Thank you for allowing us the opportunity to offer recommendations to this policy. We have reviewed all policy changes and have the following recommendations.

2.4.2 Continued Stay Criteria

The policy states documentation of the individual's participation and engagement in MHCM includes at a minimum of progress toward accessing needed services is documented at the expected pace given the presence of medical/physical conditions, stressors, and level of support, as evidenced by engaging in improving severity of symptoms and functional impairment, and continued progress is expected. There is no mention of the need for stability of individuals. Recommend you consider adding or provide clarification on existing language to include the need for stability of the individual.

2.5.3 Staff Caseload Requirements

The policy states the caseload of a full-time case manager shall not consistently exceed 45 individuals as evidenced by the average number of individuals on the case managers' caseload over the most recent six months. The maximum caseload of a part-time case manager shall be proportioned to the average hours worked. Recommend adding language that the number of individuals assigned to a case manager should be based on the level of care an individual requires. There are some individuals that require a higher level of care and that should be taken into consideration when assigning caseloads to case managers, not just a specific number of cases.