Provider Notice Issued 10/15/2020

Date:    October 15, 2020
 
To:       All Medical Assistance Program Providers
 
Re:      Update on Integrated Health Homes and New Behavioral Health Initiatives for Children with Complex Behavioral Health Needs
 
 
This notice provides an update to stakeholders on the Department’s modified implementation strategy for care coordination and other community-based behavioral health services.
 
New Behavioral Health Services for Children
HFS is introducing a comprehensive array of community-based services for children with complex behavioral health needs, consistent with the requirements of the N.B. Consent Decree. Children with complex behavioral health needs will have access to specialized care coordination and intensive services such as: High-Fidelity Wraparound/ Intensive Care Coordination, Intensive Home-Based Services, Respite, Therapeutic Mentoring, and Family Peer Support. This expanded service array will significantly enhance the community-based behavioral health service for children, providing children and families with the services necessary to support their success at home, school, and in the community. HFS anticipates implementing these new services effective July 1, 2021.
 
Update on the Integrated Health Home (IHH) Program
HFS is updating its IHH program eligibility criteria to target children and adults with chronic physical health conditions, or who are at risk of developing chronic health conditions due to the presence of unmet social or environmental needs (e.g. housing, food security, employment, safety). Under this approach, IHHs will focus on addressing social determinants of health and health disparities for the Department’s most medically complex individuals.
 
IHHs will demonstrate positive health outcomes for participants through enhanced engagement, outreach, disease management, and care coordination services that are individualized, person-centered, integrated, and community based. HFS does not anticipate implementing IHHs before July 1, 2021.
 
Additional information on these initiatives will be shared as it becomes available. 
 
 
Kelly Cunningham
Interim Medicaid Administrator
 

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