DBH Policy Planning, November, 2007 Data Sources: InterQual, Diversion Data Base, Individual Service Fund Requests

1. 1

2. 2 INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority Total = 61Fiscal Year 2007

3. 3 INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority and State of AlaskaTotal = 54First Quarter, 2008FY08 – $1.2 Million (Trust= $500,000; General Fund= $700,000)

4. 4 INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority & State of AlaskaUSE OF FUNDSFY 2007 and First Quarter 2008

5. 5 DIVERSIONS THROUGH INDIVIDUAL SERVICE FUNDS(Numbers Based on New Recipients)

6. 6 DIVERSIONS THROUGH INDIVIDUAL SERVICE FUNDS Provided by The Alaska Mental HealthTrust Authority andState Of Alaska(First Quarter, 2008)35 New Recipients; 54 Total RecipientsNumbers Based on New Recipients

7. 7 ISA funds marketing campaign In FY07, flexible mental health funds (ISA $) for severely emotionally disturbed youth were underused. AK Mental Health Trust gave $780,000 Word was spread personally by BH staff 17 providers enrolled The Trust and State of Alaska have slated $1.2 million for FY08 ISA funds, with up to 5% for marketing to increase usage

8. 8 BH surveyed providers, identified barriers and established the following solutions: BH expanded the eligible provider pool Added providers of behavioral rehabilitation services and substance abuse treatment providers Now give a $25 handling payment Employed DHSS communications staff to raise awareness and give providers more information The Trust has approved a marketing allowance of $60,000, or 5 percent of the $1.2 million

9. 9 DHSS Public Information Team plan: Assist BH staff with outreach Poster PowerPoint Handouts Educate and encourage providers Letter to directors Brochures to directors, RPTC discharge planners, others How-to Web site Contact reference for BH support Inform, empower consumers Poster and brochures for lobby

10. 10 ADDITIONAL INFORMATION

11. 11 ALL AGENCIES THAT SIGNED THE PROVIDER AGREEMENT FOR INDIVIDUAL SERVICE FUNDSN = 17

12. 12 INDIVIDUALIZED SERVICE AGREEMENT (ISA)Definition ISAs are flexible funds for eligible youth who are non-resourced. These funds can also be utilized to pay for services that insurances will not reimburse.

13. 13 Individualized Service Agreement (ISA) Eligibility A resident of the state Under 22 years of age Been assessed by a MH professional and meets criteria for SED Has been assessed to meet residential level of care Has been approved by DHSS for services Is at risk of being removed from the home

14. 14 INDIVIDUALIZED SERVICE AGREEMENT (ISA)Funding Process Service provider must be a Community Mental Health Center (CMHC) or Substance Abuse (SA) provider administrated by Behavioral Health (BH) and have a signed Provider Agreement for ISA funding on file with BH Or a Behavioral Residential Service (BRS) Medicaid provider administrated by the Office of Children’s Services (OCS) and have a signed Provider Agreement for ISA funding on file with BH. These provider types may contract with other agencies for identified services. Providers complete the Referral & Billing Form, which includes requested services for initial referral and every 90 days. For programs administered by BH: forms Utilization Review staff along with initial Treatment Plan or quarterly Treatment Plan Review. For programs administered by OCS: forms faxed to BRS Program Coordinator with initial Treatment Plan or quarterly Treatment Plan Review. BRS Program Coordinator forwards to UR staff for approval, tracking, and fund distribution. Funds distributed every 30 days upon receipt of billing form.