cbhi service utilization
DESCRIPTION
CBHI Service Utilization. July 1, 2009 through December 31, 2009 DRAFT – For Policy Development Purposes Only Prepared by Office of Behavioral Health staff. Utilization of CBHI Services July 1, 2009 through December 31, 2009 – DRAFT for Policy Development Purposes Only. - PowerPoint PPT PresentationTRANSCRIPT
CBHI Service Utilization
July 1, 2009 through December 31, 2009DRAFT – For Policy Development Purposes Only
Prepared by Office of Behavioral Health staff
2
Utilization of CBHI ServicesJuly 1, 2009 through December 31, 2009 –
DRAFT for Policy Development Purposes Only
Penetration Rate for Managed Care Enrolled MassHealth Members, under 21, Receiving CBHI Services
Number of Managed Care Enrolled MassHealth Members under 21: *
CBHI Services YTD Number of Unique Utilizers Percentage
Intensive Care Coordination 4,135 *
Family Support & Training 3,206 *
In-Home Therapy 4,029 *
In-Home Behavioral Services 64 *
Therapeutic Mentoring 1,176 *
Youth Mobile Crisis Intervention 5,504 *
* Data will be available next reporting cycle.
• This data represents the estimated number of service utilizers of each CBHI service.• This data is based on Managed Care claims data on members for whom providers have billed each of the listed CBHI services. The data is submitted to
MassHealth by each MassHealth managed care entity in the CBHI cost and utilization reports, and combined by Office of Behavioral Health Analytic staff.• The estimated number of utilizers is slightly inflated because members who switch between plans are counted more than once.
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Utilization of CBHI ServicesJuly 1, 2009 through December 31, 2009 –
DRAFT for Policy Development Purposes Only
Chart 3: # of Utilizers by Age and Month - Intensive Care Coordination
0
500
1000
1500
0-12 486 716 893 1093 1177 1290
13 - 18 441 658 848 1015 1123 1206
19-20 11 31 43 50 48 52
Jul Aug Sep Oct Nov Dec
Chart 1: Hours and Utilizers - Intensive Care Coordination
0
1000
2000
3000
0.02.04.06.08.010.0
# of Utilizers 938 1405 1784 2158 2348 2548
Hours Per Utilizer 7.4 7.3 7.3 7.2 6.4 7.4
Jul Aug Sep Oct Nov Dec
Chart 2: Hours Per Utilizer by Age and Month - Intensive Care Coordination
0.0
5.0
10.0
0-12 7.2 7.2 7.4 7.1 6.4 7.2
13 - 18 7.5 7.3 7.2 7.3 6.4 7.6
19-20 8.6 7.0 9.1 9.1 7.1 8.3
Jul Aug Sep Oct Nov Dec
• The data on this page represents the estimated number of intensive care coordination service utilizers and the average number of service hours that are billed per service utilizer.
• These data are based on Managed Care claims data on members for whom providers have billed the ICC service.
• The data is submitted to MassHealth by each managed care entity in the CBHI Cost and Utilization Reports, and combined by Office of Behavioral Health Staff.
• The estimated number of utilizers is slightly inflated because members who switch between health plans are counted more than once.
• Chart 1 is a summary report showing both estimated utilizers and average billed service hours per utilizer.
• Chart 2 shows average billed service hours by age group.• Chart 3 shows service utilizers by age group.
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Utilization of CBHI ServicesJuly 1, 2009 through December 31, 2009 –
DRAFT for Policy Development Purposes Only
Chart 5: Hours Per Utilizer by Age and Month - Family Support and Training
0.0
5.0
10.0
0-12 5.2 5.7 5.9 5.4 5.3 6.2
13 - 18 5.7 5.6 5.9 5.8 5.5 6.6
19-20 6.2 6.4 5.8 7.9 5.9 6.0
Jul Aug Sep Oct Nov Dec
Chart 6: # of Utilizers by Age and Month -Family Support and Training
0
1000
2000
0-12 332 508 678 795 886 1005
13 - 18 274 423 580 705 774 864
19-20 10 19 28 31 37 37
Jul Aug Sep Oct Nov Dec
Chart 4: Hours and Utilizers - Family Support and Training
0
1000
2000
3000
0.02.04.06.08.010.0
# of Utilizers 616 950 1286 1531 1697 1906
Hours Per Utilizer 5.5 5.7 5.9 5.6 5.4 6.4
Jul Aug Sep Oct Nov Dec
• The data on this page represents the estimated number of Family Support and Training service utilizers and the average number of service hours that are billed per service utilizer.
