7 AAC 110.600 - Targeted case management for children with disabilities

(a) To be eligible for payment under 7 AAC 105 - 7 AAC 160 for providing targeted case management services, a provider must

(1) be enrolled as a provider of those services in accordance with 7 AAC 105.210;

(2) be a grantee of the department under AS 47.20 and 7 AAC 23; and

(3) provide documentation of at least one year of experience in

(A) effective work with children and families, involving a demonstrated capacity to provide all core elements of case management including assessment, development of the individualized family service plan, implementation, coordination, and reassessment;

(B) coordinating and linking community medical, social, educational, and other resources as required by the target population identified in (b) of this section;

(C) working with the target population identified in (b) of this section; and

(D) financial management that provides documentation of service and costs.

(b) The department will pay a provider for targeted case management provided to a child who is eligible for infant learning program services under 7 AAC 23.080 if the child is at risk for or currently experiencing a developmental delay or disability.

(c) The department will pay a provider for targeted case management provided to a child described in (b) of this section to assist and enable the child to gain access to needed medical, social, educational, developmental, and related services. Targeted case management may be delivered in person, electronically, or by telephone.

(d) Targeted case management services include an intake and needs assessment that includes the ongoing systematic collection of data to determine current status and identify needs in physical, environmental, psychosocial, developmental, educational, social, behavioral, emotional, and mobility areas. A case manager who meets the requirements of (h) of this section shall collect data from a family interview, existing available records, and the needs assessment.

(e) The case manager shall develop an individualized family service plan (IFSP) under AS 47.20.100 in conjunction with the family and other team members involved to identify goals, outcomes, objectives, and issues identified during the intake and needs assessment. Developing the individualized family service plan includes

(1) determining activities to be completed by the case manager in support of the child and family, including obtaining appropriate health, mental health, social, educational, developmental, and transportation services to meet the child's needs;

(2) coordination and monitoring of services provided;

(3) establishing and maintaining, with individuals and agencies, a referral process that avoids duplication of services to the child and family;

(4) planning that identifies needs, goals, objectives, and resources in a coordinated, integrated fashion with the family and other involved agencies;

(5) implementing the individualized family service plan and monitoring its status; and

(6) supporting the family to reach the goals of the individualized family service plan.

(f) The case manager, in consultation with the family and other team members involved, shall monitor whether the services continue to meet the child's and family's needs. The case manager shall make adjustments and new or additional referrals to adequately meet the child's and family's needs.

(g) The targeted case management services must

(1) assist families of eligible children in gaining access to infant learning program services under AS 47.20 and 7 AAC 23 and other medical or social services identified in the individualized family service plan;

(2) coordinate and monitor the delivery of infant learning program services under AS 47.20 and 7 AAC 23 and other medical or social services that the child needs or is being provided;

(3) inform families of availability of advocacy services; and

(4) provide maintenance of a record of case management activities in each child's file.

(h) A case manager must

(1) be an employee or contractor of the infant learning program grantee; and

(2) have demonstrated knowledge and understanding about

(A) the infant learning program under AS 47.20 and 7 AAC 23;

(B) the nature and scope of Medicaid and other services available under the infant learning program;

(C) the system of payment for services;

(D) children eligible for the infant learning program under AS 47.20 and 7 AAC 23;

(E) typical and atypical child development, family systems theory, developmentally appropriate intervention strategies, and emotional and behavioral delays and disorders;

(F) interviewing skills to gather data, for development of service plans, and for individual and group communications; and

(G) state and federal laws relating to child welfare and community resources.

(i) An eligible family may choose among the enrolled providers of targeted case management who provide services to the geographic area in which the family resides.

Notes

7 AAC 110.600

Eff. 2/1/2010, Register 193

Authority:AS 47.05.010

AS 47.07.030

AS 47.07.040

AS 47.20.060

AS 47.20.070

AS 47.20.075

AS 47.07.080

AS 47.20.090

AS 47.20.100

AS 47.20.110