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									                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title          Subject(s)                                        Summary


                                                                                  A report was completed which outlines the Division’s strategic planning
                                                                                  process for 2010-2013 as required by Session Law 2006-142. The report
                                                                                  describes the Division's participation in a statewide strategic planning
                                                                                  process with the Department of Health and Human Services that is due to
                                                                                  the Office of State Budget and Management in the fall of 2010. The
                                                                                  report presents specific strategies developed during the last three years
                                                                                  that have the greatest potential for effective standardization of the public
                                      Strategic Plan 2010-                        mental health, developmental disabilities and substance abuse service
     #113          7/2/2010                                  State Strategic Plan
                                          2013 Report                             system. The report also contains accomplishments over the last three
                                                                                  years and measures of each of the five objectives as called for by the
                                                                                  Division’s State Strategic Plan 2007-2010. The Division continues to
                                                                                  build upon progress made in supporting a system of high quality
                                                                                  providers, comprehensive crisis services, standardization of processes,
                                                                                  and in collaborating with state and local partners in improving housing,
                                                                                  education and employment
                                                                                  for the individuals we serve.



                                                                              The report highlights timely access to care; services to persons in need
                                                               Community
                                      SFY 09-10 3rd Qtr                       from all disability areas; timely initiation and engagement in services;
                                                             Systems Progress
     #112           6/2/2010          Community Systems                       effective use of state psychiatric hospitals; state psychiatric hospital
                                                              Report/Critical
                                        Progress Report                       readmissions; timely follow-up after inpatient care and child services in
                                                                 Measures
                                                                              non-family settings for the third quarter of SFY 2009 - 2010.


                                                               Community          These Appendices are a companion document to the Community
                                      SFY 09-10 3rd Qtr      Systems Progress     Systems Progress Report . Both the report and Appendices are
     #112           6/2/2010
                                         Appendices           Report/Critical     available on the Division's website at:
                                                                 Measures         http://www.ncdhhs.gov/mhddsas/statspublications/reports




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                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date         Bulletin Title        Subject(s)                                       Summary

                                                            Community
                                      SFY 09-10 3rd Qtr
                                                          Systems Progress The matrix consists of a table which shows Critical Measures at a
     #112           6/2/2010          LME Performance
                                                           Report/Critical Glance: SFY 2009 - 2010 Third Quarter LME Performance.
                                           Matrix
                                                              Measures


                                                                             The Department of Health and Human Services has made the decision to
                                                                             close the Psychiatric Residential Treatment Facility (PRTF) at Dorothea
                                                                             Dix Hospital by June 30, 2010. With growth in community PRTF
                                                                             capacity (394 community PRTF beds at 60-70% occupancy), the
                                                                             similarity of the clinical profile of the adolescents being served at Dix to
                                                             Psychiatric
                                                                             those served in the community, and with the potential additional capacity
                                      Announcement of        Residential
     #111          5/21/2010                                                 that will be available at Whitaker School in Butner, DHHS has
                                        DDH PRTF          Treatment Facility
                                                                             determined that there is not a clinical reason to continue to operate the
                                                               (PRTF)
                                                                             DDH PRTF. Admissions to the PRTF will be stopped immediately.
                                                                             Current patients will be discharged or transferred to other services by the
                                                                             end of June. The DDH PRTF staff will work collaboratively with patient
                                                                             families/guardians and LMEs to develop appropriate discharge or
                                                                             transition plans for the 12 adolescents currently in the program.




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                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title          Subject(s)                                     Summary

                                                                                  The Division has prepared a strategic plan specifying strategies to
                                                                                  be
                                                                                  implemented over the next three years. This plan also reports
                                                                                  many accomplishments made during the previous three years.
                                                                                  The Division has participated in the strategic planning initiative of
                                                                                  the Department of Health and Human Services. This initiative
                                      State Strategic Plan                        involves all divisions and offices of the Department in the
     #110          5/20/2010                                 State Strategic Plan
                                           2010-2013                              development of a uniform mission, vision and values applicable to
                                                                                  all human services, as well as goals and measurable objectives
                                                                                  related to all services of the Department. Please submit your
                                                                                  comments and questions regarding this communication no later
                                                                                  than Sunday, June 13, 2010 to Rebecca Carina, Planning Team
                                                                                  Leader, by e-mail at Rebecca.Carina@dhhs.nc.gov or by mail at
                                                                                  3003 Mail Service Center, Raleigh, North Carolina 27699-3003.

                                                                              The report highlights timely access to care; services to persons in need
                                                               Community
                                      SFY 09-10 2nd Qtr                       from all disability areas; timely initiation and engagement in services;
                                                             Systems Progress
     #109          3/11/2010          Community Systems                       effective use of state psychiatric hospitals; state psychiatric hospital
                                                              Report/Critical
                                        Progress Report                       readmissions; timely follow-up after inpatient care and child services in
                                                                 Measures
                                                                              non-family settings for the second quarter of SFY 2009 - 2010.

