Orange County NC Website
Browse       Search
12 <br />operational, the LME will work with the center to make system consumers aware of the <br />center and to assist in the romul ation of information about the center. <br />The full text of the CFAC proposals made to the LME durin~ the plannin~ urocess is <br />attached. <br />V. PILOT PROGRAMS <br />The Area Program has a long history of involvement in pilot projects that demonstrate the <br />principles of best practice. These include projects in supported housing, supported <br />employment, ACT Teams, the Transitional Employment Demonstration Project, Mental <br />Illness/Substance Abuse Pilot Project, Self Determination Pilot Project, OPC Sexually <br />Aggressive Youth Program, Child and Youth Demonstration Project, and our Supported <br />Living Project. We feel this history prepares us to take a leadership position as we enter <br />this new era of service provision. We are requesting permission p lot four changes to <br />the State's plan for the LME system. ~, <br />First, we propose a system that allows the LME to inde li'e tl manage at-risk <br />capitated funds. This authority will give t E th ne ess exibility to meet the <br />unique needs of our community. We are illi g t a u e th ri k associated with these <br />decision making capabilities b use e ee~ a tr ng E is be t suited to serve its <br />citizens. „ ~ ` <br />Second, we propo e that th <br />the region. The L E i 1 ~ <br />will authorize all p n i E <br />range of services a' a le c <br />practically mount ' o t <br />process for the sel ction f a <br />ie respo s bi 'ty for utilization management for <br />•o o provider contracts are managed and <br />r sources. The LME will develop a competitive <br />of the client. When services cannot be <br />~ contract, the LME assures a fair, competitive <br />Thirdly, we propose that the Division of Mental Health Services supports our efforts to <br />recruit a Multisystemic Therapy (MST) program for our area. This pilot requires the <br />creation of a service definition for the intensive, in-home service for youth in the <br />CMSED categories. Reimbursement for this intensive service would be a monthly or <br />daily rate and be supported by Medicaid, IPRS and CTSP. A community group including <br />DSS, DJJ, school staff and family members have determined that this type of service is a <br />priority for youth in Orange, Person and Chatham counties who have serious emotional <br />disturbances. <br />Finally, our intention is to implement a system of performance based contracting that will <br />tie financial rewards to favorable outcomes. This will be accomplished initially through <br />the selection of critical indicators and the specification of financial incentives for the <br />attainment of critical outcomes. This activity will not replace the use of any DMH <br />developed outcome instruments nor the ongoing development of our local system of <br />Utilization Management. This system will gather extensive data related to client outcome <br />measures and resource costs. Profiles of individual and team providers will be developed <br />in order to compare providers to their peers on a local, regional and (when available) <br />8 <br />