North Carolina Treatment Outcomes & Program Performance System-NC-TOPPS

1. North Carolina Treatment Outcomes & Program Performance System-NC-TOPPS http://www.ncdhhs.gov/mhddsas/nc-topps PBH Training May 27, 2008

2. Don’t Shoot The Messenger

3. WHY? • To Report Gaps in Services/Outcomes/Service Needs • To Assess Evidence-Based Practices • Reporting to Stakeholders • Federal Reporting Requirements=Funding

4. LME Responsibilities • Local Oversight • Provision of Identification Numbers • Training • Change of Qualified Professional (QP) Access

5. Primary Provider Agency Responsibilities • Primary Provider Agency-Usually responsible for developing & implementing the PCP/treatment plan • Completion of the NC-TOPPS Interviews • Face to Face Interview

6. Consumers with Multiple Provider Agencies • Primary Provider Agency is responsible for completing NC-TOPPS-Only 1 set per consumer. • Primary Provider Agency is responsible for capturing all services and informing other provider agencies

7. Data Confidentiality • Notice of Privacy • Authorizations • Substance Abuse TOPPS Transfers

8. Required Consumers/Qualifying Services • Consumers Receiving Only Medicaid-Funded Services • Consumers Receiving Services Funded Through IPRS Only or Both IPRS and Medicaid • Consumers Receiving DD Services & Supports • Qualifying Services for NC-TOPPS

9. Timeframes for Completion of NC-TOPPS Interviews Episode- “ An episode is defined as the period that begins with the initiation of services & ends with termination of services or with a lapse in services. An individual who returns to services after a lapse begins a new episode of care.”

10. Timeframes for Completion of NC-TOPPS Interviews • Initial Interviews • Update Interviews - 3 Month - 6 Month - 12 month - Other Bi-Annual Updates (18,24,30 etc.)

11. Change in a Consumers Primary Provider Agency • Continuing in Services at New Primary Provider Agency • Discontinuing Services All Together • No Contact with Consumer for 60 Days

12. Episode Completion Interview • Episode Completion Interview - Successfully Completed Treatment - Chosen to Stop Treatment - Not Received Treatment for 60 days - Move to Services or Target Pop. Not required for NC TOPPS - Been Discharged at Program Initiative - Been Incarcerated or Institutionalized - Died

13. Identifying Information • Clinician ID • LME Code-PBH-13121 • Attending Provider Number • NPI-May 23, 2008

14. User Enrollment/Superuser Enrollment • User Login & Password • Must Login Every 90 Days • Superuser Enrollment

15. Consumer Submission Information • Through Provider Direct • LME Assigned Consumer Record Number • IPRS Target Pops.

16. Conducting Interviews • Completed Face to Face Interview=Reimbursement • QP SA for SA Consumers • QP MH for MH Consumers • Interviews for child consumers should be conducted with the child’s parent, guardian, and/or other adult responsible for child’s care

17. Performance Expectations for NC TOPPS • PBH Contract with the state 90% compliance. Current compliance 35% • Match= Client Data Warehouse (CDW), IPRS, NC-TOPPS • Provider-specific reports at reportrequest@ndri-nc.org

18. Contacts • NC-TOPPS Contacts: - Kathryn Long – kathryn_long@ncsu.edu - Jaclyn Johnson - jaclyn_johnson@ncsu.edu Phone number- 919-515-1310

19. Contacts • PBH LME Contacts/Superusers • Kelly Ingram- Kellys@pamh.com Phone Number- 704-743-2111 • Bill Rankin- Billr@pamh.com Phone Number-704-743-2193