Agency for Community Services, Inc'

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Agency for Community Services, Inc.
Non-Residential Services Medicaid Training
April 15, 2009 Presenter Richard B.
Gibbons, LMHC Clinical Supervisor
Non-Residential Services E-mail
rgibbons_at_actsfl.org
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General program overview

• 1. Definition
• Acts Non-Residential Services provides
  treatment, intervention, and UDS services for
  Substance Abuse Co-Occurring disorders on an
  Outpatient basis within Hillsborough County.
• 2. Goal
• To provide an integrated system of care promoting
  a holistic approach towards physical, mental,
  spiritual, and environmental factors to increase
  stability and self sufficiency of the client.

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Target population

• Non-Residential Services primarily targets adult
  clients which includes and is not limited to the
  following
• 1. Substance abuse issues
• 2. Pregnant females
• 3. IV drug use
• 4. Co-Occurring disorders with primary substance
  abuse diagnosis
• 5. Involved in legal system (criminal family
  courts and diversion programs)
• 6. Referred for services from other agencies
  (substance abuse, mental health, and community)
• Non-Residential Services provides assessments to
  Youth clients with appropriate referrals made
  based on needs determined by assessment

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Referrals

• 1. Self-referred for services
• 2. Adult Addiction Receiving Facility (AARF)
• 3. Juvenile Addiction Receiving Facility (JARF)
• 4. Primary care doctors
• 5. Employers
• 6. Employee Assistant Program (EAP)
• 7. Marchman Act court
• 8. Dependency Drug Court (DDC)
• 9. Hillsborough Kids Incorporated (HKI)
• 10. Department of Corrections (DOC)
• 11. Salvation Army Corrections Services (SACS)
• 12. Department of Juvenile Justice (DJJ
  assessment referral only)
• 13. Bay Area Youth Services (BAYS assessment
  referral only)
• 14. Mental Health Care (MHC)
• 15. Northside Health Care (NHC)
• 16. Health Care Connections (HCC)
• 17. Other community sources

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Services provided

• 1. Psychosocial Assessment bundled package
  including baseline UDS to verify client's
  self-report of use.
• 2. Outpatient Detox Program (OPD) For adult
  clients who meet criteria for Sub-Acute care or
  step down from Acute care program.
• 3. Adult Recovery Support (ARS) A treatment
  readiness program with groups, random UDS
  testing, individual session (when indicated), and
  case management services.
• 4. Adult Outpatient Program (AOP) Which includes
  weekly group therapy, weekly or bi-weekly
  individual sessions (determined by assessment),
  random UDS testing, and case management services.
• 5. Adult Aftercare Program Weekly groups,
  bi-weekly individual sessions, random UDS
  testing, and case management services.

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Services provided (continued)

• 6. Family Intervention Services (FIS) Per
  referral from HKI which includes monthly face to
  face, random UDS testing, referrals for services,
  assistance with HKI case plan, and case
  management services.
• 7. Court liaison For Marchman Act Dependency
  Drug court clients only.
• 8. Med Clinic provides Psychiatric evaluation
  and medication management services to aid with
  mental health issues. These services are for a
  brief duration until the client has been
  connected with a mental health provider for
  continued care beyond acts services being
  provided.
• 9. Collection Site for urine sample collection
  six days a week per color code system, referral
  slip from requesting agency/party, or for general
  public at a fee of 25.00 per drop.

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Qualifications of Staff members

• Treatment staff members are master's level
  counselors currently there are also two masters
  level intern placements.
• Two Licensed Mental Health Counselors on staff
  are Medicaid recognized Qualified Professionals
  with NPI.
• CEU hours towards license renewal and licensure
  supervision are provided through the agency.

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Determination of Medicaid eligibility

• Utilization of Medifax system to determine if
  client is Medicaid eligible
• 1. Presentation of Medicaid card at the point of
  intake and/or client asked if currently Medicaid
  eligible.
• 2. Medifax run at time of assessment on all
  clients. With immediate discharge from point of
  assessment due to entering into ARS program.
• -Verification of Unscheduled Services completed.
• 3. Medifax run on clients at the point of entry
  into AOP program.
• 4. Medifax run monthly, at the start of the
  month, on all current AOP clients to verify still
  Medicaid eligibility.

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Medicaid services billed with codes

• 1. Psychosocial Assessment (H0001-HN)
• 2. Brief Mental Status Examination (H2010-HO)
• 3. Treatment Plan (T1007)
• 4. Treatment Plan reviews (when applicable)
  (T1007-TS)
• 5. Group sessions (H2019-HQ)
• 6. Individual sessions (H2019-HR)
• 7. Urine collection (T1015-HF)

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Outreach

• 1. Court liaison networking with all parties
  involved in court and outside of court.
• 2. Contacting referral sources by phone, e-mail,
  and monthly reports throughout the length of care
  for collaborating information and potential
  linking of additional services.
• 3. Follow-up on ancillary referrals made to link
  client for additional services outside of acts.
• 4. Ongoing networking within the department for
  contact sources and programs available for our
  clients.