Several proposed responsibilities duplicate services already performed by Mental Health Case Managers.

Care coordination should continue to be performed by qualified case managers and should not unnecessarily duplicate existing services delivered by CPST staff.

Additional clarification is requested regarding:

• The meaning of "consistent and regular communication" with MCOs.
• Whether required care coordination activities are billable.
• The rationale for requiring MCO notification of every crisis episode.
• MCO authority to recommend alternative services after providers have completed comprehensive person-centered assessments and eligibility determinations.