IACCT IMPLEMENTATION UPDATESOctober 2017

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System of Care Engagement

New Residential Service ProgramImplemented 7/1/2017

Magellan

Member

Family

Provider

Locality

Network Activity

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• Credentialing/Contracting Activity: • 100% Network Coverage. There is at least one IACCT in every locality.• There are a total of 24 credentialed/contracted IACCT provider organizations.• Currently conducting outreach to crisis stabilization providers statewide for IACCT.

• Four crisis providers have agreed to contract. Follow-up outreach is being conducted to secure contracting documents.

• Recruitment Targets: • Alleghany (based on limited capacity for current IACCTs)• Central region (based on limited capacity for current IACCTs• 13 Localities with a single contracted IACCT (based on need for additional coverage)• One IACCT has expanded coverage adding secondary and tertiary support to 18 localities• Revisiting contracting with non-IACCT CSBs

• Provider Meetings: • Conducted new and follow-up outreach for interested providers.• Meeting held with VACSB to discuss contracting with CSBs not currently contracted for

IACCT• Residential Provider Communications and Trainings:

• Updated Residential Billing ORP Claims - Email Blast 10/1• Updated IACCT Provider List 10/3• Special Consideration Process and CON Certification - Email blast 10/6

PROVIDER LEVEL

Residential MEMBER MAP

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Who are our Residential members?

Data as of 10/10/2017: This map is updated by the 10th of each month.

EPSDT PRTF

12 Members

EPSDT TGH

66 Members

PRTF

720 Members

TGH

244 Members

NUMBER OF INQUIRIES RECEIVED BY LOCALITY

5

Data as of 10/06/2017. This report is updated by the 10th of each month.To access drill-down data, right-click on the chart and select Worksheet Object > Open.

8052

7227 11

68

91

39

52

39

10

58

77

40

61

32

7

59

0

50

100

150

200

250

300

Central CharlottesvilleWestern

Northern &Winchester

Roanoke /Alleghany

Southwest TidewaterUn

iqu

e M

em

be

r In

qu

irie

s

Service Region

Sep 2017

Aug 2017

Jul 2017

INQUIRY CLOSURES BY REASON

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Data as of 10/06/2017. This report is updated by the 10th of each month.To access drill-down data, right-click on the chart and select Worksheet Object > Open.

0

5

10

15

20

25

30

35

40

45

50

Jul 2017Aug 2017

Sep 2017

12

25

16

23

12

5

7 6

6

8

2

4

4

3

13

Un

iqu

e M

emb

ers

Non-Consent Reasons

Mbr/Gdn did not return call Mbr/Gdn declined - Other Other Mbr/Gdn declined - Does Not Need

Member in Juvenile Detention No reason given Eligibility Invalid Admin Closure

Mbr unlikely to benefit from program Mbr Ineligible for CM - Hospice No phone/disconnected/wrong #

NUMBER OF ASSESSMENTS

7

Data as of 10/11/2017. This report is updated by the 10th of each month.To access drill-down data, right-click on the chart and select Worksheet Object > Open.

154

213

4

156

110

100

200

300

400

500

600

Initial Assessment Initial Assessment(MOU Provider)

Subsequent Assessment Subsequent Assessment(MOU Provider)

Sep 2017

Aug 2017

Jul 2017

RECOMMENDED SERVICES

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Data as of 10/17/2017. This report is updated by the 10th of each month.To access drill-down data, right-click on the chart and select Worksheet Object > Open.

1 10 2 1

93

2 1

52

84

20

2 9 2 1

128

7 5 7 2

59

21

2 1 6 2 6

15

2 37

1

116

5 1 3 2

42

16

0

50

100

150

200

250

300

350

400

CrisisInterv

CrisisStabil

FamThrpy

GroupThrpy

GrpHomeThrpy

IIH IIHAssess

LevelA

GH

MHCase

Mgmt

MultiSyst

Thrpy

MultiSyst

ThrpyAssess

PRTF PsychDx

EvalMH

PsychTest

TDT TFCCase

Mgmt

TGH ThrpywithMbr

Un

iqu

e M

em

be

rs

Recommended Service Sep 2017 Aug 2017 Jul 2017

RECOMMENDED SERVICES BY LOCALITY

9

Data as of 10/17/2017. This report is updated by the 10th of each month.To access drill-down data, right-click on the chart and select Worksheet Object > Open.

