Mental Health Authority Services

1. Mental HealthAuthority Services Jennifer DeCubellis, LPC, LPA Mike Taylor, LPC

2. Authority-Provider Split Department of State Health Services Other Funding Sources Authority Services Provider Services

3. Data Interface

5. Authority Services • Funding Oversight/Utilization Mgmt • Eligibility Determinations • Inpatient Authorizations • Outpatient Authorizations • Continuity of Care • Consumer Benefits Applications

6. Authority Services (continued) • Quality Management • Network Management • Contracting • Credentialing • Claims payment

7. Authority Services (continued) • Crisis Services • Mobile Crisis Outreach • Psychiatric Emergency Services • 23 hour Observation • Crisis Stabilization Unit • Crisis Residential Unit • Crisis Counseling Unit

8. Authority Services (continued) • Crisis Services- Unique Needs • 24/7 services need 24/7 software • Alerts to other systems is critical to coordinate care

9. Provider Services • Outpatient Doctor & Nurse Services • Scheduling w/ Pre-Requisite Alerts • Multiple Funding Sources = Multiple Elig., Auth., Documentation & Billing • Selective Sharing of Treatment info. • Prescription of Medications • Inpatient Services • Cont. of Care with State & Local providers. • Multi-variable census management

10. Provider Services (continued) • Rehabilitation, Casework and Case Mgt. • “Guided” service planning and delivery • Rehabilitation Services • Caseload Management • Service Delivery Management • Billing and Collection

11. Provider Services (continued) Pharmacy Services • Conditional Formularies • Internal & External Adjudication • PAP & Sample Management • Conditional Data Collection and Reporting • Linkage to external services

12. Question/Answer