CAMHPRO State Peer Certification SB 614 Update & Input Meeting September 8, 2016 California Funded by the U.S. Substance Abuse & Mental Health Services Administration (SAMHSA) State Consumer Network Grant 870 Market St., Suite 922; San Francisco, Karin Lettau, MS, Director of CA 94102 ▪ (415) 341-9460 ▪ Please follow us and like us on Face Book Training & Employment, see our new website:http://camhpro.org/ CAMHPRO klettau7@gmail.com https://www.facebook.com/camhpro
CAMHPRO’s Mission • The California Association of Mental Health Peer- Run Organizations (CAMHPRO) non-profit consumer-run statewide organization • Members are consumer-run organizations and programs, and individuals. • Empower, support, and ensure the rights of consumers, eliminate stigma, and advance self- determination and choice. Poll 1-4 2
Agenda • Bottom Line • Regroup & Refocus • Identify options • What leverage do we have? • Honor Stakeholders’ 17 Recommendations 3
The Case for Certification • Defines the service of peer • Certification is portable to any support. CA county. • Provides a scope of practice that • Provides formal validation of the service recipients can benefit role of peer support. from. • Assures that practitioners • Can be utilized as a basis for the receive standardized training ability to bill Medi-Cal for and demonstrate competency. services provided. • Standardizes the quality of services provided by Peer Support Specialists that employers can rely on. 4
Peer Support Guiding Values: • Core belief systems and worldview • People can and do recover from psychiatric difficulties • To help others is to also help one’s self • Choice, empowerment, and responsibility • Acceptance and respect for diversity • Reciprocity, mutuality in relationships • Social action 5
Bottom Line • Known as California State Peer, Transition Age, Parent & Family Support Certification Program, Senate Bill 614 (Leno-D) is now dead. • The shell, 'SB 614', was used for a new bill that has nothing to do with what we worked for. • Gratefully, Senator Leno and bill sponsor, the County Behavioral Health Directors Association (CBHDA) refused to move the bill forward with the California Department of Health Care Services (DHCS) 'technical amendments' that undermined the intent of the bill and the essence of genuine peer support services. 6
Now what? …Peer Support… and Regroup • Collectively craft new proposal for the next legislative session in Jan. 2017. • Identify options when choosing the agencies to implement State Certification. • We will need all of your support & active involvement to get a legislative proposal ready by Jan, 2017, reflecting the 17 recommendations made by over 700 California stakeholders. • What else? What are more options? 7
How Can We Gain Formal State Validation and Billing for Peer Specialist Services? We have to ask ourselves the right questions to bring forth creative answers. 8
What Leverage Do We Have? • DHCS is applying for Section 223 Demonstration Project • Hillary’s* proposed MH policy on peer support • Updated 2016 Peer Specialist Training & Certification Programs: National Overview • What funding leverage do we have? *CAMHPRO does not endorse any political candidates. 9
Section 223 Demonstration Project • A 2014 law established a demonstration program in eight states, under which new benefits would be available to health centers certified by the federal government as Certified Community Behavioral Health Clinics (CCBHCs). • To be a CCBHC, a clinic must provide a range of physical and mental health services, including emergency psychiatric care, treatment for mental health and substance use disorders, and peer support . • In return, the clinic can receive reimbursement at rates similar to those received by federally-qualified health centers. 10
Section 223 Demonstration Project • 24 States received grant (Oct. 2015) • 8 States to be selected to be part of to develop a plan the project by Dec. 31, 2016. • CA is one of the 24 states awarded a • Demonstration runs Jan. 2017 to planning grant Jan. 2019: • Federal Medicaid Matching $ to • Planning Grant Phase Oct, 2015-Oct, States to Medicaid (Medi-CAL) 2016 enrollees equivalent to the Federally • Certify clinics Qualified Health Centers (FQHC) • Establish PPS (prospective payment system) rates. • Solicit input from consumers, • Evaluate-Final report to Congress providers and stakeholders Dec. 2021 • Heidi has just recently gotten on a CCBH stakeholder group • Submit an application by Oct. 2016 to be part of Demonstration 11
