Basic knowledge and definitions
What does OON stand for?
Out of network
What is the first step that the referring case manager must take?
Arranging an eval by a licensed psychologist or psychiatrist if the child exhibits symptoms consistent with a need for further evaluation
Within __ of receiving the transfer request the care provider’s point of contact notifies ___ of acceptance or denial of RTC placement.
5 business days; case coordinator
Upon receipt of an acceptance for placement at an OON facility the referring case coordinator informs____ and assigned FFS notifies ___ of the OON transfer.
child’s current care provider; DHUAC
True or false; the CM from the referring ORR facility will remain the assigned CM and retain weekly contact with the minor
FALSE! ORR policy states they need to retain weekly contact with the OON provider
Are all residential treatment centers (RTCs) considered OON?
NO
If a licensed clinical psychologist or psychiatrist consulted by ORR or the care provider determines that the child with serious mental health or behavioral health issues requires a level of care found only at a residential treatment center, or that the identified needs of the child would best be served at a different facility what does the CM do?
the case manager completes certain sections of the Transfer Request File in the UAC Portal
If the referring FFS determines that there are no available placements at one of the recommended ORR care providers, the FFS notifies the FFS Supervisor that all recommended ORR placements have been exhausted and works with the FFS Supervisor to identify an appropriate ____.
Out-of-Network facility
The case manager can arrange for a mental health professional to accompany the child during transport if ____
a licensed psychologist or psychiatrist consulted by ORR provides a recommendation that the minor travels with emergency medications to treat mental health conditions
Which case manager works on the child’s case plan goals?
CM from referring facility
Are OON placements affiliated with ORR? It so, how?
single case agreement vs a cooperative agreement
What sections do CMs complete in transfer request file?
In the event of any disagreements between care providers and case coordinators, who and how would these be resolved?
FFS would resolve it via a staffing call
Who fills out the notice of placement in a restrictive setting form?
Clinician at child’s base care provider); what part of the form do clinicians NOT fill out? The box in RTC section and part where you name the OON facility.
TRUE OR FALSE: The permanent care provider will submit any Sexual Abuse (SA)/SIRs from the out-of-network provider; per policy referring care providers are allotted an additional 24 hours to upload Non-Emergency SIRs involving SA.
FALSE; we do not have more time unfortunately
Where will FFS find evidence that a minor needs to transfer to a higher level of care?
UC PORTAL; clear and convincing evidence must be identified and documented in the child’s case file!!!!)
The case coordinator elevates the request to the FFS for consideration for either _____ or _______.
RTC placement; transfer to another ORR care provider more equipped to meet the identified needs of the child
ALL OON placements require a submission of ___ which is reviewed by DHUAC
0Treatment Authorization Request (TAR)
How often is the child’s placement reviewed?
Every 30 days
The referring CM needs to notify (FOJC) of a child’s transfer to an OON provider, what does FOJC stand for and what do they do?
Field Office Juvenile Coordinator; they’re responsible for overseeing processing, transporting, and managing UCs
Why would a child be transferred to an OON and who determines this?
They are a danger to themselves or others; a licensed psychiatrist determines this.
The receiving case coordinator sends the Transfer Request File to the _____
receiving care provider’s point of contact.
When accepting transfer, the ___ provider’s point of contact’s email must indicate the ______ for the placement if the placement is a TAR.
OON; method of funding
Prior to the physical transfer of the child to an OON facility who does the CM need to notify?
Child’s attorney of record
Prior to placing a child out-of-network, the CM will confirm the out-of-network provider can allow the child to ______.
Communicate via video teleconference or alternative modes of communication