Current through Vol. 41, No. 20, July 1, 2024
(a)
Case
management agency qualifications. As the provider agency, the Oklahoma
Office of Juvenile Affairs (OJA) must meet applicable state and federal laws
governing the participation of providers in the Medicaid program. The Office of
Juvenile Affairs Targeted Case Management (OJATCM) program must:
(1) Be available to all eligible members;
(2) Be delivered on a statewide
basis with procedures that assure twenty-four (24) hour availability, the
protection and safety of recipients, and continuity of services without
duplication;
(3) Ensure compliance
with federal and state mandates and regulations related to serving the targeted
population are met in a consistent and uniform manner;
(4) Meet applicable state and federal laws
governing the participation of providers in the Medicaid program, including,
but not limited to, the ability to meet federal and state requirements for
documentation billing and audits;
(5) Demonstrate that its staff has experience
working with the target population and a minimum of five (5) years' experience
in providing all core elements of case management including:
(A) Individual strengths and needs
assessment;
(B) Needs-based
service planning;
(C) Service
coordination and monitoring; and
(D) Ongoing assessment and treatment plan
revision.
(6) Have
adequate administrative capacity to fulfill state and federal requirements;
(7) Have financial management
capacity and systems that provide documentation of services and costs in
accordance with Generally Accepted Government Auditing Standards (GAGAS);
(8) Have the capacity to document
and maintain individual case records in accordance with state and federal
requirements;
(9) Have a minimum
of five (5) years' experience in providing and meeting the case management and
service needs of the target population;
(10) Have responsibility for planning and
coordinating statewide juvenile justice and delinquency prevention services in
accordance with Title 10A of the Oklahoma Statutes (O.S.), Section (§)
2-2-102; and
(11) Have the ability
to evaluate the effectiveness, accessibility, and quality of targeted case
management (TCM) services on a community-wide basis.
(b)
Interagency agreement. An
agreement between the Oklahoma Health Care Authority (OHCA) and OJA for TCM
services must be in effect before Medicaid reimbursement can be made for
compensable services.
(c)
Case manager qualifications. A targeted case manager for the
OJATCM program must:
(1) Be employed by OJA;
(2) Possess a minimum of a
bachelor's degree in a behavioral science, or a bachelor's degree and one (1)
year of professional experience in juvenile justice or a related field;
(3) Possess knowledge of:
(A) Laws, regulations, legislation, policies,
and procedures as they pertain to the State's administration of juvenile
justice and the investigation of juvenile delinquency;
(B) Community resources;
(C) Human developmental stages, developmental
disorders, and social work theory and practices;
(D) Adverse childhood experiences and the
impact of trauma on the developing brain;
(E) The risk and protective factors of child
delinquency;
(F) Solution-focused
practices and the critical role protective factors play in intervention
planning;
(G) Sensitivity of
cultural diversity; and
(H)
Clinical and counseling techniques and treatment of juvenile delinquency;
(4) Possess skills in:
(A) Crisis intervention;
(B) Gathering necessary information to
determine the needs of the child;
(C) Casework management;
(D) Courtroom testimony, terminology, and
procedures;
(E) Effective
communication;
(F) Developing,
evaluating, and modifying, as appropriate, intervention planning on an ongoing
basis;
(G) Establishing and
maintaining supportive relationships with children and their families;
(H) Assisting children and
families to access needed resources and supports; and
(I) Working with courts and law enforcement
entities; and
(5) Have
the ability to access multi-disciplinary staff, when needed. This includes, at
a minimum, medical professionals and a child protective services social worker.
Added at 14 Ok Reg
3686, eff 8-1-97 (emergency); Added at 15 Ok Reg 1528, eff
5-11-98