223: Improving Quality and Access • Federally defined criteria for certifying clinics that require coordinated, comprehensive, and quality care • Common data collection and reporting on quality measures on screening, integration, treatment, and outcomes • Payment systems that reimburse providers for the prospective cost of delivering services Slide 12
Certified Community Behavioral Health Clinics (CCBHCs) Criteria 1. Staffing: st affing linguistic, culture and numbers based on community needs assessments 2. Availability & accessibility: maximum waiting times for services, expanding operating hours 3. Care coordination: required agreements with community agencies 4. Scope of services: comprehensive, integrated, across the life-span 5. Quality measures: 21 measures collected at the clinic and state levels 6. Organizational authority: Requires consumer and family voice Slide 13
223 Scope of Services Outpatient Services are Primary Care provided by CCBHCs Screening & directly and through Crisis Monitoring formal relationships Services*** DCO with DCOs CCBHCs directly provide services in green*** Screening, Assessment, Treatment Additional required services are Diagnosis & Planning Risk provided directly or through Assessment formal relationships with Community- Designated Collaborating Psychiatric Based Organizations (DCOs) Rehab Outpatient Mental Services Mental Health Care Health & DCO Referrals (R) are to providers for Veterans Substance outside the CCBHC and DCOs DCO Peer, Use Services Targeted Family Case *** “unless there is an existing state -sanctioned, Support & certified, or licensed system or network for the Counselor Management provision of crisis behavioral health services that dictates otherwise.” Services DCO DCO R Slide 14
2016 Updated Report on National Peer Specialist Certification • Peer Specialist Training & Certification Programs: National Overview 2016 • Kaufman, L., Kuhn, W., & Stevens Manser, S. 2016. Peer Specialist Training and Certification Programs: A National Overview. Texas Institute for Excellence in Mental Health, School of Social Work, University of Texas at Austin. • https://camphro.files.wordpress.com/2016/07/peer-specialist-training-and-certification-programs- national-overview-2016-update.pdf • Also a handout • Identify from other states • their certifying bodies • other mechanisms to allow for billing 15
Report & Map of Peer Specialist Training and Certification Programs by State https://camphro.files.wordpress.com/20 • As of July 2016, 41 16/07/peer-specialist-training-and- certification-programs-national- states and the District overview-2016-update.pdf of Columbia have established programs to train and certify peer specialists and 2 states are in the CA is the only State process of developing without a State and/or implementing Certification Program a program. [New Mexico also has a applying for the 223 Certification Program] Demonstration Project 16
Peer Specialist Training & Certification Programs: National Overview 2016 Kaufman, L., Kuhn, W., & Stevens Manser, S. 2016. Peer Specialist Training and Certification Programs: A National Overview. Texas Institute for Excellence in Mental Health, School of Social Work, University of Texas at Austin. This map is challenging . Need to distinguish between different billing mechanisms. All methods are lumped together. CA is listed. A handful of CA counties allow PS to bill under the Rehab Option, an existing clinical code Karin will do another analysis of what other States are doing. Others? 17
Hillary’s* Agenda for Mental Health Services • “ Promote the use of peer support specialists. Peer support specialists have been shown to provide needed, cost- effective services… Hillary will support initiatives to include peers in clinical care teams in primary care settings, mental health specialty care settings, hospitals, and Accountable Care Organizations. She will encourage all 50 states to reimburse peer services in state Medicaid programs, which 30 states do currently, and continue providing the Consumer and Consumer Supporter Technical Assistance Center grants.” • https://www.hillaryclinton.com/briefing/factsheets/2016/08/29/hillary- clintons-comprehensive-agenda-on-mental-health/ *CAMHPRO does not endorse any political candidates. 18
Recommend
More recommend
