Agenda - 12-10-2002-5b - Laserfiche WebLink

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12 oyerational, the LME will work with the center to make system consumers aware of the center, and to assist in the promulgation of information about the center. The full text of the CFAC proposals made to the LME during the planning_process is attached. V. 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, supported employment, ACT Teams, the Transitional Employment Demonstration Project, Mental Illness/Substance Abuse Pilot Project, Self Determination Pilot Project, OPC Sexually Aggressive Youth Program, Child and Youth Demonstration Project, and our Supported Living 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 plot four changes to the State's plan for the LME system. First, we propose a system that allows the LME to capitated funds. This authority will give t E unique needs of our community. We are illi g tc decision making capabilities b use a eel a trc citizens. ' I Second, we propo e that th M'~ a~ the region. The L E i l ~nt 'n c will authorize all p n it o ul range of services a~ a le o th c e practically mount o t n xc L process for the sel ction f a vendor. e tl manage at-risk s exibility to meet the ;h ri k associated with these is be t suited to serve its b~ty for utilization management for provider contracts are managed and The LME will develop a competitive of the client. When services cannot be contract, the LME assures a fair, competitive Thirdly, we propose that the Division of Mental Health Services supports our efforts to recruit a Multisystemic Therapy (MST) program for our area. This pilot requires the creation of a service definition for the intensive, in-home service for youth in the CMSED categories. Reimbursement for this intensive service would be a monthly or daily rate and be supported by Medicaid, IPRS and CTSP. A community group including DSS, DJJ, school staff and family members have determined that this type of service is a priority for youth in Orange, Person and Chatham counties who have serious emotional disturbances. Finally, our intention is to implement a system of performance based contracting that will tie financial rewards to favorable outcomes. This will be accomplished initially through the selection of critical indicators and the specification of financial incentives for the attainment of critical outcomes. This activity will not replace the use of any DMH developed outcome instruments nor the ongoing development of our local system of Utilization Management. This system will gather extensive data related to client outcome measures and resource costs. Profiles of individual and team providers will be developed in order to compare providers to their peers on a local, regional and (when available)