KIDCONNECTIONSCOMMUNITY CONVENING MEETING

SEPTEMBER 30, 2019

PRESENTER: JENNIFER PHAM, LCSW

Part I: The history and background of KidConnectionsservices in Santa Clara County.

Part II: The proposed KidConnections services.

Part III: Questions & Feedback.

AGENDA

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1. Inform and discuss with attendees the proposed KidConnections services tentatively slated for RFP release Fall 2019 (FY20).

2. Gather feedback, answer questions about the proposed plans.

GOALS OF THE COMMUNITY CONVENING:

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Request for proposals for

KidConnectionsservices

Launch services

Begin community trainings,

education, public services

announcements, and other outreach efforts to promote

the proposed system of care

October 2019 Fall 2019

Complete Community Convenings

Summer 2020 June 1, 2020 through December 31, 2020

ESTIMATED TIMELINE OF EVENTS

History: Screening, Assessment & Treatment Services

KIDCONNECTIONS BACKGROUND

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Since 2006, FIRST 5 Santa Clara County and the Behavioral Health Services Department have partnered to provide high quality, trans-disciplinary screening and assessment, home visitation and therapeutic services for children under 6 years of age through the KidConnections System of Care.

KIDCONNECTIONS CONTINUUM OF CARE

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Centralized Call Center

Integrated KCN Services

• Assessment for Intervention• Targeted Diagnostic Assessment• Home Based Therapeutic Services• Developmental Home Visitation Services• Behavioral Home Visitation Services• Case Management Services: Linkage and connection

to FRCs, Early Start, School Districts, preschool and other community resources

• Care Coordination with healthcare and other care providers

Self Referrals, Friends/Families

Community Service Providers (e.g., Early Learning, FRCs, Courts)

Health Providers (e.g., Pediatricians, Public Health Nurses)

KIDCONNECTION CONTINUUM OF CARE

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Coordination and Connection throughout KCN experience (as needed)

•Early Start Program •School District •FIRST 5 Family Resource Centers•Targeted Diagnostic Assessment (TDA) Consultation and Referral

Centralized Call Center

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CHILDREN, YOUTH, TRANSITION AGE YOUTH, AND FAMILY SYSTEM OF CARE

PREVENTION AND EARLY

INTERVENTION

Crisis Services can be accessed across the continuum of care and offers Mobile Crisis, Community Transition Service and Crisis Stabilization Unit

OUTPATIENT INTENSIVE OUTPATIENT

INTENSIVE WRAPAROUND

RESIDENTIAL

• Managed Care Rule- What is the Managed Care Rule?

– The Managed Care Rule is a comprehensive effort to update & modernize the rules that Medicaid (Medi-Cal) managed care programs need to follow.

– It is the first major update to the rules in more than a decade

– The effective date of the Managed Care Rule was July 5, 2016, with phased implementation over a three year period.

– Applies to the provision of Medicaid Managed Care (MMC) programs and managed care organizations (MCOs), Pre-paid Inpatient Health Plans (PIHPs), and Pre-paid Ambulatory Health Plans (PAHPs).

– As PIHPs, MHPs and DMC-ODS pilots are subject to federal managed care regulations related to beneficiary rights and protections, quality improvement and review, and adequacy and availability of services (among others).

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DEPARTMENT OF HEALTH CARE SERVICES REQUIREMENT

• Managed Care Rule – Timely Access Standard

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DEPARTMENT OF HEALTH CARE SERVICES REQUIREMENT

Service Type Timely Access Standards(from request to appointment)

Time & Distance Standards (from beneficiary’s place of residence)

Outpatient Mental Health Services Within 10 business days 15 miles or 30 minutes

Psychiatry Within 15 business days 15 miles or 30 minutes

Outpatient Drug Medi-Cal Organized Delivery System (DMC-ODS Substance Use Disorder (SUD) Services

Within 10 business days 15 miles or 30 minutes

DMC-ODS Opioid Treatment Programs Within 3 business days 15 miles or 30 minutes

Hospital N/A 15 miles or 30 minutes

Pharmacy Prior authorization: 24 hours Emergency supply: 72 hours 10 miles or 30 minutes

• Managed Care Rule – Provider/Beneficiary Ratios

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DEPARTMENT OF HEALTH CARE SERVICES

Ratio Standards Psychiatry Outpatient SMHS

Adults (18+) 1:263 1:50

Children/Youth (0-17) 1:230 1:31

KIDCONNECTION PROPOSED SERVICES

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Centralize referral process for all seeking birth through age 5

services.

Increase capacity for timely access to services through a centralized behavioral and developmental assessment

process.

Create teams available in key geographic locations in the

County (North, Central, & South) that are embedded in the

community and available to provide timely access to ongoing

family support and treatment services.

CULTURAL HUMILITY, INCLUSION & EQUITY

Visit Our Website for PowerPoint:

https://www.sccgov.org/sites/bhd/Pages/home.aspx

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QUESTIONS & FEEDBACK

FOR MORE INFORMATION CONTACT :

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Behavioral Health Services Department Family & Children’s Services Division

725 E. Santa Clara St. Suite 301, San Jose, CA 95112

Jennifer Pham, LCSW Phone: (408) 794-0767

Jennifer.Pham@hhs.sccgov.org