7 AAC 43.466. Targeted case management for children with disabilities

(a) The department will pay an enrolled 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.

(b) The department will pay an enrolled provider for targeted case management provided to a child described in (a) of this section to assist and enable the child to gain access to needed medical, social, educational, developmental, and other services. Targeted case management may be delivered in person, electronically, or by telephone.

(c) Targeted case management services include an intake and needs assessment that involves the ongoing systematic collection of data to determine current status and identify needs in physical, environmental, psychosocial, development, educational, social, behavioral, emotional, and mobility areas. The case manager shall collect data from a family interview, existing available records, and the needs assessment.

(d) 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 and 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 p1an and monitoring its status; and

(6) supporting the family to reach the goals of the individualized family service plan.

(e) 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.

(f) The targeted case management services must

(1) assist families of eligible children in gaining access to infant learning program services and other medical or social services identified in the individualized family service plan;

(2) coordinate and monitor the delivery of infant learning program services 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.

(g) 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;

(B) the nature and scope of Medicaid and other services available under the infant learning program;

(D) children eligible for the infant learning program;

(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.

(h) Providers of targeted case management services must be grantees of the department under 7 AAC 23, and must provide documentation of at least one year of experience in each of the following requirements:

(1) 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;

(2) experience in coordinating and linking community medical, social, educational, and other resources as required by the target population identified in (a) of this section;

(3) working with the target population identified in (a) of this section;

(4) financial management that provides documentation of service and costs

History: Eff. 3/3/2006, Register 177

Authority: AS 47.05.010

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