                                                               Community        These Appendices are a companion document to the Community
                                      SFY 09-10 2nd Qtr      Systems Progress   Systems Progress Report . Both the report and Appendices are
     #109          3/11/2010
                                         Appendices           Report/Critical   available on the Division's website at:
                                                                 Measures       http://www.ncdhhs.gov/mhddsas/statspublications/reports



                                                               Community
                                      SFY 09-10 2nd Qtr
                                                             Systems Progress The matrix consists of a table which shows Critical Measures at a
     #109          3/11/2010          LME Performance
                                                              Report/Critical Glance: SFY 2009 - 2010 Second Quarter LME Performance.
                                           Matrix
                                                                 Measures




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                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title          Subject(s)                                    Summary



                                                                              This draft report is provided in response to Session Law 2008-107 (HB
                                                                              2436) Section 10.15(f), which reads:
                                                                              The Department shall perform a services gap analysis of the Mental
                                                                              Health, Developmental Disabilities, and Substance Abuse Services
                                                                              System. The Department of Health and Human Services shall involve
                                       Draft - Report of
                                                                              LMEs in performing the gap analysis.” This report summarizes the
                                      Analysis of Service
                                                              Analysis of     service gaps and priorities identified by the Division of Mental Health,
                                      Gaps in the Mental
                                                             MH/DD/SAS        Developmental Disabilities, and Substance Abuse Services the Local
     # 108          2/9/2010         Health, Developmental
                                                           Service Gaps Draft Management Entities (LMEs), and other local and state partners,
                                        Disabilities and
                                                                 Report       including Consumer and Family Advisory Committees, NC Institute of
                                       Substance Abuse
                                                                              Medicine task forces, and MH/DD/SA advocacy groups. The service
                                        Service System
                                                                              gaps and needs that these stakeholders identified fall into six main
                                                                              themes: Long Term Supports for Independence and Recovery; Quality
                                                                              and Accountability; Workforce Development; Expansion of Services;
                                                                              Services for Vulnerable Populations and Leadership and System
                                                                              Management.




                                                                               The appendices are a companion document to the Report of
                                                                               Analysis of Service Gaps in the Mental Health, Developmental
                                     Draft - Appendices for                    Disabilities and Substance Abuse Service System . Both the report
                                     the Report of Analysis                    and appendices have been posted on the Division's website to
                                     of Service Gaps in the    Analysis of     provide an opportunity for our partners and the public to review
                                         Mental Health,       MH/DD/SAS        and to provide comments before the report is finalized and
     # 108          2/9/2010
                                         Developmental      Service Gaps Draft submitted to the Joint Legislative Oversight Committee on
                                         Disabilities and         Report       MH/DD/SA Services and to the General Assembly. Comments
                                        Substance Abuse                        should be sent to ContactDMHQuality@dhhs.nc..gov and will be
                                         Service System                        accepted through February 28, 2010. The draft report and
                                                                               appendices can be found under “What’s New” at:
                                                                               http://www.ncdhhs.gov/mhddsas/




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                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title       Subject(s)                                      Summary


                                                                            The report highlights timely access to care; services to persons in need
                                                             Community
                                       SFY 09-10 1st Qtr                    from all disability areas; timely initiation and engagement in services;
                                                           Systems Progress
     #107          12/21/2009         Community Systems                     effective use of state psychiatric hospitals; state psychiatric hospital
                                                            Report/Critical
                                        Progress Report                     readmissions; timely follow-up after inpatient care and child services in
                                                               Measures
                                                                            non-family settings for the first quarter of SFY 2009 - 2010.



                                                             Community        These Appendices are a companion document to the Community
                                      SFY 09-10 1st Qtr    Systems Progress   Systems Progress Report . Both the report and Appendices are
     #107          12/21/2009
                                         Appendices         Report/Critical   available on the Division's website at:
                                                               Measures       http://www.ncdhhs.gov/mhddsas/statspublications/reports



                                                             Community
                                      SFY 09-10 1st Qtr
                                                           Systems Progress The matrix consists of a table which shows Critical Measures at a
     #107          12/21/2009         LME Performance
                                                            Report/Critical Glance: SFY 2009 - 2010 First Quarter LME Performance.
                                           Matrix
                                                               Measures




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                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title        Subject(s)                                     Summary


                                                                           The North Carolina Department of Health and Human Services, Division
                                                                           of Mental Health, Developmental Disabilities and Substance Abuse
                                                                           Services (DMH/DD/SAS) and the Division of Medical Assistance
                                                                           (DMA) are in the process of requesting approval from the Centers for
                                                                           Medicare and Medicaid Services (CMS) for a Mental Health,
                                                                           Developmental Disabilities and Substance Abuse service waiver
                                      Waiver Leadership      MH/DD/SAS     program. DMA and DMH/DD/SAS have contracted with Mercer to
                   12/18/2009
                                       Team Program         Waiver Program assist in the development of the waiver application amendment that is
                                                                           scheduled to be submitted this month. The divisions are also working on a
     #106
                                                                           Request For Applications (RFA) for local management entities who may
                                                                           be interested in participating in this waiver. The Waiver Leadership
                                                                           Team has established a vision statement for this waiver expansion
                                                                           program: Responsible Change to Achieve Easy Access, Better Quality
                                                                           and Personal Outcomes.


