CHCS - Center for Health Care Strategies

Improving the quality and cost-effectiveness of publicly financed health care

Children's Behavioral Health

Multiple public agencies often have overlapping roles in children’s behavioral health services. Children with behavioral or emotional problems can benefit from coordinated care management approaches that integrate the delivery of physical and behavioral health services. CHCS works with state child welfare agencies and health plans to better integrate behavioral and physical health services and supports, with a particular focus on children in foster care.

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Title and Description Date Type

Innovative Practices: Creating Environments to Help Youth Thrive – A Health Care Perspective

Kamala Allen's presentation at the Georgetown Public Policy Institute LEAD Conference - Positive Outcomes for At-Risk Children and Youth in Washington, DC, focused on health care innovations at the state-level that can help children and youth in foster care with serious behavioral health needs to thrive.
January 2013 Staff Presentations

Using Medicaid Health Homes with Wraparound to Serve Youth Populations with Complex Behavioral Health Needs

This presentation outlines how states may be able to establish care management entities (CMEs) as health homes for children with complex behavioral health needs in the context of the Affordable Care Act's health homes provisions, and highlights resources developed by CHCS as part of the CHIPRA CME Collaborative, that may be useful in this endeavor.
January 2013 Staff Presentations

Medicaid Financing for Family and Youth Peer Support: A Scan of State Programs

This presentation highlights Medicaid coverage and financing for family and youth peer support- a key component of the care management entity (CME) model - and the experiences of two states participating in CHCS' CHIPRA CME Collaborative in implementing these services.
November 2012 Staff Presentations

Case Rate Scan for Care Management Entities

This technical assistance resource summarizes how CMEs in eight states have structured their financing approaches. It is meant to guide those who may be exploring the CME model and seeking to learn more about ways to structure case rates within this model.
October 2012 Technical Assistance Briefs & Tools

Using Care Management Entities for Behavioral Health Home Providers: Sample Language for State Plan Amendment Development

This technical assistance resource provides sample language to help states structure their dialogue with the Substance Abuse and Mental Health Services Administration and submission to the Centers for Medicare & Medicaid Services regarding the use of CMEs as behavioral health homes.
October 2012 Technical Assistance Briefs & Tools

CME Considerations for Serving Youth in Transition

This two hour webinar addressed what CMEs need to consider in adapting services and supports when working with transition-age youth.
June 2012 CHIPRA Quality Demonstration Webinars

Medicaid Financing for Family and Youth Peer Support: A Scan of State Programs

This technical assistance resource outlines how states across the country are designing and financing family and youth peer support programs.
May 2012 Technical Assistance Briefs & Tools

CHIPRA Webinar: CME Engagement and Work with Judges and the Court

This webinar provided an overview of best practice approaches to interactions between care management entities, and judges and the court.

March 2012 CHIPRA Quality Demonstration Webinars

CHIPRA Webinar: Psychotropic Medication

This webinar provided an overview of the current landscape related to efforts to improve psychotropic medication management and prescribing practices for youth, particularly those involved with Child Welfare.

January 2012 CHIPRA Quality Demonstration Webinars

CHIPRA Webinar: Reengineering Residential Treatment

This two-hour webinar: 1) Described the Building Bridges Initiative, both as a national initiative that is "working to identify and promote practice and policy that will create strong and closely coordinated partnerships and collaborations between families, youth, community - and residentially - based treatment and service providers;" and from the perspective of a provider in Massachusetts; and 2) Highlighted the experience of New Jersey and one of its residential treatment providers in changing its philosophy and service delivery model and work more collaboratively with children and families served by CMEs.

December 2011 CHIPRA Quality Demonstration Webinars

CHIPRA Webinar: Reengineering Residential Treatment

This webinar described new opportunities for redesigning care delivered through residential treatment centers.

December 2011 Webinar Resources

CHIPRA Webinar: Coordination with Primary Care

This webinar highlighted the experiences of two CMEs -- Wraparound Milwaukee and the former Massachusetts Mental Health Services Program for Youth (MHSPY) -- in their efforts to identify and engage primary care providers, ensure that children served by the CME have a medical home, that there is coordination between behavioral and physical health care, and that particular attention is paid to children on psychotropic medications.

October 2011 CHIPRA Quality Demonstration Webinars

CHIPRA Webinar: Coordination with Primary Care

This webinar highlighted the experiences of two CMEs -- Wraparound Milwaukee and the former Massachusetts Mental Health Services Program for Youth (MHSPY) -- in their efforts to identify and engage primary care providers, ensure that children served by the CME have a medical home, that there is coordination between behavioral and physical health care, and that particular attention is paid to children on psychotropic medications.

October 2011 Webinar Resources

CHIPRA Webinar: Family and Youth Peer Support in Care Management Entities

This CHIPRA webinar highlighted two statewide models of Family and Youth Peer Support, in Arizona and Massachusetts.

September 2011 Webinar Resources

Role of Mobile Response and Stabilization Services to Support Care Management Entities

This webinar, the first in the CHIPRA CME Collaborative's second series of webinars, featured new, innovative models of mobile response and stabilization that include home- and community-based stabilization and case management services in addition to on-site face-to-face therapeutic response; assessment; crisis intervention and stabilization; psychiatric consultation; psychopharmacology; and referrals and linkages with other services and supports.

May 2011 Webinar Resources

Care Management Entities: A Primer

This fact sheet, developed by CHCS, outlines the core characteristics of this promising new approach. CHCS is the coordinating entity for a five-year, three-state Quality Demonstration Grant project funded by the Centers for Medicare & Medicaid Services through the Children's Health Insurance Program Reauthorization Act of 2009.

March 2011 Fact Sheets

Health Screening and Assessment for Children and Youth Entering Foster Care: State Requirements and Opportunities

This issue brief reports on a 50-state survey conducted by CHCS to understand child welfare agency requirements for health screenings and assessments upon a child's removal from the home. Findings suggest significant opportunities for states to strengthen requirements in support of improvements in health outcomes and related costs for the high-risk foster care population.

November 2010 Policy & Issue Briefs

Telemental Health Strategies for Care Management Entities

This 90-minute webinar explored telemental health strategies for Care Management Entities.

August 2010 Webinar Resources
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