Care Management Organizations Innovations to Improve BH Services to - PowerPoint PPT Presentation

Care Management Organization’s Innovations to Improve BH Services to Youth in the Child Welfare System Earlie Rockette, RNP, MN Regional Vice President, Special Populations Amerigroup Community Care - Georgia COMPANY CONFIDENTIAL | FOR INTERNAL USE 1

Technology Supported Pediatric ER BH Crisis Re-Direction Program

Health Plan CMO Care Hospitals Coordination • Focus on behavioral health crisis • Community Assist members with connecting to providers Training Law from the comfort of their homes (caregivers, Enforcement parents ER • stakeholders etc.) Deliver services via telehealth Redirection • Redirect from PH to BH facilities and providers • Engage primary care BH provider in crisis care EMS BH Providers • Increased sharing of information between facilities, members and providers DFCS/DJJ/ BH /DPH/DBHDD • Enhance EMS Transport system engagement Facilities /DCH COMPANY CONFIDENTIAL | FOR INTERNAL USE 3

Integrated One-Stop-Shop Mobile Clinics

Single location benefits foster parents and child welfare workers in accessing healthcare, transportation, referrals and services to children Range of health care services (Behavioral, physical, and dental healthcare services Increased continuity of care – all records posted to centralized state operated health information exchange network Enhanced exchanged of clinical information Care coordination of clinical services Member and provider incentive program COMPANY CONFIDENTIAL | FOR INTERNAL USE 5

Concierge Services COMPANY CONFIDENTIAL | FOR INTERNAL USE 6

“House Calls” Behavioral health services delivered in least restrictive environment Personalized Positive Appointment set based on and not bulk- Concierge availability and convenience of the impact on Exception to the member service driven Services health care rule of where Integration of Assessment and therapeutic services expenditure traditional Behavioral and and member Improved care and decreased medical services member cost (transportation, child Physical experience are delivered care etc.) healthcare Completed within 10 days of request, as indicated COMPANY CONFIDENTIAL | FOR INTERNAL USE 7

COMPANY CONFIDENTIAL | FOR INTERNAL USE 8