1 / 12

City of Philadelphia Division of Social Services

City of Philadelphia Division of Social Services. Cross-Systems Financing Purchasing Plan Department of Behavioral Health/Mental Retardation Services and Department of Human Services. Target Population. Youth in residential treatment for more than 1 year; and,

inoke
Download Presentation

City of Philadelphia Division of Social Services

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. City of PhiladelphiaDivision of Social Services Cross-Systems Financing Purchasing Plan Department of Behavioral Health/Mental Retardation Services and Department of Human Services

  2. Target Population • Youth in residential treatment for more than 1 year; and, • Between the ages of 16 – 18; and, • Are in the custody of DHS as dependent or delinquent or both • Require a range of community-based supports, specialized treatment, and a host of vocational, educational and recreational services.

  3. Assumptions Driving the Purchasing Plan • Currently, all youth in RTF placement (Levels I, II and III) are funded through Medicaid (CBH). • Medicaid can not support non-behavioral health services such as supported independent living, transitional living, vocational/educational, mentoring/peer support or other life skills supports many youth require. • Youth with specialized needs such as co-occurring mental retardation, history of sex offending behavior, and co-occurring medical require a mix of behavioral health, mental retardation, child welfare supports that need to be funded by the multiple agencies.

  4. Assumptions (continued) • There is a lack of provider capacity to develop specialized programs as well as to treat many of the clinically complexities of these youth. • There is a lack of sustainability for many of the youth who require life long supports, particularly youth with co-occurring mental retardation. • Waiting lists for mental retardation services are extremely long (800 residential and 3900 community-based) that the other systems (CBH and DHS) have to provide the care.

  5. Assumptions (continued) • Medical necessity shifts to “life” necessity reinforcing treatment but requiring the development and support of youth in all domains of their life. • Assessment and planning for these youth have been completed separate from rather than in partnership with the different departments within the Division of Social Services causing: • Lack of information that could have guided treatment differently. • Lack of bringing together resources early on that could have resulted in better placement decisions. • Lack of understanding the family dynamics and the possibility of using them as a resource for discharge planning.

  6. Current Reality (Original Goals versus Actual Performance) • Goal: To integrate services, supports, planning and resource development between DHS and DBH/MRS. • Actual: • Change in leadership. • Lack of shared information. • Lack of mechanism to care manage those youth involved in both systems.

  7. Current Reality (continued) • Goal: To integrate funding streams to develop a “pool” of resources to fund specialized services for aging out youth. • Actual: • Funding is limited to state regulations that do not allow “blending” currently. • Restrictions to funding disallow creativity. The use of reinvestment is good on a case-by-case basis but not for sustainability and prevents the ability to develop overall capacity.

  8. Current Purchasing Plan • The following are expenditures for Residential Treatment for the 44 youth who represent the target group. • DBH/MRS: $ 3,774,100 • DHS: $ 837,000 • Education $ Unknown • MRS $ 9,000 (9 youth) • Expenditures for RTF placement for calendar year 2006 is $ 3,774,100 compared to $1,976,515 in 2005.

  9. Proposed Purchasing Plan • Plan (Part A): • To coordinate funding so that all 44 youth targeted for this effort receive comprehensive assessments in the areas of: • Life Skills • Level of Functioning • Medical • Behavioral Health (MH and D&A) • Education • Family Support

  10. Proposed Purchasing Plan • Plan (B): Identify for each youth based upon the holistic assessments the: • Type of supports • Cost of supports • Funding sources available/needed • Providers that can support the plan • Funding this would be part Medicaid, Education and DHS.

  11. Proposed Purchasing Plan • Plan (Part C): To create the provider capacity to respond to the individual plans of these aging out youth (16-18) • Case rate model/RFP process to recruit providers that can provide the continuum and array of services and supports identified in the plan. • Providers must submit a plan that will respond to the needs of the youth. • Performance-based contracting to ensure response to plan is appropriate.

  12. Funding Options • Moving youth from institutional care to community-based programs will decrease City match and increase State reimbursement. • Frees up City dollars to develop after-school, recreational, vocational supports etc.

More Related