• These data are based on Managed Care claims data on members for whom providers have billed the Family Support and Training service.
• The data is submitted to MassHealth by each managed care entity in the CBHI Cost and Utilization Reports, and combined by Office of Behavioral Health Staff.
• The estimated number of utilizers is slightly inflated because members who switch between health plans are counted more than once.
• Chart 4 is a summary report showing both estimated utilizers and average billed service hours per utilizer.
• Chart 5 shows average billed service hours by age group.• Chart 6 shows service utilizers by age group.
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Utilization of CBHI ServicesJuly 1, 2009 through December 31, 2009 –
DRAFT for Policy Development Purposes Only
Chart 8: Hours Per Utilizer by Age and Month - In-Home Therapy
14.0
16.0
18.0
0-12 16.4 17.0
13 - 18 17.8 17.5
19-20 15.6 16.2
Nov Dec
Chart 9: # of Utilizers by Age and Month - In-Home Therapy
0
1000
2000
0-12 1429 1646
13 - 18 1223 1402
19-20 14 17
Nov Dec
Chart 7: Hours and Utilizers - In-Home Therapy
0400800
120016002000
0.04.08.012.016.020.0
# of Utilizers 1429 1646
Hours Per Utilizer 16.4 17.0
Nov Dec
• The data on this page represents the estimated number of In-Home Therapy service utilizers and the average number of service hours that are billed per service utilizer.
• These data are based on Managed Care claims data on members for whom providers have billed the In-Home Therapy service.
• The data is submitted to MassHealth by each managed care entity in the CBHI Cost and Utilization Reports, and combined by Office of Behavioral Health Staff.
• The estimated number of utilizers is slightly inflated because members who switch between health plans are counted more than once.
• Chart 7 is a summary report showing both estimated utilizers and average billed service hours per utilizer.
• Chart 8 shows average billed service hours by age group.• Chart 9 shows service utilizers by age group.
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Utilization of CBHI ServicesJuly 1, 2009 through December 31, 2009 –
DRAFT for Policy Development Purposes Only
Chart 11: Hours Per Utilizer by Age and Month - In-Home Behavioral Services
0.0
10.0
20.0
30.0
0-12 3.1 8.8 12.7
13 - 18 8.9 15.7 19.8
19-20 19.5 2.9 5.3
Oct Nov Dec
Chart 12: # of Utilizers by Age and Month - In-Home Behavioral Services
0
10
20
30
0-12 4 14 24
13 - 18 2 7 9
19-20 1 2 3
Oct Nov Dec
Chart 10: Hours and Utilizers - In-Home Behavioral Services
0
10
20
30
40
0.02.04.06.08.010.012.014.016.0
# of Utilizers 7 23 36
Hours Per Utilizer 7.1 10.4 13.9
Oct Nov Dec
• The data on this page represents the estimated number of In-Home Behavioral Services utilizers and the average number of service hours that are billed per service utilizer.
• These data are based on Managed Care claims data on members for whom providers have billed the In-Home Behavioral Services.
• The data is submitted to MassHealth by each managed care entity in the CBHI Cost and Utilization Reports, and combined by Office of Behavioral Health Staff.
• The estimated number of utilizers is slightly inflated because members who switch between health plans are counted more than once.
• Chart 10 is a summary report showing both estimated utilizers and average billed service hours per utilizer.
• Chart 11 shows average billed service hours by age group.• Chart 12 shows service utilizers by age group.
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Utilization of CBHI ServicesJuly 1, 2009 through December 31, 2009 –
DRAFT for Policy Development Purposes Only
Chart 14: Hours Per Utilizer by Age and Month - Theraputic Mentoring
0.0
5.0
10.0
15.0
0-12 6.6 8.7 9.7
13 - 18 6.2 10.6 10.7
19-20 7.4 12.9 11.2
Oct Nov Dec
Chart 15: # of Utilizers by Age and Month - Theraputic Mentoring
0
200
400
0-12 80 240 378
13 - 18 68 260 375
19-20 2 3 8
Oct Nov Dec
Chart 13: Hours and Utilizers - Theraputic Mentoring
0
200
400
600
800
0.02.04.06.08.010.012.0
# of Utilizers 150 503 761
Hours Per Utilizer 6.4 9.7 10.2
Oct Nov Dec
• The data on this page represents the estimated number of Therapeutic Mentoring service utilizers and the average number of service hours that are billed per service utilizer.
