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Oversight of Participant-Directed Services: Key Considerations for Health Plans
Adequate oversight of the delivery of personal care services in participant-directed programs is vital so that members’ individual service plans are carried out correctly and prevent fraud and abuse. However, monitoring the provision of services in participant-directed programs can be
[...]Time to read: 1 Minutes.Date: April 2, 2019 -
Oversight of Durable Medical Services: Key Considerations for Health Plans
Health plans increasingly will be required to manage, monitor, and oversee a broader range of services as more states contract for managed long-term services and supports (LTSS). Oversight includes preventing fraud and abuse, which requires ensuring that the services billed
[...]Time to read: 1 Minutes.Date: April 2, 2019 -
Communicating With HCBS Providers: Key Considerations For Health Plans
As more states contract for managed long-term services and supports (LTSS), health plans increasingly will be required to arrange for home- and community-based services (HCBS). Establishing a written protocol for clear and effective communication methods with your HCBS providers should
[...]Time to read: 1 Minutes.Date: April 1, 2019 -
Monitoring the Delivery of Personal Care Services: Key Considerations for Health Plans
Health plans increasingly will be required to provide oversight for a broader range of services as more states contract for managed long-term services and supports. These services may include personal care services delivered by direct service workers (DSWs). Monitoring the
[...]Time to read: 1 Minutes.Date: April 1, 2019 -
Oversight of Transportation Services: Key Considerations for Health Plans
Health plans increasingly will be required to oversee non-emergency transportation services as more states contract for managed long-term services and supports (LTSS). Oversight often refers to preventing fraud and abuse, which requires ensuring that the services being billed are actually
[...]Time to read: 1 Minutes.Date: April 1, 2019 -
RIC Event: Gathering and Using Member Feedback in Plan Governance
https://youtu.be/dn0G9ZI9Dng?si=aPt0Kq5L2WlPEnFr Members participating in health plan governance can provide valuable feedback to inform plan policies and procedures that address the needs of members and their families and caregivers.1 Following two webinars on engaging members in plan governance and ways to
[...]Time to read: 2 Minutes.Date: March 27, 2019 -
Action Plan Selection Guide – A Tool for Self-Management Support
The Self-Management Support (SMS) Action Plan Selection Guide helps behavioral health providers choose action plans that best meet the needs of their clients and their organization. Action planning is particularly useful for clients with mental illness, substance use conditions, and/or
[...]Time to read: 1 Minutes.Date: March 18, 2019 -
Key Considerations for Integrating Peer Support Staff in Behavioral Health Organizations
Peer support staff are individuals in recovery from a mental health challenge, substance use condition, or co-occurring illnesses who – with training – use their lived experience to assist others in their journey towards wellness and recovery. This tip sheet
[...]Time to read: 1 Minutes.Date: March 18, 2019 -
Video: Leveraging the Lived Experience of Peer Support Staff
Peer support staff are individuals in recovery from a mental illness and/or substance use condition who with training, use their lived experience to assist others in recovery. One of the key steps to successfully integrate peer support staff into behavioral
[...]Time to read: 1 Minutes.Date: March 18, 2019 -
Self-Management Support in Behavioral Health: Organizational Assessment Tool
This assessment tool is designed to assist behavioral health organizations in delivering self-management support to clients managing serious mental illness and/or substance use conditions. These conditions often coincide or are dually diagnosed; an estimated 50 percent of individuals with a serious mental illness also have
[...]Time to read: 1 Minutes.Date: March 18, 2019