DCS Presentation

1. DCS Presentation Doug Weinberg, CFO - DCS Rick Crawley, CEO - WVH

2. Explanation of Process • Please hold all questions till the end. • A lot of information to cover in this session • You have been handed index cards to write questions on • Hand questions to ICCMHC staff

3. OVERVIEW • Background Information • History of County Structure • Conversion to State Budget • Projected Expenditures • Budget Forecast • Preferred Provider Status • Changes in Timeline

4. DATA ANALYSIS • Targeted Population • Wards and Fosters • County Expenditures • County Numbers • Probation

5. Public Announcement • Need to Keep this Discussion Internal • Timeline for Discussion to • DCS County Managers • DCS County Staff • DCS Contract Providers • Other Affected Parties • 2nd week of June – CMHC’s

6. DCS ISSUES • CMHC Capacity • CMHC Response Time • Collection History with Referred Clients • Reporting Requirements • CMHC Staff Expertise • Court Testimony • Uniform Problem Resolution • Transition Process

7. DISCUSSION AREAS • Referral & Intake • Communications • Services • Billing • Match Process • Center Contracts

8. REFERRAL & INTAKE • “NEW” DCS Referral Form • Will have a ICWIS Case # • Will serve as authorization for DCS match payment • Closing Form • DCS to stop services • CMHC to notify DCS • Appointment Expectations • Referrals must be offered appointment w/i 10 days

9. REFERRAL & INTAKE -cont’d • Verification Process • Must verify if referral has Medicaid • ICWIS Case # in system • Follow-up if not eligible and indicated on referral

10. COMMUNICATONS • 1ST Appointment Feedback • Standard DCS Monthly Report • One report from Center Staff • Standard DCS Visitation Report • DCS communication of Court Dates • One staff per Center to testify

11. SERVICES • Service Menu • DCS menu of services • Crosswalk to Medicaid Eligible • Some services not Medicaid Eligible • Statewide Contract • CMHC Indicates Services to be Provided • CMHC Lease other agency employees • CMHC may not have the expertise • P/A for testing

12. SERVICE EXPECTATIONS • Services will be provided timely with certain expectations • If CMHC cannot provide someone will • DCS has choice of CMHC providers • If service expectations not meet then providers may be changed • Medicaid rates for Non-Medicaid services

13. BILLING • Services are either • Non-Medicaid recipient • Medicaid recipient • Eligible Service • Non-covered Service • Prior Authorization Process • P/A w/ referral form to get package • Simplified process w/ all diagnosis covered (DCS only) • Billing form changes

14. BILLING -cont’d • DCS Referral # • DCS billing form to be modified • DCS instructions to match changes to referral form • May choose to bill one client per form • Limit of 48 lines per invoice

15. MATCH PROCESS • Referral form creates DCS match liability • ICWIS # to be used to track DCS match • CMHC verify ICWIS in verification process • Electronic process to track and calculate match • OMPP to run DCS match and collect from DCS

16. MATCH PROCESS -cont’d • OMPP to run match report for total center liability • DMHA to net bill CMHC for match liability • Both center and DMHA to get match report from OMPP • DCS to transfer match directly to OMPP

17. CENTER CONTRACTS • All Centers have contracts that range from 6 to 31 different services • Standard DCS contract w/ center for Preferred Provider status • All Services offered to center • Center may elect to not provide some services • MOA - BHMI

18. QUESTIONS ?