Earn and download a certificate immediately upon completion of this module.
Course 1B - It's Not Your Grandpa's Chevy - Intro to Goals, Clinical Concerns, and Opportunities In Behavioral Health Managed Care
Course 1B is now updated and expanded! The course now addresses the trending and potential impact of the Affordable Care Act upon Behavioral Health providers. This is a FREE COURSE with a FREE CE CERTIFICATE. The course now earns 1.5 clock hours of CE credit for multiple State Boards including Texas, Florida and Alabama, and for TCBAP-TAAP, IC&RC, NAADAC, and Florida Certification Board. EACC 1.5 PDHs Total, renewing April 10, 2018 in Domains I, III. It also awards 1.5 CA BBS Hours as of 10.01.15 and 1.0 before, and 1.5 NBCC Hours as of 05.01.15 and 1.0 before.
Based upon these credentials, this course is accepted by most state boards for multiple licenses.
This free course is a quick introduction to our online quiz and certificate process. It's also an introduction to the PDF 'SLIDE SHOW' format in which some of our courses are rendered. (Most of our courses are, however, NOT in this slide show format. The majority are text-based professional publications and training manuals. If you want to try an example of that format, sign up for Free Course 1D too!)
NOTE: As with ALL of the courses on this website, you can now READ the Study Guides and Quizzes for this course, for FREE - even before you decide if you want to register on the site or enroll in the course. Just click the links at the bottom of this course description. You may also ENROLL in the course for free, and take the quiz and earn your CE Certificate for free.
This is a 'non-traditional' course that you won't find anywhere else. The course is authored and copyrighted by Marsha Naylor, MA, LPC, CEU By Net, Pendragon Associates LLC.
The course addresses the key client record documentation issues facing providers who are involved in assessment, diagnosis, and treatment of mental health and addiction clients, under the Health Care Reform initiative which is driven by Managed Care, 'narrow networks', and limited funds.
The transition of Mental Health and AOD treatment to a MANAGED SYSTEM OF CARE is not new in some states, but in others it's a recent development. Regardless, the nationwide expansion of ACA Health Care Reform has brought new relevance to the 'Care Management' philosophy.
It's important to understand that Care Management is not only a process; it's a PHILOSOPHY which approaches approval for behavioral health services in a way that is difficult for many practitioners to accommodate.
Treatment within this venue requires new types of justification through WRITTEN CLINICAL DOCUMENTATION which surpasses that which was required in the past
Understanding of the 'Care Management' approach is important for those delivering intensive treatment, as well as to those REFERRING TO intensive treatment - and to most individuals delivering short term counseling [which is usually not considered to be "medical" in nature]. The issue here, is that the APPROACH to AUTHORIZATION of services is essentially one of DOCUMENTATION of "MEDICAL NECESSITY", even if what we are delivering is not "medical".
Our Managed Care series is applicable to all behavioral health providers - those in private practice who are participating in a "panel" or network, as well as those who work for a public or private agency involved in Medicare or Medicaid or Block Grant services or other such contracts - including the EAP provider, whose work is now often done under the auspices of a managed system of care, i.e., a contract manager. It's important to understand that Care Management is a PHILOSOPHY which approaches approval for behavioral health services in a whole new way, and requires WRITTEN JUSTIFICATION from those who deliver services which surpasses that which was required in the past
The first half of this course focuses upon the impact that Health Care Reform and Managed Systems of Care have upon providers and their clients. The second half of this short course focuses upon "Understanding How Managed Care ‘Thinks’ . . . An Introduction to the Clinical, Therapeutic, and Documentation Issues Which Drive the Care Management Process".
GOALS OF COURSE 1B – ‘Intro to Goals, Clinical Concerns, and Opportunities In Behavioral Health Managed Care – It's Not Your Grandpa's Chevy’
1. Obtain a Basic Understanding of the Scope and Impact of the Health Care Reform Movement, in Terms of a 'Managed System of Care', Which Affects 'Who' Gets 'What' Treatment.
2. Know the Current Trends and Potential Shifts In Who Directs and Delivers Treatment Under the Affordable Care Act (ACA).
3. Obtain an Introduction to Clinical Concerns and Requirements for Behavioral Health Professionals under a Managed System of Care - Approach to Client's Diagnosis, Prognosis, Treatment, Response or Lack of Response, and DOCUMENTATION of Same.
4. Understand the Concept of Care Management and Utilization Review – It’s a 'Medical Model' for all of us [even if we are delivering short term counseling which is typically not considered to be "medical" in nature].
5. Identify Clinical Approaches to Documentation of Need for Treatment and the Types of Intervention Programs Which Are Workable and Appropriate Under a Managed System of Care.
To view and print QUIZ 1 for free, CLICK HERE.
To view and print QUIZ 2 for free, CLICK HERE.
To view Study Guide 1 now CLICK HERE
To view Study Guide 2 now CLICK HERE