Process Informing Access to B-3 Supported Employment Services

Process Informing Access to B-3 Supported Employment Services

Sandhills Center

Process Informing Access to B-3 Supported Employment Services

(Adult Mental Health)

06/10/14

For members who do not have a “Clinical Home” and are living in the community and are not receiving enhanced service(s):

  • Members age 16 or older (and/or their legal guardian or representative)will call the Sandhills Center 1-800 number.
  • If they are connected with a Customer Service representative they will ask to talk with a Call Center clinician
  • The member will tell the Call Center clinician that they are interested in receiving B-3 Supported Employment Mental Health Services
  • The Call Center clinician will collect pertinent information and provide the caller with the names of credentialed B-3 Supported Employment Mental Health service providers
  • The chosen provider will submit the SAR, PCP or Service Plan, and any other pertinent documentation to the Sandhills Center Utilization Management Department (UM) via the SHC software system
  • The request will be reviewed by UM and the disposition submitted in keeping with SHC procedures

For memberswho have a “Clinical Home” and are living in the community and are receiving enhanced service(s):

  • Members age 16 or older (and/or their legal guardian or representative) will discuss their desire for B-3 Supported Employment Mental Health Services with their current provider (“clinical home”)
  • The member and their legal guardian representative will engage in developing goals that can be met via the service and add those goals to the current PCP
  • The provider will assist the member/guardian in making a call to the Sandhills Center 1-800 number if assistance is needed in identifying credentialed providers of B-3 Supported Employment Mental Health Services
  • If they are connected with a Customer Services representative they will ask to talk with a Call Center clinician
  • The member will tell the Call Center clinician that they are interested in receiving B-3 Supported EmploymentMental Health Services
  • The Call Center clinician will collect pertinent information and provide the caller with the names of credentialedB-3 Supported Employment Mental Health service providers
  • A Qualified Professional from the member’s “clinical home” will participate in the assessment with the chosen B-3 Supported Employment Mental Health service provider.
  • The chosen provider will submit the SAR, PCP or Service Plan, and any other pertinent documentation to the Sandhills Center Utilization Management Department (UM) via the SHC software system.
  • The request will be reviewed by UM and the disposition submitted in keeping with SHC procedures.

For members in the special population receiving treatment planning who have Serious and Persistent Mental Illness (SPMI) who reside in an Adult Care Home or those being diverted from entry into an Adult Care Home due to the PASSR process, or individuals transitioning from Adult Care Homes and State Psychiatric Units:

  • The Sandhills Center Transition Coordinatorwill discuss the availability of this and other pertinent B-3 Services with the member during the initial and final transition meeting and during initial and follow-up in-reach interviews
  • The Sandhills Center Transition Coordinator will include the member’s response to the offer of B-3 Supported Employment Mental Health services in pertinent documentation
  • The Sandhills Center Transition Coordinator provides the member, their legal representative/guardian, and chosen provider, with the names of credentialedB-3 Supported Employment Mental Health service providers
  • If the member expresses a desire for the service, the Sandhills Center Transition Coordinatorensures that the service is includedin the Person Centered Plan written by the member’s chosen provider
  • The member’s chosen provider or chosen “clinical home” will submit the SAR, PCP or Service Plan, and any other pertinent documentation requesting the B-3 Supported Employment Mental Health Service as well as any other chosen service to the Sandhills Center Utilization Management Department (UM) via the SHC software system.
  • The request will be reviewed by UM and the disposition submitted in keeping with SHC procedures.
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