SERVICE
FUNDING AUTHORIZATION MATRIX Of CPC AND ACCESS
POINT FUNCTIONS Agency Intake Service Author- zation Service Authorized Utilization Manage-ment Waiting List Manage- ment CPC Administrator YES YES Levels One Thru Four YES YES Lee County Board Of Supervisors NO YES ALL YES NO Keokuk Area Hospital YES YES Level Two See Plan Text For Detail NO Mental Health Institutes YES YES Level Two Subject To Pre-Screen See Plan Text For Detail NO Outpatient Service Providers * YES YES Level One Up To Six Visits Level One
CPC Approval For Over Six Visits Level One Only Case Management YES YES Levels One And Three YES NO YES NO NO NO NO ·
Outpatient Service Providers includes the offices of: S.
Kantamneni, M.D. Bridgeway
Counseling
Associates Inc. ResCare, Inc. SERVICE LEVELS: Level
One: - Outpatient
therapy (up to two sessions pending
CPC approval)
- Medication review
- Transportation Level
Two: -
Psychiatric hospitalization up to and including
one week Level Three: - Vocational evaluation / placement
up to 30
days - RCF Placements up to 30 days within 50 miles
of county
- CSP Placements up to 90 Days - Other community support programs
- RCF / MR Up to 5 Days - RCF / PMI
Up to 5 Days Level
Four: - Vocational
Services over 30 days - RCF Placements over 30 days/
beyond 50 miles - RCF / MR
placements over 5 days
- RCF / PMI placements over 5 days
- CSP placements over 90 days - ICF / MR placements Level
Five: - HCBS
approvals
- Alternative programming not listed in plan.
- Services from unapproved provider
- Any service plan (excluding hospital) over $150 per day o
Will
be staffed with hospital professionals
Mental
Health Services Management Plan Questions? :
plogsdon@leecounty.org
Thursday - January 08, 2009 - 05:24 pm CST
SERVICES & INFORMATION
CPC
TABLE OF CONTENTS
All Others
- Hospitalizations over one week *
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