Non-Medicaid Care Management Services

The vendor is required to provide that non-medicaid care management services to individuals within the allocated budget, determined by slot capacity.
-Prospective applicants are encouraged to thoroughly review the guidelines for program expectations which include:
•Referral & prioritization
•Case assignment & engagement
•Caseload & service provision contact requirements
•Culturally literacy and language access
•Documentation & utilization review
•Transition & discharge
•Personnel / staffing & funding
•Data Submission and LGU oversight
-Selected applicant(s) are expected to:
•Provide care management services to eligible individuals in accordance with the current - and future
-Versions of the department health home policies and guidance along with county mental health department-developed adult non-medicaid care management guidelines noted above.
•Participate in at least 80% of scheduled adult single point of access committee meetings annually.
•Adult single point of access meetings are held on the second and fourth wednesday of each month.
•Commit to representation and participation in local services planning within the community services board and/or one of its subcommittees.
•Assist individuals to obtain medicaid coverage including application, documentation, and communication with providers and community partners.
•Transition individuals from non-medicaid care management slots to medicaid-reimbursable health home services without disruption of care management services once medicaid eligibility is established.
-These services include, but are not limited to:
•Comprehensive care management
•Care management and health promotion
•Comprehensive transitional care
•Enrollee and family support
•Referral to community and social supports, and
•Use of health information technology (hit) to link with services
-Contract Period/Term: 3 Months