It’s well documented that children in foster care are high utilizers of a variety of health-related services, and that foster care alumni have poorer long-term outcomes compared to their peers. That’s one reason why Passport Health Plan launched a pilot program in March 2015 to turn around negative outcomes for this population.
As documented in an article on the national website of America’s Health Insurance Plans (AHIP), Passport got things started by partnering with three state agencies – the Kentucky Department for Medicaid Services (DMS), the Department for Community Based Services (DCBS), and the Department for Behavioral Health, Developmental and Intellectual Disabilities (DBHDID). Together we created a pilot program that would use the wraparound process (an intensive, individualized care management process for youths with serious or complex needs in which various individuals from various areas come together to help care for the youths) to provide intensive home- and community-based interventions to foster care children and their families. Children admitted to the program are at risk of being moved from their foster home due to behavioral health needs.
Passport entered into agreements with two providers, ResCare and Seven Counties Services (now Centerstone of Kentucky), to act as Intensive Care Management Organizations (ICMOs). The ICMO assigns each family an Intensive Care Coordinator, who facilitates the Child and Family Team and assists the team in developing and carrying out a coordinated care plan specific to the needs of the child and family. Each family also gets assigned an Intensive Home-Based Therapist. Therapy can be discontinued at any point after the initial assessment period.
As of Nov. 10, 2016, 55 youth have participated in the program and there’s been statistically significant improvement in functioning during participation. Passport monitors for signs of stability post-discharge (such as reduced cost of behavioral health utilization, reduced number of foster home placements, etc.), and has already seen how the program has been quite successful for some families.
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