APRIL 2014 NETWORK DEVELOPMENT PLAN GOALS ACCOMPLISHED
The following goals set forth in the April 2014 Network Development Plan were successfully accomplished. NOTE: Some goals from
the October 2013 Network Development Plan were carried over into the April 2014 Plan, thus discrepancies in dates may exist.
Priority Tasks
Key performance
indicators/outcomes
Crisis Services
Goals
Establish key performance
indicators/outcomes for inclusion in 2/1/14
contracts
Assure a comprehensive crisis continuum in
Forsyth, Stokes, Davie and Rockingham
Counties
 Develop a local Facility-Based
Crisis Center serving all four
counties
 Expand hospital diversion programs
Establish “open access” models in Forsyth
and Rockingham Counties offering
diversion by providing an alternative to
inappropriate Emergency Department use
ACTT
Implement state-wide initiative to expand
evidence-based, high-fidelity Assertive
Community Treatment Team (ACTT)
services in collaboration with Division of
MH/DD/SAS, NC ACTT Coalition & Duke
University, supporting the state’s initiative
Action Steps / Outcomes
(Completed and on-going).Track and report on results.
1. (Completed) Determine feasibility of developing a local FacilityBased Crisis Center (FBCC) for Emergency Department (ED)
diversion and provision of brief inpatient care in a community
setting. (Status 12/10/13: Location identified; funding options
under analysis. 2/15 funding secured)
2. (Completed) Gather input/data to evaluate the need and potential
benefits of a FBCC including demographics, patient population,
short-term hospitalizations and ED visits appropriate for FBCC by
October 2012.
3. (Completed ) Identify potential partners and discuss FBCC need;
barriers including EMTALA/regulatory concerns; timing; and
feasibility requirements by March 2013.
4. (Completed ) Finalize FBCC business plan and present
recommendations to CEO by June 2013.
5. Additional accomplishments:
 Established fully operational “open access” model in Forsyth
County (Monarch) and “modified rural open access” in Stokes
(RHA), Davie (RHA) and Rockingham (Youth Haven)
Counties.
1. (Completed and on-going) Following the state’s on-site analysis
beginning July 2013 of ACTT provider fidelity to the Tool for
Measurement of Assertive Community Treatment (TMACT)
standards, analyze the capacity of qualified ACTT providers to
serve individuals in or at risk of adult care home placement;
contract only with ACTT providers operating with fidelity to
Priority Tasks
Goals
“ACTT / Supported Employment”.
NC Innovations Services
Transition services from CAP-MR to NC
Innovations
Opioids Treatment
Create choice of Opioids Treatment
Action Steps / Outcomes
TMACT standards.
2. (Completed) Coordinate training/technical assistance plans,
addressing identified needs of each Team by 6/30/14.
3. (Completed) Identify and address, to the extent possible, current
barriers to ACTT service delivery in rural counties (e.g. rates;
workforce issues). NOTE: Rates increased July 2014
4. (Completed by NC ACTT Coalition October 2013) Develop an
organizational base to launch and expand the North Carolina ACTT
Coalition membership and work towards providing high-fidelity
ACTT services.
5. Additional accomplishments
 Established monthly ACTT Learning Collaborative to support
model fidelity (8/1/14).
1. (Completed October 2012) Implement Request for Information
(RFI) process to assess and recruit Community Guide providers and
identify selected providers for contract by 7/27/12.
2. (Completed – no additional providers needed; adequate contracts
in place) Recruit Community Guide Service providers if
unsatisfactory response to above noted RFI process by 9/1/2012.
3. (Completed) In conjunction with I/DD Clinical Director, develop
and implement a formal process to track participation in clientdirected care, utilizing the Agency With Choice model
 (Completed) Offer training to provider network - April 2014.
 (Completed) Review and revise procedures as needed – March
2014.
 (Completed) Develop reports for review by Network CFT.
4. (Completed) Train provider network in NC Innovations Waiver by
11/1/12.
5. (Plan completed; implementation in process) In conjunction with
I/DD Care Coordination Department, provide support to develop a
plan with an existing ICF-MR provider to convert at least one
existing facility from ICF-MR to Innovations funding by 12/1/12;
implement plan.
1. (Completed 12/13) Request extension of existing DMA waiver to
Priority Tasks
Goals
Action Steps / Outcomes
providers.
2.