• These data are based on Managed Care claims data on members for whom providers have billed the Therapeutic mentoring service.
• The data is submitted to MassHealth by each managed care entity in the CBHI Cost and Utilization Reports, and combined by Office of Behavioral Health Staff.
• The estimated number of utilizers is slightly inflated because members who switch between health plans are counted more than once.
• Chart 13 is a summary report showing both estimated utilizers and average billed service hours per utilizer.
• Chart 14 shows average billed service hours by age group.• Chart 15 shows service utilizers by age group.
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Utilization of CBHI ServicesJuly 1, 2009 through December 31, 2009 –
DRAFT for Policy Development Purposes Only
Chart 17: Hours Per Utilizer by Age and Month - Youth Mobile Crisis Intervention
0.0
5.0
10.0
0-12 6.1 5.9 6.3 6.3 6.1 6.0
13 - 18 5.6 5.8 5.6 5.8 6.4 6.1
19-20 5.3 5.4 4.9 4.5 5.8 5.3
Jul Aug Sep Oct Nov Dec
Chart 18: # of Utilizers by Age and Month - Youth Mobile Crisis Intervention
0
500
1000
0-12 189 215 321 373 346 347
13 - 18 418 427 611 711 623 612
19-20 118 124 138 142 124 122
Jul Aug Sep Oct Nov Dec
Chart 16: Hours and Utilizers - Youth Mobile Crisis Intervention
0
500
1000
1500
0.0
2.0
4.0
6.0
8.0
10.0
# of Utilizers 725 766 1070 1226 1093 1081
Hours Per Utilizer 5.7 5.8 5.7 5.8 6.2 6.0
Jul Aug Sep Oct Nov Dec
• The data on this page represents the estimated number of Youth Mobile Crisis Intervention service utilizers and the average number of service hours that are billed per service utilizer.
• These data are based on Managed Care claims data on members for whom providers have billed the Youth Mobile Crisis Intervention Services.
• The data is submitted to MassHealth by each managed care entity in the CBHI Cost and Utilization Reports, and combined by Office of Behavioral Health Staff.
• The estimated number of utilizers is slightly inflated because members who switch between health plans are counted more than once.
• Chart 16 is a summary report showing both estimated utilizers and average billed service hours per utilizer.
• Chart 17 shows average billed service hours by age group.• Chart 18 shows service utilizers by age group.
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BH Service Utilization of Members Receiving ICCJuly 1, 2009 through December 31, 2009 –
DRAFT for Policy Development Purposes Only
Number of ICC Utilizers
% Using 24 Hour Level of Care
% Using Non-24 Hour
Diversionary services
% Using Outpatient Services
% Receiving FS&T
% Receiving MCI Services
% Receiving In-Home Therapy
% Receiving In-Home Behavioral Services
% Receiving Therapeutic Mentoring
Jul 939 10.1% 11.9% 65.7% 59.7% 10.2% 16.3% N/A N/AAug 1,403 10.6% 11.6% 63.7% 61.5% 9.3% 20.0% N/A N/ASept 1,782 9.2% 12.4% 66.4% 66.9% 10.8% 20.7% N/A N/AOct 2,157 10.2% 12.2% 67.2% 65.2% 9.0% 21.4% 0.3% 4.1%Nov 2,346 8.3% 10.2% 64.4% 67.1% 6.7% 19.4% 0.4% 10.8%Dec 2,549 6.9% 9.9% 64.5% 70.9% 5.9% 22.1% 0.8% 15.6%
Percentage of ICC Utilizers Accessing other Behavioral Health Services
• This table represents the percent of youth receiving ICC who also used other Behavioral Health Services in that month.
• This data is based on the Managed Care claims data on members for whom providers billed ICC and other services during the month. The data is submitted to MassHealth by each Health plan in the ICC Key indicator report, and combined by Office of Behavioral Health Analytic Staff.
• The estimated number of utilizers is slightly inflated because members who switch between health plans are counted more than once. The numbers do not exactly match the data in the other charts, because they are based on a different report, which are run on a different date.