Welcome to Online FlexiCourse 4A, a 4-Credit Hour Managed Care CE Course Offered by CEU By Net.
And We Offer Other Managed Care Courses As Well ... In a Never-Boring Slide Show Format.
Not Interested in Managed Care? Then Take a Look at Our Other Course Categories, Including Ethics, Aging, and AOD.
We're an NBCC Approved Online Home Study CE Provider. Most States and Many Social Worker Boards Accept Our CEUs .... Texas LPC CEUs, Texas LCSW and LMFT CEUs, Florida LCSW LMFT LMHC and School Psychologist CEUs, California LCSW and MFT CEUs, Alabama LCSW CEUs, and Most Other States and Licenses.
So What's This FlexiCourse 4A About? 'This is Managed Care - and Its Impact on YOU!'
a.k.a. 'It's Not Your Grandpa's Chevy! It's The Good, The Bad, and The Ugly!'
WANT A FAST TO-THE-POINT DESCRIPTION of what's covered in this FOUR HOUR COURSE? Just hop on over to our course catalog now and take a look. If you want a detailed look at this course, just click the link in the catalog and we'll bring you right back to this page. Or just read on!
WHAT COURSES PERTAINING TO MANAGED CARE DO WE OFFER? Click below on the links, to read more about each. The number preceding the letter indicates the number of CEU credits for the course (e.g., Course 10A awards 10 credit hours - for only $40).
Or you can jump directly to the Managed Care Catalog.
Course 1B - Managed Care Overview
Course 5B - Managed Care Contract? Survive It, Professionally!Course 1C - That 'Capitation Thing' and YOU!
Ethics 4D - The Ethics of Treatment Documentation and Other Ethical Dilemmas When Insurance Is Paying The Bill
Ethics 3D - The Ethics of Treatment Documentation When Insurance Is Paying The Bill
FlexiCourse 10A - The Big Course On Managed Care For Professionals
FlexiCourse 4A - This Is Managed Care - and Its Impact on YOU!
FlexiCourse 5A - Welcome to Care Management! Do They REALLY Need Treatment?
Course 2B - They're Coming to Audit WHEN?
Course 2C - We Have to Change WHAT?
Course 3A - Managed Care - Is There Anything GOOD About It?
Course 3B - Addiction & Substance Abuse Treatment: 'The Big Transition'
If you are a social worker, LPC, MFT or LMFT, LCDC, or other mental health or substance abuse treatment provider, and are concerned about Managed Care - particularly RISK BASED MANAGED CARE - this 4-hour online home study Continuing Education (CE) FlexiCourse is timely and relevant. It's inexpensive. It's fast-paced, in an unusual FLASH-format slide presentation.
This online CEU course provides an unvarnished view of what has CHANGED due to the coming of Managed Care to the Mental Health (MH) and Chemical Dependency (CD) / Substance Abuse (SA) treatment fields - including what can go WRONG in the State's design of its plans, and what type of Provider Agreements to seek out and to avoid. The course also provides specific detail about the 4 core elements which determine your client's eligibility for the service you are requesting, i.e., the 'Medical Necessity of Treatment'.
This Managed Care Course (FlexiCourse 4A) earns four (4) contact hours. It contains the first 2 modules from FlexiCourse 10A. Bite-sized portions of this course are found in MiniCourses 1B and 1C.
CEU FlexiCourse 4A contains the course materials for two (2) separate CE certificates:
- One CE certificate totaling 1 (or 0.1) CE Credit, "Module 101 - Managed Care In Public Health Programs: It's Not Your Grandpa's Chevy!" . . . and
- One CE certificate totaling 3 (or 0.3) CE Credits, "Module 201 -- The Good, The Bad, and The Ugly of Managed Care Contracts, Including Clinical and Programmatic Options for Professionals"
You may earn both online CEU Certificates now, or you may wish to delay earning one or both of the certificates for up to one year after purchase of the course -- whenever you need them most! It's your choice!
Module 101- FlexiCourse 4A - Managed Care In Public Health Programs: It's Not Your Grandpa's Chevy!
This fast-paced colorful slide presentation gives you a basic, no-holds-barred introduction to the most common problems occurring in behavioral health managed care programs which are put into place by State Government, such as Medicaid, Medicare, and Substance Abuse (SA) Block Grant conversions . . . coming on strong all over the country.
- Intro to Goals and Objectives of Behavioral Health Managed Care - 'Why Are They Doing This to Us?'
- What can go wrong - at both the MCO end and the Provider end and within the delivery system?
- Understanding RISK BASED MANAGED CARE - 'Capitation' Contracts (the primary type of State Managed Care Contract including Medicaid) - and the MAJOR ways that they impact providers in both clinical and financial ways.
- Intro to the important clinical concerns and opportunities for treatment providers under a managed care contract.
If you are already involved in a public sector managed care conversion, be prepared to shout YES! - or maybe NO! - as you scroll through our no-holds-barred slides and humorous artwork. Who says that Continuing Education has to be boring?
Module 201
Module 201- FlexiCourse 4A
The Good, The Bad, and The Ugly of Managed Care, Including Clinical and Program Options for Professionals
Are there different kinds of Managed Care plans? Yes indeed. There's The Good, The Bad, and The Ugly - for the Managed Care companies AND for the providers! But we don't just throw you out there - we identify those plans that are 'mostly safe' (like Fee for Service and Case Rates) vs. those that are 'nerve wracking' vs. those with 'don't even think about it!' written all over them.
1. Understanding the impact of this new health care approach upon providers.
2. Review of 'What's a Capitation Contract' - the primary type of State-HMO managed care contract used in Medicaid and Medicare managed care conversions. Can it possibly work? Yes. And what about FEE FOR SERVICE?
3. Understanding a couple of other Managed Care designs - one is The Good, and one The Truly Ugly (Watch Out! Run Fast!).
4. And should providers take on ANY of these high-risk arrangements, working as a provider for an HMO? Or as the 'substitute' for an HMO? What kind of risk are they taking? And can they succeed in any of these arrangements? (Answer: Yes.)
5. How does Managed Care affect the way that we deliver treatment to Mental Health and Chemical Dependency clients? Here's some creative service options for treatment providers which allow more autonomy.
Naylor & Associates CEU By Net's Continuing Education Courses meet the CE requirements of NBCC and the State Boards of Texas, California, Florida, and Alabama, and most other states for designated licenses. States may approve our courses because we are certified by the NBCC and by several other states including the Texas State Boards which regulate Social Work, Licensed Professional Counselors, Marriage and Family Therapists, and LCDCs. Check our STATE LICENSURE MAP for YOUR state.
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