Current through November 28, 2024
(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.
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
