Slide 1 - Mtm

Report
Home & Community
Based Expanded
Services
Art, Equine & Pet Therapies
About MTM
 One of the largest transportation & healthcare
service managers in the country
 Established in 1995 to manage Medicaid &
Medicare transportation benefit
 Manages home & community based services for
members of managed care programs
 WellCare of Florida is one of our primary clients
 URAC accredited
National Network
 750+ provider network spans 28 states
 Seven million encounters managed annually
 Network Management
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Recruiting
Credentialing
Training
Managing claims
Performing outreach
Licensed Health Professional Credentials
 Licensed/registered therapist,
counselor, or practitioner
 Copy of current license or
registration as behavioral, medical,
or social services practitioner
 If pets or horses are used in mental
health treatment, proof of training
is required
Art Therapist Credentials
 Current certification or
registration from Art Therapy
Certification Board (ATCB)
 Evidence showing completion
of Master’s in Art Therapy
degree
 Seeking registration as an art
therapist/under supervision of
an ATR
Equine-Assisted Psychotherapist Credentials
 Licensed/registered psychologist, behavioral therapist, mental
health disorder specialist, social worker, or physical/
occupational therapist
 Qualified to provide therapy using animals
 Documentation of training, licenses & certifications
 Two years of experience providing Equine-Assisted Therapy
 Current liability insurance certificate with at least $1 million CSL
 Criminal background checks, no older than one year, for staff
that may come in contact with members
 Current business license & tax ID or Social Security number
Equine-Assisted Therapist Credentials
 Proof of training as Equine
Therapist
 Two years’ experience
providing Equine-Assisted
Therapy
 Employment at an Equine
Therapy center that meets
credentialing requirements
Equine Center Credentials
 Current membership in at least one professional
association such as:
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Equine Assisted Growth & Learning Association (EAGALA)
Professional Association of Therapeutic Horsemanship (PATH)
Human Equine Alliance for Learning (HEAL)
National Association of Certified Professionals in Equine
Therapy (NACPET)
 Those engaging in Animal-Assisted Therapy must be
adequately trained
Equine Center Credentials Cont’d.
 Horses used must be certified by one or more of the following:
 Certified Therapy Horse Association (CTHA)
 International Association of Equine Assisted Psychotherapy (EAGALA)
 Therapy horses must be:
 Examined by a licensed veterinarian within previous 12 months
 Certified as able to participate in the program
 Receive annual exams & certification
 Safety equipment for all riders including riding helmets, safety
belts & appropriate saddles/bridles
Equine Center Credentials Cont’d.
 Equipped to protect all therapy horses, including
adequate space for:
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Each horse to be housed & exercised
Disposal of waste
Appropriate equipment & supplies to feed & water each horse
Equipment to properly groom each horse
 Satisfy all national, state & local standards for proper,
humane treatment of animals
 Current liability insurance certificate with at least $1
million CSL
Equine Center Credentials Cont’d.
 Criminal background checks, no older than one year, for
staff that may come in contact with members
 Staff or volunteers with convictions of felony, abuse, sexual
misconduct, or abuse of animals must be excluded
 Horses must have at least two years of experience in
handicapped/therapeutic operations or as a school
horse used in a daily lesson program
 Current business license & tax ID or Social Security
number
PATH Premium Accreditation
 Evidence of current Premium
Accreditation
 Current liability insurance certificate
with at least $1 million CSL
 Criminal background checks, no
older than one year, for staff that
may come in contact with
members
 Current business license & tax ID or
Social Security number
Psychotherapist Using Pets Credentials
 Licensed/registered
psychologist, behavioral
therapist, mental health
disorder specialist, social
worker, or physical/
occupational therapist
 Documentation of
training, licenses &
certifications
Pet Therapist Credentials
 Therapy pets must be:
 Examined by a licensed veterinarian within previous 12 months
 Certified for therapy purposes
 Pets must have at least one year of experience providing
pet- or canine-assisted therapy
 Current liability insurance certificate with at least $1
million CSL
 Adequate space for each animal according to local codes
& ordinances
Pet Therapist Credentials Cont’d.
 Therapist must have current membership in at least one
professional association such as:
 American Humane Society or its affiliates
 International Association of Canine Professionals (IACP)
 Other similar professional association.
 Proof of training in pet therapy
 Criminal background checks, no older than one year, for staff
that may come in contact with members
 MTM will conduct background check for volunteers
 Current business license & tax ID or Social Security number (if
paid for services
Policies & Procedures
 Obtaining written consent from a parent, guardian,
or legally responsible person before beginning
services
 HIPAA & the limits of confidentiality in handling all
medical & personal information
 Formulating & following therapy plan for members,
including duration & frequency
 Safety training
Policies & Procedures Cont’d.
 Fees, financial arrangements & dealing with thirdparty payers
 Discontinuing or completing therapy
 Complaint resolution & tracking
 Conflict of interest
 Dealing with cultural expectations & variations
 Assuring quality, measuring outcomes & reporting
service quality
Following Credentialing & Contracting
 An MTM Care Coordinator will get a referral from
member’s health plan for therapy
 Care Coordinator will contact therapy provider
based on location & specialty
 Computer-based program will exchange
information regarding member & treatment notes
 HCBS-dedicated phone number
Rates
 Individual therapy session of at least 45 minutes
conducted by a licensed mental health professional
or Art Therapist: $75
 Group therapy session of at least 45 minutes
conducted by a licensed mental health professional
or Art Therapist: $35 per group member
 Therapeutic riding session of at least 40 minutes
conducted at an equine therapy center by an equine
therapist: Public rate of $35-$45
Planned Town Hall Meetings
 March 13, 2 to 4 p.m., Homewood Suites, 287
Apalachee Parkway, Tallahassee 32301
 March 14, 10 a.m. to 12 p.m., Crowne Plaza, 1201
Riverplace Blvd, Jacksonville 32207
 April 28, 4 to 6 p.m., Mariott Waterside, 700 S.
Florida Ave., Tampa 33602
 April 29, 10 a.m. to 12 p.m., Courtyard, 4455 Metro
Parkway, Ft. Meyers 33916
 April 29, Miami, Location TBD
Contact Us
 For more information:
 http://www.mtm-inc.net/hcbs/join-our-providernetwork/home-healthcare-provider-network-application/
 Feiruz Awcash; Education, Training & Outreach Manager
 Phone: 703-344-3352
 Fax: 772-266-4984
 Email: [email protected]
 Tamara Snowden; Network Management Recruiter
 Phone: 636-695-5659
 Fax: 800-459-6224
 Email: [email protected]

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