Case Management in Ohio Behavioral Health

Case Management Services in Ohio

In Ohio, case management services play a crucial role in providing support and assistance to individuals seeking treatment for addiction and behavioral health issues. These services encompass various activities aimed at helping individuals access the necessary resources and services to meet their basic needs and aid in their recovery.

Substance Use Disorder (SUD) Activities

Case management services for Substance Use Disorder (SUD) in Ohio involve a range of activities that assist individuals in accessing essential medical, social, educational, and other services to meet their basic human needs [1]. These activities may involve interactions with family members, other individuals, or entities.

The minimum activities included in SUD case management services are assessment, referral, and monitoring with follow-up [1]. This ensures that individuals receive appropriate and ongoing support throughout their recovery journey.

Case Management Activities

Case management services in Ohio encompass a wide range of activities that aim to provide comprehensive support to individuals seeking addiction and behavioral health treatment. These activities may include:

• Coordinating client assessments and treatment planning
• Providing crisis intervention services
• Offering training for community resource utilization
• Monitoring the delivery of services
• Assisting individuals in obtaining necessary services such as financial assistance, housing, food, medical care, education, vocational support, and recreational services [1].

It's important to note that case management services in Ohio do not include providing direct services that the client has been referred to, internal quality assurance activities, or clinical supervisory activities [1]. The primary focus of case management is to coordinate and facilitate access to appropriate resources and services for individuals in need.

By providing comprehensive case management services, Ohio aims to ensure that individuals receive the necessary support and assistance to navigate the complexities of addiction and behavioral health treatment. These services play a vital role in helping individuals access the care they need and guiding them towards recovery and improved well-being.

Next Level Behavioral Health Services

At Nex Level Behavioral Health & Addiction Services, case management services are tailored to empower individuals in Ohio by providing them with the necessary tools and resources to achieve sustainable progress and long-term recovery. The focus is on offering personalized support and coordination to ensure clients have the best possible chance of success.

Tailored Care and Support

Case management at Nex Level is designed to identify and address the specific needs and goals of individuals seeking treatment for addiction and behavioral health issues. The goal is to provide consistent support and follow-up throughout the treatment and recovery process, from the initial assessment to ongoing monitoring and advocacy.

By understanding each client's unique circumstances, case managers at Nex Level can develop individualized treatment plans that align with their specific needs. This tailored approach ensures that clients receive comprehensive care that addresses their specific challenges and goals.

Individualized Treatment Plans

At Nex Level, individualized treatment plans play a crucial role in guiding the case management process. These plans take into account each client's specific needs, preferences, and treatment goals. The aim is to seamlessly coordinate services and resources, collaborating closely with therapists, counselors, social workers, and case managers to facilitate optimal outcomes for clients.

The individualized treatment plans consider various aspects of the client's journey, including mental health, addiction recovery, and overall well-being. By addressing these factors comprehensively, the case management team at Nex Level helps clients navigate their recovery journey more effectively.

Case management services at Nex Level are designed to be beneficial for individuals seeking treatment for addiction and behavioral health issues. With ongoing support and coordination, clients can access the necessary resources and assistance to make lasting changes and achieve long-term recovery.

Ohio's Comprehensive Case Management

In Ohio, the Comprehensive Case Management and Employment Program (CCMEP) ensures individuals receive the necessary support and resources to navigate their path to recovery and stability. Let's explore two key aspects of Ohio's comprehensive case management program: program participant engagement and service verification and documentation.

Program Participant Engagement

Ohio's CCMEP requires case managers to actively engage with each program participant on a regular basis. According to the rules set forth by the Ohio Department of Job and Family Services, case managers must engage with program participants at least once every thirty calendar days [2]. During these engagements, case managers review and revise the individual opportunity plans (IOPs) as needed to ensure they align with the participant's goals and progress.

The engagement process involves meaningful interactions between the case manager and the program participant. Case managers may offer guidance, support, and resources to address barriers and challenges faced by the participant. These regular engagements foster trust and accountability, enabling the case manager to provide tailored assistance based on the unique needs of each individual.

Service Verification and Documentation

In Ohio's CCMEP, it is essential to maintain accurate records and documentation to ensure transparency and accountability. The lead agency within the program is responsible for documenting and verifying activity service hours for work-eligible program participants [2]. Verification methods include OWCMS (Ohio Workforce Case Management System) generated schedules, attendance reports, data exchange reports, and documented phone contacts with work sites.

The lead agency must verify the actual hours of participation for program participants engaged in both unpaid and paid activities. This verification process ensures that participants are meeting their commitment hours and actively participating in the program [2]. By accurately documenting and verifying activity service hours, the program can track progress and measure the effectiveness of the case management services provided.

Ohio's comprehensive case management program emphasizes the importance of program participant engagement and thorough service verification and documentation. Through regular engagements, participants receive the necessary guidance and support to overcome obstacles and progress towards their goals. The verification and documentation processes ensure transparency and accountability, maintaining the integrity of the program.

Ohio's Comprehensive Case Management Program

Ohio's Comprehensive Case Management and Employment Program (CCMEP) is designed to provide comprehensive support and assistance to individuals in need of addiction and behavioral health treatment. The program aims to help participants achieve successful recovery and reintegrate into society. Within this program, there are specific required activities and commitment hours for program participants.

Required Activities

In CCMEP, case managers are required to engage with each program participant at least once every thirty calendar days. This regular engagement allows for ongoing assessment, support, and progress monitoring. Case managers review and revise the individual opportunity plans (IOP) as needed to ensure that the treatment and support provided align with the participant's goals and needs.

