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Survey to Gauge Impact of “Redesign”
March 4, 2013

During the past year the Office of Mental Health and Substance Abuse Services (OMHSAS), in conjunction with counties and behavioral health managed care organizations, has implemented initiatives impacting child and adolescent mental health service authorization and service levels. In an effort to gauge the impact of these initiatives PCPA members are asked to provide critical information on the changes the member, consumers/families, and the community have experienced. Please take a few minutes to “cut and paste” responses to the questions below into an email and send them to Connell O’Brien (connell@paproviders.org).

Leadership of the OMHSAS Children’s Bureau and the Disability Rights Network (DRN) has expressed interest in survey responses. Please indicate your willingness to allow PCPA to share your response with OMHSAS, DRN, or both. Please

Agency ____________________________  Contact Person _____________________________
County Served _________________________       Email _______________________________

Summer Therapeutic Activity Program (STAP)
Did and will your agency provide STAP (yes, no) in:  2011 ___   2012 ___       2013 ___
Have you been required to make significant changes in your program description (yes/no) ____
Have you seen a reduction in STAP authorizations? ____  By what percent from 2012? ________
What are the two or three most common reasons given for denial of authorization?
1.
2.
3.
Have you seen an increase in appeals in STAP denials? ______  By what percent from 2012? ________
(please attach any tracking data your agency collects that would reflect change and trends)

Behavioral Health Rehabilitation Services (BHRS)
Have you seen a reduction in BHRS authorizations? ____ By what percent from 2012? ________
What services have been reduced or increased between 2012 and now?
What are the two or three most common reasons given for denial of authorization?
1.
2.
3.
Have you seen an increase in appeals in BHRS denials? ______  By what percent from 2012? ________
(please attach any tracking data your agency collects that would reflect change and trends)

Other programs impacted by significant change in the past year (outpatient, family based, partial hospital, etc.)
Name of Program _______________________      By what percent from 2012? ________
What are the two or three most common reasons given for denial of authorization?
1.
2.
3.
Have you seen an increase in appeals in denials? ______           By what percent from 2012? ________
(please attach any tracking data your agency collects that would reflect change and trends)

General
In the past 18 months has your organization reduced its child-adolescent direct service staff? (yes/no) __________            
If yes, how many individual employees/contractors ________

Is there other program, human resource, fiscal impact or consumer/family impact information that you would like to report?

May PCPA share your survey report and contact information with
OMHSAS?      (yes/no) _______
DRN?            (yes/no) _______

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