Andrew Gabor, Office of Behavioral Health What is the Child Mental Health Treatment Act? • Other names: HB 1116 and SB 230 • 1. A treatment resource for families of eligible The Child Mental Health The Child Mental Health children Treatment Act Treatment Act • 2. An alternative to unwarranted child welfare involvement • 3. A family preservation and reunification program 2 1 JFK ‐ HCP Webinar: Social Emotional and Mental Health Screening, Referral and Resources for Children ‐ 2/26/15 1
Andrew Gabor, Office of Behavioral Health Life Without CMHTA How to Access • Each Mental Health Center has a CMHTA liaison • Medicaid: can call Mental Health Center or BHO • Only responsible person (parent) can request an assessment 3 4 JFK ‐ HCP Webinar: Social Emotional and Mental Health Screening, Referral and Resources for Children ‐ 2/26/15 2
Andrew Gabor, Office of Behavioral Health 4353 E. Colfax CMHC Name Address Phone Fax Email Ave. Marc Eshler, LCSW 303 ‐ 504 ‐ 1513 303 ‐ 504 ‐ 6908 Marc.Eschler@mhcd.org Mental Health Center of Denver Orlando Padilla, LPC Denver Colorado 303 ‐ 504 ‐ 3949 303 ‐ 394 ‐ 5188 Orlando.Padilla@MHCD.org 155 Inverness 80220 Arapahoe/Douglas MH Network Liz Dowdell, LPC Joni Drive West, Suite 303 ‐ 996 ‐ 6120 303 ‐ 793 ‐ 9624 303 ‐ 889 ‐ 4800 EDOWDELL@admhn.org Thompson, LCSW 200 Englewood, JTHOMP@admhn.org 1333 Iris Ave, Mental Health Partners (Boulder) John Ashby, LCSW 303 ‐ 413 ‐ 6272 720 ‐ 564 ‐ 9647 jashby@mhpcolorado.org Boulder, CO CO 80112 Monica Ainsworth, MA 303 ‐ 413 ‐ 6311 720 ‐ 564 ‐ 9647 mainswor@mhpcolorado.org 80304 Midwestern Colorado MHC P O Box 1208 Susan Murphy, MSW, 179 Parkside Dr., (Montrose, Delta, Gunnison, Shaun Sowle, LCSW, AspenPointe (El Paso, Teller, Park 719 ‐ 572 ‐ 6354 Montrose, CO 970 ‐ 497 ‐ 8951 ssowle@centermh.org LCSW Colorado Springs, 719 ‐ 572 ‐ 6363 719 ‐ 572 ‐ 6399 Susan.murphy@aspenpointe.org Hinsdale, Ouray, San Miguel CAC III Counties) Mariel Garcia, LPC C0 80910 81402 counties) 515 28¾ Road Mind Springs Health (North West 10782 E. Ned Becker, LPC, RPT ‐ S Grand Junction, 970 ‐ 683 ‐ 7160 970242 ‐ 8330 nbecker@mindspringshealth.org 303 ‐ 617 ‐ 2659 303 ‐ 617 ‐ Colorado) Aurora Community MHC David Duquette, PsyD Alameda Aurora, davidduquette@aumhc.org CO 81501 2659 CO 80012 1140 M Street North Range Behavioral Health Deborah Edsall, MA, Greeley, CO 970 ‐ 347 ‐ 2417 970 ‐ 356 ‐ 5814 deborah.edsall@northrange.org (Weld County) LPC 80631 281 Sawyer Dr, 8745 County Axis Health System (Southwest Ryan Elliott Suite 100 970 ‐ 335 ‐ 2228 970 ‐ 247 ‐ 5255 relliott@axishealthsystem.org 719 ‐ 587 ‐ Victoria Romero, Road 9 South 719 ‐ 589 ‐ 9136 VictoriaR@slvmhc.org, Colorado) Kristen Hale, LCSW Durango, CO khale@axishealthsystem.org San Luis Valley CMHC 6957, 719 ‐ Jennifer Silva Alamosa, CO jennifers@slvmhc.org 81303 587 ‐ 6950 81101 3225 650 E Walnut PO Solvista Health (Custer, Fremont, Independence Dean Horton 719 ‐ 275 ‐ 2351 719 ‐ 269 ‐ 9386 deanh@wcmhc.org Centennial MHC (North Eastern Box 533 303 ‐ 646 ‐ 303 ‐ 646 ‐ Chaffee, and Lake County) Rd. Canon City, Pam Craig, LPC pamc@centennialmhc.org Colorado Counties) Elizabeth, CO 4519 4451 CO 81212 80107 711 Barnes, La Southeast Mental Health Services Terrie Leonard Junta, CO 81050 719 ‐ 384 ‐ 5446 719 ‐ 384 ‐ 5672 TLeonard@semhs.org 1012 Abriendo St 8931 Huron St. Spanish Peaks MHC (Pueblo, Community Reach Center (Adams 303 ‐ 853 ‐ 3849 303 ‐ 853 ‐ Dawn Rivas Pueblo, CO 719 ‐ 423 ‐ 1308 719 ‐ 584 ‐ 0110 dawnr@spanishpeaks.org Lisa Madrid Thornton, CO L.Madrid@communityreachcenter.org Huerfano, Los Animas) County) 3876 81001 80260 kass.schreiber@touchstonehealthpartners 2001 S. Shields, 970 ‐ 494 ‐ 970 ‐ 494 ‐ 7828 Vance Dr. Touchstone Health Partners Kass Schreiber, LCSW, org, Jefferson Center for Mental 303 ‐ 432 ‐ 5718 303 ‐ 432 ‐ Bldg K Ft. Collins, 4364, 970 ‐ 4240, 970 ‐ Stacey Davis, LCSW Arvada ,CO Staceys@jcmh.org (Larimer County) Dan Stone, LPC dan.stone@touchstonehealthpartners.org Health (Jeffco) 5790 5 6 CO 80526 494 ‐ 4228, 300 ‐ 3120 80003 , JFK ‐ HCP Webinar: Social Emotional and Mental Health Screening, Referral and Resources for Children ‐ 2/26/15 3