3680%

2779%

3289%

14100%

6100%

3291%

6379%

2880%

3489%

21100%

7100%

3642%

3972%

2571%

3895%

1161%

350%

5166%

920%

721%

411%

39%

1721%

720%

411%

5058%

1528%

1029%

25%

739%

350%

2634%

0

10

20

30

40

50

60

70

80

90

100

Pct

of

To

tal

Mem

ber

s

ResidentialTotal

CommunityTotal

July 2017 Aug 2017 Sept 2017

Inquiry to Residential Auth Time Frames

10

Data as of 10/10/2017. This report is updated by the 10th of each month.To access drill-down data, right-click on the chart and select Worksheet Object > Open.

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

Inquiry to Assessment Assessment to Residential Inquiry to Residential

Jul 2017

Aug 2017

Sep 2017

Average Days

Referral to Residential Auth Time Frames

11

Data as of 10/10/2017. This report is updated by the 10th of each month.To access drill-down data, right-click on the chart and select Worksheet Object > Open.

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

Referral to Assessment Assessment to Residential Referral to Residential

Jul 2017

Aug 2017

Sep 2017

Average Days

Foster Care Emergency Placements

12

Data as of 10/12/2017. This report is updated by the 10th of each month.To access drill-down data, right-click on the chart and select Worksheet Object > Open.

0

2

4

6

8

10

12

14

16

18

20

Jul 2017 Aug 2017 Sep 2017 Oct 2017

5

7

5

1

6

7

6

5

Service Types

PRTF EPSDT PRTF EPSDT Grp Home Therapy TGH Level A Grp Home

Average Length of StayPsychiatric Residential Treatment Facility

0

50

100

150

200

250

3002016 ALOS: 222.8 Days

YTD 2017 ALOS:211.9 Days

Average Length of StayTherapeutic Group Home

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50

100

150

200

250

3002016 ALOS: 148.4 Days

YTD 2017 ALOS:140.0 Days

Residential Admissions

15

0

20

40

60

80

100

120

140

PRTF CSA Residential A CSA Residential B

30/90 Day PRTF Readmissions

16

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30-day 90-day

PRTF 2016 2017 YTD

30-day 8.1% 10.1%

90-day 13.0% 16.6%

Missed Family Engagement Notification Submissions by Month

265

193

138

0

50

100

150

200

250

300

Jul-17 Aug-17 Sep-17

17

18

IACCT Care Coordination Case Highlight

•13 year old male member raised by his grandparents•Member is currently receiving IIH services. Previous treatment services includes TDT, IIH, medication management and case

management

Member History

•Grandparents are reporting that member is defiant, aggressive, throws things and reports hearing and seeing things that others do not hear or see. Grandparents reported an increase in defiance and aggression. Member was recently aggressive towards an animal.

Triggering Event

•Members grandparents are actively involved and are reporting feeling overwhelmed by members increasing behaviors. It appeared that the family would benefit from interventions that could offer support to the family and help improve family relations.

Family Engagement

•The recommendation meeting included the RCM, FSC, IACCT LMHP, CSA & FAPT, CSB case manager, IIH worker, physician recommendation, and grandparents and member. The member acknowledged his behaviors but reported that he did not want to go to an out of home placement. The grandparents verbalized feeling overwhelmed and wanted an out of home placement. All other attendees recommended community based services. RCM reported that MNC was not met for a TGH or PRTF and community based services was the recommendation.

IACCT Recommendation Meeting and Care Coordination

•During the recommendation meeting a safety plan was developed. Member will continue with IIH and consider trying a different IIH counselor. Other services: TDT, case management, medication management, updated psychological, intensive family work, explore respite homes, and mentoring services. Grandparents will discuss additional services during upcoming FAPT meeting.

Community Based Plan

•Grandmother reported that she still felt overwhelmed but verbalized her agreement with the community based plan. She report that additional support from the FSC would be beneficial and stated “yes, I’d like to talk to her, she is so helpful. She reallyunderstands me”. The FSC will support the grandmother by attending the upcoming FAPT meeting.

Positive Outcome for Member