Engagement attempts and interactions with program participants are documented in Ohio's workforce case management system. This documentation is essential for tracking the progress and ensuring that the necessary services are being provided. It also serves as a valuable record for future reference and evaluation.

Program Participant Commitment Hours

Participation in CCMEP requires a commitment of hours from program participants. The standard requirement is twenty hours per week. However, the lead agency in CCMEP considers various factors when determining the specific hours of commitment for each participant. These factors may include individual needs, circumstances, and barriers to participation.

Exceptions can be made based on the unique situation of the participant, such as domestic violence situations or temporary barriers to participation. The goal is to ensure that the commitment hours are reasonable and attainable for the individual, without compromising their overall well-being.

Ohio's CCMEP does not impose a set time limit on participation or require a specific sequence of services. Instead, the program is designed to provide services for as long as necessary to support successful preparation for unsubsidized employment and/or post-secondary education and training.

By implementing these required activities and commitment hours, Ohio's Comprehensive Case Management Program strives to provide comprehensive and individualized support to program participants. The focus is on tailoring care and treatment plans to address the unique needs and goals of each individual. For more information on case management in Ohio's behavioral health treatment, visit our article on ohios top case management for addiction.

Targeted Case Management in Ohio

In Ohio, targeted case management plays a crucial role in providing comprehensive support and assistance for individuals seeking treatment for substance use disorders and behavioral health issues. This section will focus on two key aspects of targeted case management in Ohio: care plan development and monitoring and assessment.

Care Plan Development

Targeted case management in Ohio involves a comprehensive assessment of an individual's needs, followed by the development of a personalized care plan to address those needs. The care plan takes into account the unique circumstances and goals of the individual, guiding the delivery of appropriate services and support.

During the care plan development process, a qualified case manager works closely with the individual to identify their specific needs, strengths, and preferences. The care plan outlines the recommended services, interventions, and referrals that will help the individual achieve their treatment goals.

It is important to note that certain activities, such as transportation, waiting with individuals for appointments, and direct services to which the client has been referred, do not qualify as targeted case management in Ohio and are ineligible for reimbursement as such [3]. The focus of care plan development is on creating a roadmap for the individual's recovery journey and ensuring that the recommended services align with their specific needs.

Monitoring and Assessment

Once a care plan is in place, monitoring and assessment are essential components of targeted case management in Ohio. Regular monitoring helps track the individual's progress, ensuring that the care plan is effectively implemented and addressing any changes in their needs or status.

In accordance with Ohio Administrative Code, monitoring should be conducted at least annually to evaluate the individual's response to treatment and determine if adjustments to the care plan are necessary [3]. This ongoing assessment allows case managers to identify any emerging challenges or barriers to recovery and make appropriate modifications to the care plan.

For individuals enrolled in assertive community treatment (ACT) or intensive home-based treatment (IHBT) teams, prior authorization from the Ohio Department of Medicaid (ODM) designated entity is required for targeted case management services [3]. This authorization ensures that the delivery of targeted case management aligns with the comprehensive treatment provided by ACT and IHBT teams.

Overall, targeted case management in Ohio emphasizes the importance of individualized care plans and ongoing monitoring and assessment. By tailoring services to meet the unique needs of each individual and regularly evaluating their progress, case managers play a vital role in supporting individuals on their journey to recovery and improved behavioral health outcomes.

Behavioral Health Services in Ohio

In Ohio, behavioral health services play a vital role in supporting individuals with mental health and addiction challenges. Among the various aspects of behavioral health services, two important considerations are Medicaid reimbursement rates and Assertive Community Treatment (ACT).

Medicaid Reimbursement Rates

Medicaid is a key provider of financial assistance for behavioral health services in Ohio. Reimbursement rates for these services are determined based on specific criteria outlined in the Ohio Administrative Code [4]. These rates vary depending on the type of service and the practitioner providing it.

Physicians in Ohio are reimbursed at one hundred percent of the Medicaid maximum rate, ensuring fair compensation for their services. On the other hand, clinical nurse specialists, certified nurse practitioners, and physician assistants receive eighty-five percent of the Medicaid maximum rate [4]. These reimbursement rates help incentivize healthcare providers to offer essential behavioral health services to those in need.

Assertive Community Treatment (ACT)

Assertive Community Treatment (ACT) is an evidence-based model for delivering comprehensive community-based behavioral health services to adults with serious and persistent mental illnesses. In Ohio, specific criteria must be met for individuals to receive ACT services [4].

ACT teams consist of multidisciplinary professionals, including psychiatrists, nurses, social workers, and vocational specialists. They work collaboratively to provide a range of services, including medication management, therapy, case management, and assistance with daily living activities.

The goal of ACT is to provide intensive, individualized support to individuals with significant mental health challenges, helping them to live successfully in the community and reduce the need for hospitalization. The use of ACT has shown positive outcomes in terms of reducing hospitalizations, improving housing stability, and enhancing overall quality of life for individuals with severe mental illnesses.

By combining Medicaid reimbursement rates and the implementation of evidence-based models like ACT, Ohio strives to ensure that individuals have access to the necessary behavioral health services to support their recovery journeys. For more information on case management and behavioral health services in Ohio, check out our articles on Ohio's top case management for addiction and how Ohio case management aids recovery.

References

• [1]: https://nexlevelbhas.com/what-is-case-management
• ‍[2]: https://rbhealthllc.com/behavioral-health-services/case-management/
• ‍[3]: https://www.harbor.org/services/case-management
• ‍[4]: https://www.leorabh.com/services/case-management-in-ohi