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SMART - State Management Advisory and Response Team

 

Therapeutic Behavioral Services (TBS) FAQs

(Updated 7/09)

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Q1.   Where can the training information and manuals mentioned in DMH Information Notice 08-38 be found? Who do we contact to receive these materials and the technical
assistance needed to implement the new requirements?
 
A1.   Currently DMH is working with the California Institute for Mental Health (CIMH) to develop the training materials mentioned in DMH Information Notice 08-38. It is anticipated that the Documentation Manual will be completed in June 2009, and the Best Practices Manual by September 2009. Subscribe to TBS information on the DMH website for up to date details on the training materials as well as all other TBS information. http://www.dmh.ca.gov/Services_and_Programs/Children_and_Youth/EPSDT.asp
 


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Q2.   Can a standardized practice be developed for TBS authorization for class members placed in a host county with another county's Medi-Cal?
 
A2.    Senate Bill (SB) 785 required DMH to develop standardized procedures and documents for Foster children place out-of-county. DMH is currently in the process of implementing SB 785 which covers all children's EPSDT services, including TBS. An authorization document is among the standardized documents being developed and will be required for all Foster children in out-of-county placements. DMH will host a webinar training in late June and will post the date on the DMH website. DMH will also post all of the standardized documents on its website as soon as they become available.
 


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Q3.  Who can provide Specialty Mental Health services to children receiving TBS?
 
A3.   A provider is defined in the California Code of Regulations, Title IX, section 1810.235 as any person or entity who is licensed, certified, or otherwise recognized or authorized under state law governing the healing arts to provide specialty mental health services and who meets the standards for participation in the Medi-Cal program. Provider includes, but is not limited to, licensed mental health professionals, clinics, hospital outpatient departments, certified day treatment facilities, certified residential treatment facilities, skilled nursing facilities, psychiatric health facilities, general acute care hospitals, and acute psychiatric hospitals.
 


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Q4.  Does the county have to be the provider for the child receiving services or can it be any other agency who provides supplemental services?
 
A4.  The MHP is a provider when direct services are provided to beneficiaries by employees of the MHP.

Specialty Mental Health Services are defined in CCR, Title IX, section 1810.247 as rehabilitative mental health services, psychiatric inpatient hospital services, targeted case management, psychiatrist services, psychological services, EPSDT supplemental specialty mental health services, and psychiatric nursing facility services.

http://www.dmh.ca.gov/Services_and_Programs/Children_and_Youth/EPSDT.asp

For provider selection criteria please refer to CCR, Title IX, section 1810.435 or the MHP Contract, Exhibit A, Attachment 1, Appendix D.
 


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Q5.   Could you please fully explain the concept of the Data Dashboard? Is this information from the State given to APS?
 
A5.    The Emily Q settlement team developed a Nine Point Plan that will result in increased access to and improved delivery of Therapeutic Behavioral Services (TBS) to members of the Emily Q class. This plan creates a comprehensive set of requirements for settling the Emily Q lawsuit and ensuring Court exit from the case.

A key element of the Nine Point Plan is the development of a Web-based "data dashboard" that displays the on-going progress of increasing TBS utilization of all 56 MHP's.

The Department of Mental Health provides the data elements to APS based on submitted claims by the MHP's. The data elements provided to APS are statistics for both statewide and individual MHP's and includes data such as EPSDT eligibility, TBS recipients, and average number of contacts per TBS episode.

Again, the data dashboard is a way to display the MHP's ongoing progress towards reaching a goal of 4% of TBS utilization per MHP as set by the Special Master as a part of the Emily Q Exit Plan. View the data dashboards at: http://www.dmh.ca.gov/Services_and_Programs/Children_and_Youth/Data.asp
 


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Last modified on: 7/2/2012 8:19 AM