B3 Services
Residential Services
Develop and/or expand B3 services
including, but not limited to:
 Peer Support
 Supported Employment / LongTerm Vocational Support
 Community Guide
 Respite
 Psychiatric Consultation
 Innovations Deinstitutionalization
 Community Transition
 Individual Supports
Child MH/SA (supporting the State’s
initiative “Closer to Home”)
1.
2.
3.
operate with a single program until January 2015 due to:
 Existing Methadone Treatment Program provides adequate
capacity.
 While a second provider of Methadone Treatment would create
choice for clients, concern exists regarding impact of a second
program on the fiscal viability of the existing program.
(Completed January 2014) New Methadone Provider was added to
the Network within access standard (Alcohol and Drug Services).
(Completed) Finalize service definitions, preferably consistent with
other Western Region LMEs/MCOs.
(Completed) Finalize rates.
Identify and contract with providers, using RFP process if needed
for the following services:
 (Completed and on-going) Peer Support, Community Guide
and Respite, Supported Employment, Psychiatric Consultation,
Innovations Deinstitutionalization, and Community Transition
providers have received contracts.
 Individual Supports – Provider still needed.
1. (Completed and on-going) Through System of Care (SOC), Care
Coordination (CC) and Utilization Management (UM) processes,
enhance the quality of care & effectiveness of community-based
care for children resulting in decreased out-of-home placement &
reversing the trend of escalating PRTF admissions.
2. (Completed and on-going) Track data on out-of-home & PRTF
placements to establish baseline while continuing current SOC
involvement in process.
3. (Completed and on-going) Implement SOC, CC and UM protocols
to assure that out-of-home placement is a last resort and is
compliant with SOC philosophy and UM protocols; track results.
4. (Completed and on-going) Assess trend data on out-of-home
placements & PRTF admissions to determine efficacy of
implemented protocols & make recommendations on next steps.
5. (Completed and on-going) Evaluate local capacity of level II and
III beds in catchment area and issue letters of support as indicated.
Priority Tasks
Goals
Action Steps / Outcomes
6. Additional accomplishments:
 Multiple Intensive Alternative Family Treatment provider
contracts established providing local capacity.
 Held family recruitment event January 2015 with significant
family attendance.
Residential
Wellness Centers
Services in Rural
Counties (Stokes, Davie,
Rockingham)
Adult MH/SA
1. (Implemented and on-going) Develop adult residential options,
especially in the rural counties, as identified by quarterly residential
capacity analysis.
2. (Completed) Conduct feasibility study of adding a Medicaid funded
SA residential treatment facility to the network by 12/1/2014.
(Holistic Services)
Implement Wellness Centers in each of the
1. (Completed 11/13) Obtain input from each local community
three rural counties:
regarding Wellness Centers (e.g. location, functions).
2. Identify space (completed 12/13 for Stokes and Davie) and IT /
 Stokes by 3/14
business connectivity needs.
 Davie by 3/14 (new space needed as
3. Establish leases (completed 12/13 for Stokes and Davie) and
of 3/15)
provider contracts as needed
 Rockingham by 6/30/14 (Not met)
4. Update 3/15
 New Davie County Wellness Center space needed as Davie
County needs to reclaim the space currently rented to
CenterPoint.
 Attempts to identify space in Rockingham have been
unsuccessful to date.
Adult SA/SA-IOP Services
1. (Completed and on-going)Assess potential for existing network
providers to develop, expand and sustain adult SA-IOP or basic
benefit SA services in Stokes and Davie. NOTE: Not feasible due to
MH enhanced services
inadequate volume.
2. (Completed 12/13 – License transferred between providers)
Implement adult SA-IOP in Rockingham County by 6/30/14
(Partnership for Drug-Free NC).
3. (Ongoing) Facilitate collaborative discussions with providers to
determine which services might be shared or prioritized among
providers to assure adequate market share to support providers.
4. (Completed)Continued assessment of rural access to community-
Priority Tasks
Goals
Child SA/SA-IOP Services
Rockingham County Work Plan
Day Treatment in Stokes County
Provider Network
Training and Education
Assure educated providers who understand
the structure, requirements and expectations
for service delivery
Action Steps / Outcomes
based services by 4/30//14
5. (Completed)Feasibility study of community ability to sustain
providers with a physical presence within the county by 9/30/14.
6. (Completed)Issue RFPs as determined by the feasibility study by
10/31/14.
