4.1 Weapon Profiles and Points.9.5.Īdvanced Rules. This ensures all questions or complaints submitted can be reviewed and responded to by appropriate staff within OMH and/or the Department of. LPHA Memo and Recommendation Form | Fillable LPHA Recommendation FormĪll questions or complaints regarding Behavioral Health Medicaid Managed Care should be submitted to the OMH Division of Managed Care using the OMH MC Question/Complaint Form.Policy Regarding Provider Transition to CORE Services and Provisional Designation.CORE Provider Service Initiation Template.
Managed Care Policy, Guidance, and Forms:
CORE Member FAQ ( ى | বাঙালি | 中文 | 繁體字 | Kreyòl Ayisyen | Italiano |.For more information on these restrictions, please see the CORE Benefits & Billing Guidance.Įligible Adults 21+ who want to find out more about CORE Services, should contact their Medicaid Health and Recovery Plan or Behavioral Health service provider.Įducational Materials for Individuals and Families There are additional restrictions to ensure there is no duplication of services. The services must be recommended by a Licensed Practitioner of the Healing Arts (LPHA).The individual must be enrolled in a HARP or HIV-Special Needs Plan (SNP) and.Promotes skills for coping with and managing behavioral health symptoms while facilitating the use of natural supports and community resources.Įligibility for CORE Services is based on three criteria:.Non-clinical, peer-delivered services with focus on rehabilitation, recovery, and resilience.FST partners with families through a person-centered or person-directed, recovery oriented, trauma-informed approach.Offers instruction, emotional support, and skill building necessary to facilitate engagement and active participation of the family.
Rehabilitation counseling, skill building, and psychoeducational interventions.Assists individuals in improving their functional abilities to the greatest degree possible in settings where they live, work, learn, and socialize.Multi-component service that consists of therapeutic interventions.Goal-directed supports and solution-focused interventions with the intent to achieve person-centered goals.Community Psychiatric Support and Treatment (CPST) individuals and their managed care (insurance) planġ.They build skills and self-efficacy that promote and facilitate community participation and independence.ĬORE Services provide opportunities for eligible adult Medicaid beneficiaries with serious mental illness and/or substance use disorders to receive services in their own home or community.ĭesignated CORE providers work together with:
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