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PRTF Implementation Readiness
March through June, 2007

Go to Implementation Plan Details on PRTF
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A Season of Preparation

PRTF: Psychiatric Rehabilitation Treatment Facility services. Next steps for the PRTF work include:

  • PRTF rates will be established by the end of March (cost reports have been submitted by 19 facilities), and published.

  • Finalizing service standards for PRTFs and publishing them to providers: The standards should be finalized and published by the end of March, and related communications from the MMIS Fiscal Agent will follow. Implementation readiness, including provider and staff training and MMIS changes, will continue with readiness activities completed well in advance of the July 1>st implementation date. Potential providers have received training about the standards, and additional training sessions (at least four) will be held prior to the July 1st implementation date so that every potential provider will have access to adequate training.

  • Screening of youth: The instrument for screening each youth potentially needing PRTF services has been developed, and specific training for screeners and providers will be held in April.

  • Each youth currently receiving Level V or VI services will receive an “informational” screening, starting in April, in order to assess current needs and connect each youth to the responsible CMHC. No youth will be denied services as a result of this screening; it is only for information purposes.

  • In order to support a gradual and orderly transition, each youth receiving Level V or VI services as of July 1st will be served under their existing authorization and those services will continue until the end of their then-existing authorization period (either 140 or 180 days) or the youth is discharged. As of July 1st , each youth entering services, or when the authorization period ends, the new PRTF screening protocol will be applied.

Overall, in addition: SRS is preparing its own staff for readiness by training sessions (in person and web-based) for eligibility staff and program staff throughout the regions.

Also, SRS has contracted with two consultants (one through a technical assistance arrangement with the National Association of State Mental Health Program Directors) to partner with SRS to conduct an EQRO-like readiness review both of SRS and of the PAHP, engaging providers, consumers and other stakeholders in the process. This is slated for late May and early June.

Collaboration with Kansas Health Policy Authority and the MMIS Fiscal Agent: Extensive work has been undertaken between SRS and KHPA/MMIS Fiscal Agent. Necessary system changes to conform to the state plan changes and 1915(b)/(c) waivers, for mental health, substance abuse, and PRTF services have been initiated and are well underway. In addition, representatives from the PAHP and PIHP have been designated to work with SRS and KHPA/Fiscal Agent staff to finalize the necessary system changes to support and smooth transition for all of these services effective with dates of service on July 1, 2007. The implementation timeline for these changes has been cooperatively developed between these organizations, being updated as the work phases arise and get completed for moving to the next stage. The most recently completed timeline for this focused work follows:

 

ASSUMPTIONS START FINISH
CREATE 20-Feb 21-Feb
REVIEW/APPROVAL KHPA/SRS 22-Feb 22-Feb
DESIGN
ELIGIBILITY 27-Feb 28-Feb
MANAGED CARE 27-Feb 28-Feb
CLAIMS 1-Mar 1-Mar
REPORTS 2-Mar 2-Mar
ENCOUNTER 2-Mar 2-Mar
MISC. 2-Mar 2-Mar
GSD
CREATE 27-Feb 8-Mar
REVIEW KHPA/SRS 9-Mar 12-Mar
UPDATES 12-Mar 12-Mar
REVIEW 12-Mar 12-Mar
APPROVAL 12-Mar 12-Mar
CHANGE ORDERS
CREATE 13-Mar 14-Mar
REVIEW KHPA/SRS 15-Mar 16-Mar
UPDATES 16-Mar 16-Mar
REVIEW 16-Mar 16-Mar
APPROVAL 16-Mar 16-Mar
TEST PLAN
CREATE 13-Mar 19-Mar
REVIEW KHPA/SRS 20-Mar 21-Mar
UPDATES 21-Mar 21-Mar
REVIEW 21-Mar 21-Mar
APPROVAL 21-Mar 21-Mar
SYSTEM CODING
SYSTEM CODING 19-Mar 18-May
SYSTEMS ARCHITECT REQUEST TO OK 1-Mar 1-Mar
RECEIVE CAP RATES 1-May 1-May
CSRs PROMOTED TO MO 21-May 21-May
WINDOW UPDATES-MO 22-May 23-May
MO TESTING 24-May 4-Jul
CSRs PROMOTED TO PROD 4-Jul 4-Jul
WINDOW UPDATES-PROD 22-Jun 6-Jul
PEER REVIEW 9-Jul 9-Jul
END DATE POC    
OPEN NEW PAs    
PROD VERIFICATION 10-Jul 10-Jul
PROVIDER ISSUES
PROVIDER ENROLLMENT    
PROVIDER ENROLLMENT MAILINGS    
CONNECTIVITY REQUEST 1-Mar 1-Mar
PROVIDER TRAINING    
SECURITY ACCESS    
PUBLICATIONS
BENE MAILINGS 1-Jun 1-Jul
BULLETIN    
MANUAL NEW/UPDATES    

SRS staff continue to meet weekly (and sometimes several times per week) with KHPA and MMIS Fiscal Agent staff (most recently adding PAHP and PIHP staff into the discussions) to ensure that all implementation issues are identified, discussed, resolved and addressed timely.

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