Andrew Gabor, Office of Behavioral Health Children with Private Children with Medicaid I nsurance or no I nsurance 1. Access to an assessment for residential services only • Access to an assessment for funding of • Funded by Capitated Medicaid community, residential, and transitional • The CMHTA cannot directly provide funding for treatment services children with Medicaid • Funded in part by General Fund, Tobacco 2. If denied, the family can request OBH dollars, and Medicaid (for residential) to complete a clinical review or go through the normal Medicaid appeal. 7 8 JFK ‐ HCP Webinar: Social Emotional and Mental Health Screening, Referral and Resources for Children ‐ 2/26/15 4
Andrew Gabor, Office of Behavioral Health Non ‐ Medicaid CMHTA Diagnosis SFY 2007 ‐ 2014 Eligibility for 5. Has a 6. Family Mood Disorder Mental has CMHTA Funding Illness Custody Trauma and Stressor ‐ Related Disorders Depressive Disroders Disruptive, Impulse ‐ Control and Conduct Disorders Bipolar and Related Disorders 1. Private 7. Without Neurodevelopmental Disorders Diagnosis insurance 4. No services the child is at risk funder for Schizophrenia Spectrum or non ‐ treatment of out of home insured placement V ‐ Code Substance ‐ Related and Addictive Disorders Feeding and Eating Disorders Anxiety Disorders 3. Not Autism Spectrum and IDD 2. Birth to Medicaid 17.99 eligible 0.00 5.00 10.00 15.00 20.00 25.00 30.00 Percent of Total 9 10 Primary Secondary Tertiary JFK ‐ HCP Webinar: Social Emotional and Mental Health Screening, Referral and Resources for Children ‐ 2/26/15 5
Andrew Gabor, Office of Behavioral Health Non ‐ Medicaid CMHTA SFY 2007 ‐ 2014 Age at Assessment Some of What’s Covered with CMHTA Funding 25.00 Case Management 20.00 Day Outpatient Treatment 15.00 Percent of Total CMHTA 10.00 Medication Residential Monitoring 5.00 Family Therapy 0.00 4 5 6 7 8 9 10 11 12 13 14 15 16 17 11 12 Age JFK ‐ HCP Webinar: Social Emotional and Mental Health Screening, Referral and Resources for Children ‐ 2/26/15 6
Andrew Gabor, Office of Behavioral Health Fee Structure with CMHTA Funding Assessment and Notification Time Frames • Household income: $55,000 per year • Fee for Residential Situation Time* – 1 child living in the home: $726 per month Emergent Within 6 hours – 2 children living in the home: $501 per month – 3 Children living in the home: $425 per month Urgent Within 24 hours • Fee for Community based care Routine Within 3 days – 1 child: 12% of total care, max of $363 – 2 children: 8% of total care, max of $250 * Notification may be extended to 14 days if the parent is in agreement – 3 Children: 7% of total care, max of $212 13 14 JFK ‐ HCP Webinar: Social Emotional and Mental Health Screening, Referral and Resources for Children ‐ 2/26/15 7
Andrew Gabor, Office of Behavioral Health Non ‐ Denial Medicaid Medicaid Face to Face Mental Health Evaluation • Family is denied services with CMHTA Denied Records Review Assessment Decision • Family can appeal to the agency Process (CMHC/BHO) Initial Appeal Phone Consultation • Medicaid: CDHS and or/ALJ Then family can • Non ‐ Medicaid: CHDS appeal to the state 15 16 JFK ‐ HCP Webinar: Social Emotional and Mental Health Screening, Referral and Resources for Children ‐ 2/26/15 8
Andrew Gabor, Office of Behavioral Health Non ‐ Non ‐ MH Agency County Medicaid Medicaid Medicaid Medicaid I nteragency Dispute Referrals Resolution Referring Agency Reason Action Community Mental 1. Suspected abuse or neglect 1. DHS determines if an Health Center (CMHC) assessment is warrented 2. Meets with family and CMHC within 10 days May be in Each side Committee An agency Within 10 writing will present has 5 requests state days, CDHS Decision is County Department of 1. Family issues may be 1. Parents still requests an within 5 its position working level final convenes a calendar written or days to issue Human Services (DHS) attributed to child’s MH evaluation mediation committee days verbally its Decision [19 ‐ 3 ‐ 308 (1.5) (b), C.R.S.] status rather than abuse 2. DHS meets with family and and neglect, CMHC within 10 days 2. CMHTA services may be more appropriate 17 18 JFK ‐ HCP Webinar: Social Emotional and Mental Health Screening, Referral and Resources for Children ‐ 2/26/15 9
Andrew Gabor, Office of Behavioral Health Additional I nformation Please Contact: Andrew Gabor, MA, 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 JFK ‐ HCP Webinar: Social Emotional and Mental Health Screening, Referral and Resources for Children ‐ 2/26/15 10
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