What is the Child Mental Today: Health Treatment Act? • Other names: HB 1116 and SB 230 • Medicaid Children and CMHTA The Child Mental Health • 1. A treatment resource for families of eligible • Non-Medicaid Children and CMHTA children Treatment Act • Child Welfare and CMHTA • 2. An alternative to unwarranted child welfare involvement • 3. A family preservation and reunification program 2 3 1 1
MH Agency County Child Mental Referrals Health Treatment Act Referring Agency Reason Action Community Mental 1. Suspected abuse or neglect 1. DHS completes an • For the nine-year sample (n=364), 87.7% did not Health Center (CMHC) assessment 2. Meets with family and have child welfare interaction after CMHTA CMHC within 10 days enrollment. Community County Department of 1. Family issues may be 1. Parents still requests an Non-Medicaid Medicaid • Table 21. CMHTA Funded Children and Child Welfare Mental Health Human Services (DHS) attributed to child’s MH evaluation Centers [19-3-308 (1.5) (b), C.R.S.] status rather than abuse 2. DHS meets with family and • Outcomes% and neglect, CMHC within 10 days 2. CMHTA services may be • No DCW Involvement Post CMHTA 87.7% more appropriate • In DCW Database Post CMHTA 12.3% Child Welfare 4 5 6 2
Life Without CMHTA CMHTA and Children with CMHTA and Children with Medicaid Medicaid 1. Access to an assessment for residential services 1. Assessment only • The BHO or mental health center must do a face • Funded by Capitated Medicaid to face assessment • The CMHTA program through OBH cannot directly 2. Medical Necessity provide funding for children with Medicaid • Decided by HCPF and the BHO • Family must ask for the assessment • CMHTA does not dictate or address medical • Family does not need to say “CMHTA” necessity for children seeking residential treatment • EPSDT can play a large role in this process 7 8 9 3
Children with Private Medicaid Denial Eligibility for 5. Has a 6. Family Mental has Insurance or no Insurance CMHTA Funding Illness Custody • Family is denied residential and notified with a letter Denied • Access to an assessment for funding of 1. Private community, residential, and transitional 7. Without • Family can appeal to the agency insurance 4. No services the treatment services funder for child is at risk or non- (CMHC/BHO) treatment of out of home Initial Appeal • Funded in part by General Fund, Tobacco insured placement dollars, and Medicaid (for residential) all • Family can appeal to the state: ALJ through the Office of Behavioral Health (binding) and/or CDHS ( 2 nd Opinion) • Parents pay a fee- sliding scale Then family can appeal to the state 3. Not 2. Birth to Medicaid 17.99 eligible 10 11 12 4
Some of What’s Covered with CMHTA Funding Assessment and Notification How to Access Time Frames Case Management • Each Mental Health Center has a Day Situation Time* Outpatient Treatment CMHTA liaison Emergent Within 6 hours • Medicaid: can call Mental Health Center CMHTA or BHO Urgent Within 24 hours • Only responsible person (parent) can Medication Residential Monitoring Routine Within 3 days request an assessment Family Therapy *Notification may be extended to 14 days if the parent is in agreement 13 14 15 5
Denial Interagency Dispute Face to Face Mental Resolution Health Evaluation • Family is denied services with CMHTA Denied Records Review Assessment May be in Each side Committee Within 10 Decision An agency • Family can appeal to the agency writing will present has 5 Process days, CDHS Decision is requests state within 5 its position working convenes a level final calendar written or days to issue (CMHC/BHO) panel Initial Appeal mediation days verbally its Decision Phone Consultation • Medicaid: CDHS and/or ALJ Then family can • Non-Medicaid: CDHS (OBH) appeal to the state 16 17 18 6
Additional Information Please Contact: Andrew Gabor, LPC Manager, Child Mental Health Treatment Act Office of Behavioral Health 3824 W. Princeton Avenue Denver, CO 80236 Email: Andrew.Gabor@state.co.us Phone: 303-866-7422 Fax: 303-866-7481 19 7
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