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Home and
Community Based Services The
Children’s hcbs/sed Waiver facilitates achieving parity in the availability of
community-based mental health services for children with sed and their families.
|
| ELIGIBILITY GROUP (ALSO SHOWN AS THE SPECIAL POPULATION) |
>>Children under 18; or 18 through 21 if they
received at least 12 months of intensive services between 16-18 and services have
continued after age 18 >>financially eligible for Medicaid |
| LEVEL OF CARE REQUIREMENTS (ALSO KNOWN AS FUNCTINAL ELIGIBILITY RULES) | >>Meet the definition of severly emotionally
disabled >>Meet admission certeria for a state mental health hospital |
| ASSESSMENT AND ACCESS (CASE MANAGEMENT) | Qualified mental health professionals at CMHC completes clinical eligibility determination using standardized assessment instrument (CBCL, CAFAS) and review of clinical V |
| CHOICE OF CASE MANAGEMENT AGENCIES AVAILABLE | Yes, but only in limited situations and with authorization from MHDD |
| FINANCIAL ELIGIBILITY RULES | Only individuals own income and resources are considered beginning in the first month of HCBS (income over $691 per month must be contributed towards cost of care) plus for individuals under 18, parental income and resources are not counted. |
| NUMBER
OF UNDUPLICATED CONSUMERS PER MONTH | 46 |
| TOTAL FY 98 HCBS WAIVER EXPENDITURES | $101,657 (wavier implemented Jan.98) |
| MONTHLY AVERAGE COST PER CONSUMERS FY 98 (WAIVER SERVICES) | $389 |
| MONTHLY AVERAGE COST PER CONSUMER FY 98 (XIX SP SERVICES) | $348 |
| CONSUMER DIRECTED ATTENDANT OPTION AVAIL | No |
| SERVICES (THOSE LISTED ARE PROVIDED IN ADDITION TO REGULAR TITLE XIX STATE PLAN SERVICES | >>Wraparound facilitation/community support >>Independent living/skill building services >>Parent support and training >>Respite care (Case management and attendant care are available through Title XIX state plan) |
| QUALITY ASSURANCE | >>90 day utilization review by treatment team
and QMHP >>MHDD program manager authorizes and reviews care plans >>Annual evaluation of clinical eligibility >>Fiscal agent provider and sonsumer assistance units to register and followup on any complaint or grievance |
| View
the booklet: Listen to My
Story For more information visit Disability and Behavioral Health Services |
Page last updated May 12, 2008