1. (Completed - added adolescent SA individual and group service
provider in Rockingham- Youth Haven). Identify current child
providers and their potential to expand existing services to include
adolescent SA/SA-IOP services by 10/1/12.
2. (Completed; not enough market share) Explore possibility of
expansion by existing SA providers to deliver child SA services in
Stokes and Davie Counties by 4/1/14.
3. (Completed; county-funded provider declined to bill Medicaid).
Approach Rockingham County Youth Services regarding capacity
for Medicaid billing for Medicaid-eligible clients/services, freeing
up county funds for alternative behavioral health service needs in the
county by 8/1/12.
1. (Completed) Develop a county-specific work plan with extensive
local input including outcomes, tasks, responsible parties and
timelines.
2. (Completed) Incorporate findings from a Rockingham County Needs
Assessment completed by Jeanne Supin in Oct 2013.
3. (Completed)Community Operations and Network Development
collaborate on identifying opportunities to improve service quality
and provider choice.
1. (Completed – enhanced Day Treatment rate in Stokes County)
Explore use of case rates with existing Day Treatment provider in
Stokes to sustain service due to barriers specific to this small rural
county.
2. Additional accomplishments:
 Added second Day Treatment program serving elementary
school-aged children at King Elementary.
1. (Completed) Develop training schedule, implement and track
mandatory pre-and-post Waiver implementation training.
2. (Completed) Implement mandatory training consistent with URAC
Priority Tasks
Goals
Action Steps / Outcomes
3.
4.
Peer Support
To use Peer Support specialists to reach out
to the homeless population
1.
Ongoing Needs
Assessment and Capacity
Analysis
(Due to state by 1/18/14
and 4/1/2014)
Determine projected client demand and
identify gaps based on current provider
capacity.
1.
2.
Generate reports and analyze data to support 3.
ongoing Network Development Plan
updates
4.
5.
6.
7.
8.
9.
and DMA Medicaid Waiver requirements for MCO staff, Board of
Directors providers, and clients/community.
(Completed) Provide training on and/or access to the Clinical Design
Plan, the Benefit Plan, NC Innovations Waiver, credentialing
process, contract process and outcome indicators, Alpha MCS
system (contract, care coordination, utilization, claims and billing,
quality management) and all training necessary to assure providers
are successful under the Medicaid Waiver as of 2/1/13.
Additional accomplishments:
 Finalized March 2015 Comprehensive Training Plan defining
training opportunities for CenterPoint staff/Board of Directors,
providers, clients/community.
(Completed) Partner with RHA to locate a Peer Support Specialist at
Bethesda Center to assist shelter residents in getting linked with a
service provider
(Completed) Assess State/Medicaid services per county per member
by 9/15/13.
(Completed) Review historical data regarding number of members
per month per county to assess growth over time by 11/30/13.
(Completed 12/13 and included in the April 2014 Needs Assessment)
Update the FY13 Network Development Plan to specify needs /
plans and define the process for developing the Medicaid provider
network by 1/31/13.
(Completed) Review projected eligible members per county as of
January 2014 by 9/15/13.
(Completed) Assess Medicaid paid claims for number of members
served per service and per diagnosis by 1/18/14.
(Completed) Compare current service capacity per county to
projected eligible per county for 2014 by 1/18/14.
(Completed) Prioritize needs for service or provider recruitment per
county by 1/18/14.
(On-going) Continuously update the Network Development Plan
based on ongoing LME/MCO Needs Assessment and data analysis
in order to help determine geographical gaps in service by 12/14..
(Completed)Develop plan for community-based focus groups
Priority Tasks
Supported Employment /
Long Term Vocational
Support (SE/LTVS)
Goals
Action Steps / Outcomes
throughout the year by 7/1/14.
10. (On-going) Post identified service needs on the CenterPoint website
as they are identified; implement RFP process as needed; conduct
alternate recruitment activities as needed to assure comprehensive
accessible provider network.
Implement state-wide initiative to expand
1. (Completed 6/13) Collaborate with state’s Technical Assistance
evidence-based, high-fidelity Assertive
Center and potential providers on initial training for roll out of new
Community Treatment Team (ACTT)
SE/LTVS service.
services in collaboration with Division of
2. (Completed 6 /13) Identify providers through Request for Proposal
MH/DD/SAS, NC ACTT Coalition & Duke
process and establish contracts.
University, supporting the state’s initiative
“ACTT / Supported Employment”.