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CROSS SYSTEM FINANCING STRATEGIES. LEARNING NETWORK SESSION #4 March 20th and 21st, 2007 Santa Fe, New Mexico FLO STEIN, CHIEF, COMMUNITY POLICY MANAGEMENT. NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services. North Carolina’s System Transformation.
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CROSS SYSTEM FINANCING STRATEGIES LEARNING NETWORK SESSION #4 March 20th and 21st, 2007 Santa Fe, New Mexico FLO STEIN, CHIEF, COMMUNITY POLICY MANAGEMENT NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
North Carolina’s System Transformation • The system for the delivery of substance abuse services had not changed in thirty years. • The North Carolina General Assembly passed legislation requiring the design of a new system. The Republicans, Democrats and others. • The Office of the Governor. • The County Commissioners.
Stakeholders • The Recovery community • Families • The Substance Abuse Federation • Addiction Professionals of North Carolina • The National Association of State Alcohol and Drug Abuse Directors • Partners for Recovery
Access to Recovery • Consumer Choice • Measured Results • Increased Capacity
Access • People to enter and exit services/supports in the same way no matter where they live. • All parts of the system to offer same kinds of information about what is offered and where to get it.
Who will get served? • Some core functions available to all; some available to communities. • Services/supports will be targeted to people most in need.
Core functions • Service coordination - throughout local system. • Community benefits: • Consultation • Prevention • Education
Core functions • Pathways to access services/ supports: • Screening • Referral • Assessment • Emergency Services
Targeted populations • Priority groups within target populations: • People with the most urgent needs. • People from racial or ethnic minorities with service/support needs. • People with more than one disorder.
How services/supports delivered • Consumers & families “at the table.” • The state system: • Leadership, policymaking, monitoring. • The local system: • Local management entities. • Performance contracts • Provider communities.
Consumer/family advisory committees • LocalCFACs - Each area/county program established a committee at the beginning of local planning efforts. • StateCFAC - Division sponsoring a statewide committee of representatives drawn from the local committees.
Consumer/family advisory committees • MEMBERSHIP • 100% consumers & family members. • Equal representation of all disability groups, each to include a man, a woman & a youth/family member. • Membership representative of community race & ethnicity.
Customer Focus • Work with you clients to prepare them for a role in governance. • Preparation for service on CFAC. CFACs will assist the LME determine services to be provided • In a competitive market, consumer opinions of your service can influence your ability to do business. • Recovery Community and Peer supports
Providers • Provider Action Agenda • Any willing, qualified provider • Provider Endorsement • Organized networks, providing ASAM continuum and services to those with co-occurring disorders
Service Changes • Practice Improvement Collaborative (Governors Institute web page) Practice the NIDA Clinical Node • New service definitions • Person centered planning • Recovery supports
Independent Practice • Independent practitioners—The NC Certification Board will need our assistance. • Effective October 1, 2006 Licensed Clinical Addiction Specialists and Licensed Clinical Supervisors will be able to directly enroll with Medicaid and practice independently.
Medicaid • Expanded Medicaid coverage for addiction services. • It is up to us ensue that more of our clients are screened for eligibility. Systematic application for benefits. • Working with CMS for increased support for an array of services for addictive disorders.
Facility Licensure • Effective July 2006 outpatient addiction programs will no longer require Facility licensure is required prior to opening • Licenses only required for addiction programs and could not be transferred to new locations or entities. • Facility license continues to be required for day program and 24 hour programs
North Carolina School for Alcohol and Drug Studies • Foundation Board designs the school to address NC workforce needs. • Courses offered this year focus on a number of new skills and services
Join the Voices for Recovery Now • 17h Annual National Alcohol and Drug Addiction Recovery Month –September2006 • Focus will be on access to recovery for the large number of Americans who have difficulty obtaining treatment.