Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
 
Board
Board of Medical Assistance Services
 
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7/14/22  10:00 pm
Commenter: Tamara Starnes, BRBH

Appendix G Care Coordination
 
  • Manual notes regarding Required Services

"Care Coordination: Providers must follow all requirements for care coordination (See Care Coordination Requirements of Mental Health Providers section of Chapter IV)."

 

Also notes in several places:

“Active transitioning from Mobile Crisis Response to an appropriate level of care for ongoing behavioral health services shall be required which includes care coordination and communication with the individual's MCO or FFS contractor, service providers and other collateral contacts.”  

 

It is not clear what this means in terms of MCO and FFS and why this is included? This wording is not referred to in chapter IV as a requirement.

 

There are also times a one time intervention will be all that is needed to de-escalate for mobile crisis, or, collateral and provider contact may not be allowed per patient request. Example- person having a SUD relapse, and they refuse to let staff contact their provider or family members. Additional example: family that calls about a child client who is having behavior problem; and the parent refuses follow-up care and referrals for additional services.

 

Recommend rewording throughout: “Active transitioning from Mobile Crisis Response to an appropriate level of care for ongoing behavioral health services shall be provided as appropriate and which can include other service providers and collateral contacts.”  Or- simply use the wording below from Chapter IV.

 

Chapter IV Definition: "Care Coordination" means locating and coordinating services across health providers to include sharing of information among health care providers and others who are involved with the individual’s health care to improve the restorative care and align service plans.

 

Chapter IV also notes “ Care coordination is based on 1) an assessment conducted by a care coordinator and 2) a centralized plan of care. For mobile crisis #2 may not apply.

CommentID: 122469