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Katie A. Financial Issues

This informative document covers the allocation and utilization of Katie A. funds for mental health services in Los Angeles County, providing insights on providers, claims data, and strategies for improving utilization to benefit children. Learn about current allocations, spending, and plans for enhancing service delivery.

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Katie A. Financial Issues

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  1. Katie A. Financial Issues Los Angeles County DMH Children’s Provider Meeting May 26, 2010

  2. Los Angeles County EPSDT • Total EPSDT Allocations of $480 Million • Total of $96 Million Katie A. Related • 20 % of Total County EPSDT Contracts

  3. Katie A. Related EPSDT Wraparound $52 Million MAT $21 Million Intensive In Home $12 Million Basic MHS $7 Million

  4. Katie A. Providers • Total of 61 Legal Entities • 50 MAT Providers • 34 Wraparound Providers • 13 Intensive In Home Providers • 20 Family Preservation Providers

  5. IS Plans • Wraparound • Tier I DCFS • Tier II DCFS • Tier II FSP – Child • Tier II FSP – TAY • MAT • MAT DMH • MAT DCFS

  6. IS Plans • Intensive In Home Mental Health Services • Multidimensional Treatment Foster Care (MTFC) • Intensive Treatment Foster Care (ITFC) • Comprehensive Children’s Service Program (CCSP) • Multisystemic Therapy (MST) • Basic-Enhanced Specialized Foster Care • Family Preservation

  7. Utilization of Katie A. Allocations • Based upon paid claims in IS • Tracked by Plans • Year to Date Target (83%) • 21 Providers Over-utilizing (> 90% YTD) • 59 Providers (LE Level) Underutilizing (< 70% YTD)

  8. EPSDT Allocations vs. Utilization • Wraparound • $ 52 Million Allocated • $10 Million Spent YTD • MAT • $21 Million Allocated • $5 Million Spent YTD • Intensive In Home MHS • $12 Million Allocated • $3 Million Spent YTD

  9. Katie A. Allocations vs. Utilization • Total allocations of $ 96 Million • Spent YTD $21 Million (22%) • Projected unspent allocation for FY 2009/2010 of…… $61 Million

  10. Katie A. Claims Cube Data • Based upon matching of DMH and DCFS client files • Includes ALL paid claims; including but not limited to Katie A. allocations • Updated on monthly basis • Organized by Service Area, Legal Entity, Client, etc.

  11. Katie A. Claims CubeJuly 2009 through February 2010 • 29,101 DCFS children served by DMH • Total EPSDT claims of $154 Million • Projected annual claims $231 Million • 48% of Total EPSDT Budget • Range of YTD EPSDT claims from $5 to $141,697. • Average EPSDT claim per DCFS child YTD of $5,278.

  12. Improving Utilization of Katie A. Allocations • Dr. Southard Letter to Providers (Jan. 2010) regarding flexibility of use of Katie A. allocations • Addition of Basic MHS Plan for all Katie A. Providers • Addition of TBS to all Katie A. Providers

  13. Going Forward • Need to use IS Plans to claim Katie A. services • DMH to provide lists of DCFS clients being served by each provider • Use Basic MHS Plan for services to DCFS children • Close monitoring of utilization • Plans of Correction/Redirection of allocations as necessary

  14. Let’s Talk

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