Participants priority access to services.
•
Provide encounter data and outcomes reports.
The obligations of participating provider organizations
are described in detail in contracts between participating
counties and participating providers. For a model contract,
click here.
Q.
Are additional funds available to
help people who participate in the program?
A.
Yes. The Office of Mental Health has authorized each
participating county to establish a Care Coordination
Fund. Monies in these funds will be made available
to Care Coordinators to enable purchase of items or
services that may help Participants in their recovery,
and which are not otherwise reimbursed by Medicaid
or other sources.
Participating Counties and the Office of Mental Health
will monitor the utilization and cost of services,
Participant satisfaction, and outcomes. For more information
about Outcomes Measures, please see that section of
this web site.
