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36 <br />for individuals with Mental Retardation)) level of care is appropriate) and disseminates <br />those to DSS and the targeted case manager, notifying DMH as to who is being placed <br />onto the waiver. <br />Utilization Review/Utilization Management (UR/UM) <br />STR clinicians perform both STR and UR/UM on state funded services. <br />STR/Authorizers authorize utilization of state funded psychiatric beds and Alcohol and <br />Drug Abuse Treatment Centers (ADATC). Currently all admissions from Chatham and <br />Person counties require prior authorization from STR/Authorizations to document <br />attempts to locate community placements or other diversion options. UR/UM monitors <br />the allocation of resources. from a consumer and community perspective and reviews <br />state funded services. Person Centered Plans (PCPs) for Medicaid and state funded <br />enhanced services recipients are routinely reviewed'`:Analysis of the above data is used <br />to both monitor the effectiveness of service provision and assist Community Planning in <br />identifying gaps in the service continuum. .~~ <br />,~ <br />The program manager, in collaboration with the \Authanzations Workgroup, developed a <br />Benefits Package for state funded services which is used to guide decisions about the <br />amount and type of services authorized for consumers in various age/disability groups. <br />Care Coordination <br />~, <br />Care Coordinators link consumers who have complex needs (and/or who do not have <br />an identified treatment.-provider) with needed services and supports. Care Coordination <br />occurs through telephonic and fiace-to-face contacts with consumers and/or providers. <br />Hospital Liaison ;activities are: included in Care Coordination and every consumer <br />admitted to a state `psychiatric-..hospital is assigned a Care Coordinator. Clinical <br />consultation is available`~or high risk`and -difficult to serve consumers. OPC currently <br />has many adult consumers ,who are discharged on outpatient commitment. OPC Care <br />Coordinators spend a great ;deal of time locating these individuals, encouraging <br />involvement with a service provider end when appropriate terminating the commitment <br />order. ,, <br />Strategic Objectives <br />• Improve efficiency of STR process including implementation of the <br />Automatic Call Distributor (ACD) <br />Target Date: August 2007 <br />Responsible Parties and Stakeholders: STR/Authorization Manager, Care <br />Management Department Director, Information Technology staff <br />• OPC will collaborate with identified providers to transition their <br />appointment schedules into the Pro-FilerT'" system. <br />Target Date: January 2008 <br />36 <br />