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1.52M health and well-being. members CARESOURCE A nonprofit - PDF document

Oct 19, 2022 •213 likes •262 views

4/5/17 Community Transition Program (CTP) Our MISSION To make a lasting difference in our members' lives by improving their 1.52M health and well-being. members CARESOURCE A nonprofit health plan and national leader in Managed Care

  1. 4/5/17 Community Transition Program (CTP) Our MISSION To make a lasting difference in our members' lives by improving their 1.52M health and well-being. members CARESOURCE • A nonprofit health plan and national leader in Managed Care • 27-year history of serving the low-income populations across multiple states and insurance products • Currently serving over 1.5 million members in Kentucky, Ohio, Indiana, West Virginia • Preparing to serve Georgia Medicaid members in July 2017 Confidential & Proprietary Community Transition Program (CTP) Grant OhioMHAS Starts July 1, 2016 Eligible Population To administer clinical Individuals released • Initial 1 year SUD services (for from an Ohio prison contract (anticipate non-Medicaid scaling) who received SUD population) & • Goal to create treatment while Recovery Services, incarcerated quality, scalable including housing, program transportation, vocational support Confidential & Proprietary 1

  2. 4/5/17 CTP Pillars EMPANEL OPERATIONALIZE Provider Network New Benefit MEMBER CREATE ENHANCE Quality Framework Care Coordination Confidential & Proprietary The CTP Benefit RECEIPIENTS WILL RECEIVE: Treatment Services Recovery Services Available to CTP Members without Non-Medicaid Reimbursable Medicaid or other Health Insurance available to all CTP Members Housing (Recovery Housing, Permanent Diagnostic Assessment Supporting Housing) Intensive Outpatient Services Employment Services, Job Training and Urinalysis Education Outpatient Individual and Group Peer Recovery Supporter SUD Residential Treatment Transportation Case Management Life Skills MAT Relapse Prevention Crisis Intervention Spiritual Support Individual and/or Group Ambulatory Detoxification including Naloxone Identity Fund Administrative (In-Reach, Recovery Case Management, Data Collection) Confidential & Proprietary Care Coordination Tools and Supports E N H A N C E C a r e C o o r d i n a t i o n Existing Care Coordinators who Member Interacts With: Community CMHC/ CDS Parole MCO Linkage AOD CareSource’s Enhanced Care Coordination Tools to Provide Linkage: Member Reentry Tools and Program Information Information Sharing / Day of Release Transport Level Linkage to CMHC/AOD Brochures / FAQ Portal Access / Utilization and Support by Providers Providers Reports Program Clarify Roles Develop Processes Provide Program Metrics Improve Hand-Offs Level Confidential & Proprietary 2

  3. 4/5/17 Provider Network 59 Providers OhioMHAS AOD Certified Current 230+ Locations 64 Counties Approx. 90 Providers AOD Certified + Additional Provider Types Future 88 County Coverage CJ Competencies (In-Reach, Rec Case Mgmt.) Confidential & Proprietary CTP Housing Model CTP Member Assessed Prior to Release (JD VI SPDAT) Emergency Housing (14 Day Limit) Recovery Housing Ohio Recovery Housing Associates CTP Provider Owned and Operated Peer Support Four Month Max Rental Benefit Rapid Rehousing Landlord Based Housing Supports 4 Month Max Rental Benefit • Mitigation Services • Home Based Case Management PSH • Mental Health Benefit available until transition to permanent subsidy • Resource Referrals Estimated to be 10% of housing population for CTP • Vocational Support CSH MANAGED Confidential & Proprietary COMMUNITY TRANSITION PROGRAM DASHBOARD MEMBERS DEMOGRAPHICS GEOGRAPHIC CRIMINAL JUSTICE 18% Cuyahoga 16.27% | Franklin Co 11.13%| Release Type 25% have co-morbid Summit 8% | Hamilton 6% | Montgomery 1168 Female Mental Health 5%| Stark 5% | All Others 48% Male Diagnosis Other 4% Active Members 82% EDS 36% Average referrals per working Race PRC 60% day: 61% Caucasian • 2.2 referrals in July 5% Convicted of Sex Offenses 35% Black/African • 2.7 referrals in August .3% Convicted of Arson Average American • 4.4 referrals in September Age 2% Hispanic 87% of referrals received prior to release • 6.1 referrals in October 36 2% Not provided 13% received post release • 9.2 referrals in November .1% Asian 69% of the referrals placed prior to • 9.8 referrals in December .9% Other Race or release were received >3 weeks • 12.3 referrals in January Ethnicity before the release date. • 12.1 referrals in February CARE COORDINATION Housing PROVIDER NETWORK MEDICAID SATURATION & Quality [PER 59 contracted providers [PER 257 locations in 65 Counties CENT 25% of CTP members are CENT AGE] homeless at time of AGE] [PER referral CENT [PER AGE] CENT Focus groups with CTP staff [PER & Community Linkage AGE] [PER CENT complete. Provider survey [PER CENT AGE] has been sent out. CENT Buckeye CareSource AGE] AGE] Molina Paramount Dates of 1 day trainings are: May 12 th in Dayton & United Health Ohio Medicaid June 12 th in Akron Uninsured As of 2.28.2017 3

  4. 4/5/17 Discussion Contact Kieran Hurley, Esq. Director, Criminal Justice Services 937-487-4150 Kieran.Hurley@CareSource.com Jillane Holland, LISW-S Manager, Criminal Justice Services 937-572-4140 Jillane.Holland@CareSource.com Website https://www.caresource.com/members/ohio/community-transition-program/ Confidential & Proprietary 4

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