new toys in the medicaid sandbox · 2019-09-23 · supporting schools and students to achieve...
TRANSCRIPT
Supporting Schools and Students to AchieveSHERRI YBARRA, ED.S., SUPERINTENDENT OF PUBLIC INSTRUCTION
New Toys in the Medicaid SandboxNew & Experienced Federal Programs Directors MeetingSeptember 24 & 25, 2019
Karren Streagle, Alternate Assessment/Low Incidence Disabilities/Medicaid Coordinator
Angie Williams, Medicaid Program Policy Analyst for School-Based Services
Today’s Topics
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•Summary of Medicaid School-Based Services (SBS) accomplishments
•Updated resources•Medicaid SBS Reference Guide•Overview of Children’s Habilitation Intervention Services
•Open discussion
AccomplishmentsSummary of 2017-18 School-Based Services
Summary of Clarifications types
ITC School-Based Medicaid webpage usage
Summary of CHIS training
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Summary of 2017-18 Medicaid SBS Services
•Review of 2017-18 Medicaid Infographic handout
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Summary of Clarifications Types
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•Review Clarifications handout
ITC Analytics for Top Topics Pages
•Review of ITC Analytics handout
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CHIS Training Attendees by Region
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•Review of CHIS Training handout
Updated WebpagesITC School-Based Medicaid
Medicaid School-Based Services
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ITC School-Based Medicaid Page
•New section• Advisory Committees
•Clarifications form online•Expanded Clarifications headings
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Medicaid School-Based Services Page
•Reorganized sections• Rulemaking• Rules & Guidelines• Resources• Forms• Links
•New & updated forms
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Medicaid SBS Reference Guide Updates
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Structure
New Chapters
Reference Guide Structure
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•Chapter 1: Overview•Chapter 2: Processes•Chapter 3: Rules that apply to all services•Remaining chapters: service specific
Reorganized Chapters
•Split chapters• CBRS & Psychotherapy• PCS & Nursing
•Combined chapters make up Therapies chapter • Occupational Therapy• Physical Therapy
• PT Assistant• Speech/Language
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Combined/New Chapter
Children’s Habilitation Intervention Services (CHIS)•Existing services
• Behavioral Consultation• Behavioral Intervention
•New services• Crisis Intervention• Habilitative Skill• Interdisciplinary Training
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New Chapter 16
•Maintenance of Effort
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New Terms
•CBRS renamed Skills Building/CBRS•Molina changed to DXC Technology
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Overview of Children’s Habilitation Intervention ServicesStudent eligibility
Services
Provider Types
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Eligibility Criteria - NEW
• Services based on a functional or behavioral need• No longer requires a Developmental Disability
diagnosis• Department-approved assessment to identify
functional and/or behavioral needs
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Functional OR Behavioral Needs
Functional Need• 1.5 SD below mean in overall
adaptive compositeOR
• 1.5 SD below mean in 3 or more areas
• Self-care• Receptive & expressive language• Learning• Mobility• Self-direction• Capacity for independent living• Economic self-sufficiency
Behavioral Need• Maladaptive behaviors
• Frequent disruptive behaviors• Aggression• Self-injury• Criminal or dangerous behavior
• 1.5 SD from mean in at least 2 domains
OR• 2.0 SD from mean in 1 composite
score • At least 3 behavior domains
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Services Under CHIS
• Behavioral Intervention (BI)• Behavioral Consultation (BC)• Crisis Intervention (CI)• Habilitative Skill (Hab Skill)• Interdisciplinary Training (IDT)
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New Provider Types
Evidence-BasedHolds an Evidence-Based Model credential• Early Start Denver
Model• Behavior Analyst
Certification Board
Evidence-InformedDoes not hold an Evidence-Based Model credential• Current providers
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CHIS Services & Providers Matrix
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•Review of CHIS & Providers Matrix handout•Located in the Medicaid SBS Reference Guide 2019, p. 47
Open DiscussionWhat is on your mind?
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Supporting Schools and Students to AchieveSHERRI YBARRA, ED.S., SUPERINTENDENT OF PUBLIC INSTRUCTION
Thank you!
Karren Streagle, Ph.D. | Alternate Assessment/Low Incidence Disabilities, Medicaid CoordinatorIdaho State Department of Education650 W State Street, Boise, ID 83702208.332.6800 [email protected]
Angie Williams| Medicaid Program Policy Analyst for School-Based ServicesIdaho Department of Health and WelfareDivision of Medicaid3232 Elder Street, Boise, ID 83705208.287-1169 [email protected]
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