Open Tasks and Ongoing CQI. Continued work will focus on ensuring children receive WV Wraparound services statewide, in a timely manner, and at an intensity level that fits their needs. Primary focus areas include: ● Increase WF provider capacity statewide ● Provide WV Wraparound that meets NWI high fidelity standards, including appropriate training and monitoring ● Ensure timely statewide access to WV Wraparound and connection to services identified on the POC Table 2 represents the project tasks to help make continued enhancements to the program and system statewide. Table 2: WV Wraparound Action Items and Related Outcomes Outcome No. Action Owner Projected Timeline Clear operating procedures 6.3.1 Add language to Chapter 503 Appendix F on how RMHTFs will offer the child and family information on ACT (vs. Wraparound), particularly when the child is being discharged from a residential setting. BMS Spring/ Summer 2024 Statewide training 6.3.2 Finalize an updated plan for upcoming trainings for practitioners/supervisors in key Wraparound principles and roles. Track trainings and participants. PIP Team April 2024
Open Tasks and Ongoing CQI. This open task section identifies continued work to help ensure CMCRS is consistently provided to children. DoHS has identified key priorities to help ensure mobile crisis teams and other stakeholders receive the training needed to improve outcomes for children who access children’s mobile crisis services, including: ● Increasing community awareness of CCRL and CMCRS services ● Improving data quality to support mobile response quality improvement efforts, including timeliness of response ● Improving timely and in-person response Table 4 represents the project tasks to help make continued enhancements to the program and system statewide. Table 4: CMCRS Action Items and Related Outcomes Outcome No. Action Owner Projected Timeline Policies and procedures 7.3.1 Update the CMCRS and BMS manuals. BBH, BMS February 2024 7.3.2 Update the CCRL desk guide. BBH February 2024 Increase the number of children and families aware 7.3.3 Add specific outreach to Resource Rundown or other resource to provide communication with families. Marketing March 2024 Outcome No. Action Owner Projected Timeline of CMCRS and connected to the Assessment Pathway as needed 7.3.4 Continue raising awareness of services to diverse communities, including Black, Indigenous, and people of color (BIPOC), children identifying as LGBTQ+, and adoptees. BBH, BMS 7.3.5 Expand data to include referrals from schools and “other” sources, to better understand connections made to the CCRL and outreach opportunities. QA, BBH
Open Tasks and Ongoing CQI. DoHS’s key priority in the upcoming year is to determine a path forward on the TFC services, and to focus on CPA partnerships in recruiting qualified families statewide. Table 8 represents the open project tasks. Table 8: TFC Home Action Items and Related Outcomes Outcome No. Action Owner Projected Timeline Sufficient capacity to meet needs 9.3.1 Determine path forward on TFC services and coordinate with CPAs to recruit qualified families statewide. BSS Summer 2024
Open Tasks and Ongoing CQI. This section identifies the open tasks that are helping to ensure ACT is available to children statewide. DoHS’s key focus areas for the coming year include: ● Ensuring ACT is operational in the eastern panhandle ● Ensuring eligible children are offered the choice of ACT versus Wraparound Table 10 represents the continued project tasks. Table 10: ACT Action Items and Related Outcomes Outcome No. Action Owner Projected Timeline ACT services available statewide 10.3.1 Operationalize ACT in eastern panhandle. BBH, BMS Spring 2024 Outcome No. Action Owner Projected Timeline Trained workforce 10.3.2 Complete residential provider and stakeholder training related to the changes in Chapters 503 to help ensure children are offered a choice of ACT or Wraparound at discharge. BMS Summer 2024
Open Tasks and Ongoing CQI. This section identifies continued work in helping to ensure mental health screening is consistently conducted and monitored and that 52% of Medicaid-eligible children are screened annually. Table 12 represents the continued project tasks. Table 12: Mental Health Screening Action Items and Related Outcomes
Open Tasks and Ongoing CQI. This section identifies continued work to help ensure outreach and education efforts are prioritized. DoHS identified key priorities that include: ● Monitoring and tracking MCO outreach efforts for children’s behavioral health services and screening, as identified in contract requirements ● Continued focus on outreach to the judicial community ● Continued interactive communication and feedback among children and families Table 16 represents the open tasks and anticipated timelines. There is overlap in many of the workgroup tasks related to outreach and education. Table 16: Outreach and Education Action Items and Related Outcomes Outcome No. Action Owner Projected Timeline Improved communication and collaboration among child- serving agencies 13.3.1 Finalize the data use agreement (DUA) with WVDE. QA, Marketing Leadership Spring 2024 Informed judicial community 13.3.2 Continue outreach with judicial community throughout 2024. BSS
Open Tasks and Ongoing CQI. This section identifies continued work in helping to ensure children are appropriately placed in residential interventions only when necessary. DoHS identified key priorities that include: ● Complete the Residential Intensive Treatment (RIT) and Specialized RIT model design, including revision to base and add-on rates for effective treatment. ● Continue to focus on ensuring children placed in both in-state and out-of-state residential intervention are discharged as soon as possible and in accordance with discharge plans. ● Use the QIA process as a tool to prevent the unnecessary placement of children in residential treatment facilities. ● Ensure all children placed in residential treatment settings have a completed QIA that identifies the appropriate level of intervention. ● Continue outreach and communication efforts with the court community. Table 18 represents the continued project tasks. Table 18: Reducing the Reliance on RMHTF Action Items and Related Outcomes Outcome No. Action Owner Projected Timeline Reports available to DoHS staff to monitor, analyze, and drive decisions to improve services 14.3.1 Expand data collection to include out-of- state group residential providers, to include completion of CAFAS/PECFAS, CANS assessments, and discharge plans for all children in out-of-state placements. QA, BSS, BMS Spring 2024
Open Tasks and Ongoing CQI. The Ongoing CQI section identifies continued work in helping to ensure workforce capacity is consistently monitored. DoHS’s key priority for this area is to ensure CSED Waiver provider capacity forecasting analysis is prioritized and completed. Capacity forecasting will be shared with relevant vendors/contractors, such as MCOs, to better inform provider network capacity and focused recruiting efforts. Table 19 represents the primary CQI and reporting efforts. Table 19: Ongoing CQI, Data Analysis, and Reporting Outcome No. Action Owner Ongoing Sufficient provider capacity to meet needs 1 Continued implementation of provider capacity analysis as outlined in the Workforce project plan. QA, BBH, BMS, BSS
