Agenda - 10-30-2002 - 1 (AOG) - Laserfiche WebLink

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Gwen Harvey- I. Planning - Rev Oct.doc Page 6 relationship between the individual with a disability and the public system. When a person is in need of complex and/or long term services,the principal relationship between the individual and the system is negotiated through the case manager. We feel this role is best played by the LME. A decision tool will be developed or adopted in order to determine who needs case management at the LME level. Only cases that are deemed long term and complex will receive LME Case Management.All other cases will be referred to an array of qualified providers. The LME case manager will act as an advocate,negotiator of the service plan,service broker and service monitor. Outcomes and client satisfaction will to be monitored through a direct partnership with a consumer through the documented,written service plan. The Collaboration and Advocacy Unit This unit will continually work to improve, develop and enhance relationships between the LME and community organizations. Additionally,this unit will work to maximize consumer and family participation in collaborative efforts and will participate in needs assessment and program evaluation studies. Finally,the LME is involved in a number of special projects that are described in detail below.The Collaboration and Advocacy Unit will be charged with administering and overseeing these efforts. III. THE LME ADMINSTRATIVE SYSTEM We are designing an administrative infrastructure that will be efficient in both its use of resources and how it manages the service system. Finance,Information Systems,Quality Improvement and Human Resources will continue to provide the support and training necessary to keep the service system running. Additionally,a Core Service Manager will be responsible for overseeing the Triage,Assessment and Crisis,Case Management and Collaboration Units. The Qualified Provider Network Unit will be charged with managing the Private Provider system for the LME. Finally,a Service Authorization Unit will be designed to monitor service provider outcomes and to manage the utilization review process. IV.PILOT PROGRAMS The Area Program has a long history of involvement in pilot projects that demonstrate the principles of best practice. These include projects in supported housing,ACT Teams,the Transitional Employment Demonstration Project and the Mental Illness/Substance Abuse Pilot Project. We feel this history prepares us to take a leadership position as we enter this new era of service provision. We are requesting permission to pilot three changes to the State's plan for the LME system. I First,we propose a system that allows the LME to independently manage at-risk capitated funds. This authority will give the LME the necessary flexibility to meet the unique