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Tips for Parents Through the Evaluation Process to Access Behavioral Health Services.
The process of obtaining Behavioral Health Services can be quite difficult to navigate. This guide will help families to understand the process and to navigate it effectively.
The first step is an identification of behaviors and diagnosis for your child. This is done through a psychological evaluation at an independent evaluator. The evaluator will determine the necessary services to meet the individual needs of the child.
If services have been recommended for Behavioral Health Services, the psychologist will forward the evaluation to the Managed Care Insurance company (MCO). In Crawford and Mercer counties, the MCO is Value Behavioral Health/Beacon Health Options. An Interagency Service Planning Team (ISPT) meeting will occur. A discussion will take place at their office approximately 10 days following the evaluation.
During an ISPT meeting, the child and parental strengths, needs and concerns are discussed. Following the meeting, the MCO will decide if the services are approved or denied. If services are denied, a grievance meeting can be requested by the parent or caregiver.
After an approval has been accepted, the parent chosen agency, such as RBC, will then formulate a treatment plan to meet the individualized needs of the child and family. A treatment period can range anywhere from 30-180 days in duration.
If the treatment team feels that the child would benefit from continued services after the approved period of time, the team can request the process be restarted with a new evaluation. This process must be repeated each time the plan is due to expire to continue with services. Failure to complete this process results in discharge or a lapse in services at the conclusion of the authorized period of time.
RBC is dedicated to helping new and established families to understand this process and to continue services without delay or lapses. Any questions regarding your child’s individual waiver and plan, please contact us.
Research shows building and maintaining a social support network will improve the health and well-being of children and their families. Having a support strengthens resiliency to stress and lowers the risk of difficult and potentially dangerous behaviors. To boost natural supports, parents can;
Regional Behavioral Consultants, Inc.