Navigating the Children’s Behavioral Health Initiative (CBHI)

[Pages:22]Date of Presentation: February 16, 2012

Navigating the Children's Behavioral Health Initiative (CBHI):

An introduction to communitybased behavioral health services

provided by MassHealth

Please note: This presentation is for information purposes only and should not be relied on as legal advice. For individual questions about cases, contact the Children's Law Center or legal

counsel.

Children's Behavioral Health Initiative (CBHI)

{ A MassHealth initiative that arose from a lawsuit in federal court against the Commonwealth (Rosie D.).

{ Provides an array of community-based mental health services for children up to age 21 with MassHealth insurance.

CBHI Services

{ Intensive Care Coordination (ICC) { In-home therapy (IHT) { Outpatient therapy { Family support and training (FS&T

or family partners) { Therapeutic mentoring (TM) { In-home behavioral services (IHBS) { Mobile Crisis Intervention (MCI)

Intensive Care Coordination (ICC)

{ "Wraparound" case management. { Based on "family voice and choice." { Provided by Community Service Agencies

(CSA) only. { A "hub" service: Anyone can refer to ICC. { Requires the child to have MassHealth

Standard or CommonHealth. { Requires child to have a "serious

emotional disturbance" (SED).

In-Home Therapy (IHT)

{ More intensive therapy delivered in the home.

{ Often provided by a team of two. { Provided by agencies throughout the state. { A "hub" service: Anyone can refer to IHT. { Requires child to have MassHealth of any

type except Limited. { Does not require child to have SED, but

requires that outpatient therapy would not be enough for child.

Outpatient Therapy

{ Traditional counselors seen in the office. { Provided by agencies and individuals

throughout the state. { A "hub" service: Anyone can refer to

outpatient therapy. { Most health insurances cover some

outpatient therapy but provider availability varies.

Therapeutic Mentoring (TM)

{ Mentors with a therapeutic purpose. { Provided by paraprofessionals who work

for various agencies statewide. { Addresses daily living, social, and

communication skills in community. { A "hub"-dependent service: Must be

referred by ICC, IHT or outpatient therapist. { Requires child to have MassHealth Standard or CommonHealth.

In-Home Behavioral Services (IHBS)

{ Most intensive service. { Designed for kids who need a very

structured behavior plan in home/ community. { Provided by clinician/paraprofessional team from one of many agencies statewide. { A "hub"-dependent service: Must be referred by ICC, IHT or outpatient therapist. { Requires child to have MassHealth Standard or CommonHealth.

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