                                                                              The model for this waiver amendment is based upon the current
                                                                              1915(b)/(c) waiver that has been operating in Cabarrus, Davidson,
                                                                              Rowan, Stanly, and Union counties since April 2005. The State plans to
                                                                              release the initial RFA in the spring of 2010. Upon success of this waiver
                                      Waiver Leadership     MH/DD/SAS
                                                                              initiative, it is anticipated that DHHS will issue additional RFAs to
                   12/18/2009        Team Program          Waiver Program
                                                                              establish more waiver entities within the state. Additional information
                                            ( contd)              ( contd)
                                                                              about this 1915(b)/(c) waiver will be provided through a designated
     #106
                                                                              Waiver Web Page, the joint DMH/DD/SAS and DMA Implementation
                                                                              Updates, DMH/DD/SAS Communication Bulletins, DMA Medicaid
                                                                              Bulletins and a Special Series of Waiver Fact Sheets.

                                                                            The report highlights timely access to care; services to persons in need
                                                             Community
                                       SFY 08-09 4th Qtr                    from all disability areas; timely initiation and engagement in services;
                                                           Systems Progress
     #105          9/10/2009          Community Systems                     effective use of state psychiatric hospitals; state psychiatric hospital
                                                            Report/Critical
                                        Progress Report                     readmissions; timely follow-up after inpatient care and child services in
                                                               Measures
                                                                            non-family settings for the fourth quarter of SFY 2008-2009.




                                                                  6 OF 28
                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title       Subject(s)                                      Summary

                                                             Community        These Appendices are a companion document to the Community
                                      SFY 08-09 4th Qtr    Systems Progress   Systems Progress Report . Both the report and Appendices are
     #105          9/10/2009
                                         Appendices         Report/Critical   available on the Division's website at:
                                                               Measures       http://www.ncdhhs.gov/mhddsas/statspublications/reports


                                                             Community
                                      SFY 08-09 4th Qtr
                                                           Systems Progress The matrix consists of a table which shows Critical Measures at a
     #105          9/10/2009          LME Performance
                                                            Report/Critical Glance: SFY 2009 4th Quarter LME Performance.
                                           Matrix
                                                               Measures

                                                                              In response to input from our stakeholders, the Division has made modest
                                                                              changes to the NC Treatment Outcomes and Program Performance
                                     NC-TOPPS SFY2009-
                                                                              System (NC-TOPPS), effective July 1, 2009. Minor changes have been
     #104          6/26/2009         2010 Guidelines and      NC-TOPPS
                                                                              made to both the SFY 2009-2010 NC-TOPPS Guidelines and the SFY
                                       New User Tools
                                                                              2009-2010 online interviews.
                                                                              New security policies are also being developed for the system.
                                                                            The report highlights timely access to care; services to persons in need
                                                             Community
                                      SFY 08-09 3rd Qtr                     from all disability areas; timely initiation and engagement in services;
                                                           Systems Progress
     #103           6/5/2009          Community Systems                     effective use of state psychiatric hospitals; state psychiatric hospital
                                                            Report/Critical
                                        Progress Report                     readmissions; timely follow-up after inpatient care and child services in
                                                               Measures
                                                                            non-family settings for the third quarter of SFY 2008-2009.


                                                             Community        These Appendices are a companion document to the Community
                                      SFY 08-09 3rd Qtr    Systems Progress   Systems Progress Report . Both the report and Appendices are
     #103           6/5/2009
                                         Appendices         Report/Critical   available on the Division's website at:
                                                               Measures       http://www.ncdhhs.gov/mhddsas/statspublications/reports




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                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date           Bulletin Title          Subject(s)                                      Summary


                                                                 Community
                                       SFY 08-09 3rd Qtr
                                                               Systems Progress The matrix consists of a table which shows Critical Measures at a
     #103           6/5/2009           LME Performance
                                                                Report/Critical Glance: SFY 2009 3rd Quarter LME Performance.
                                            Matrix
                                                                   Measures



                                                                                The report highlights timely access to care; services to persons in need
                                                                 Community
                                      SFY 08-09 2nd Qtr                         from all disability areas; timely initiation and engagement in services;
                                                               Systems Progress
     # 102          3/3/2009          Community Systems                         effective use of state psychiatric hospitals; state psychiatric hospital
                                                                Report/Critical
                                        Progress Report                         readmissions; timely follow-up after inpatient care and child services in
                                                                   Measures
                                                                                non-family settings for the second quarter of SFY 2008-2009.


                                                                 Community        These Appendices are a companion document to the Community
                                       SFY08-09 2nd Qtr        Systems Progress   Systems Progress Report . Both the report and Appendices are
     # 102          3/3/2009
                                          Appendices            Report/Critical   available on the Division's website at:
                                                                   Measures       http://www.ncdhhs.gov/mhddsas/statspublications/reports



                                       SFY 08-09 2nd Qtr         Community
                                       LME Performance         Systems Progress The matrix consists of a table which shows Critical Measures at a
     # 102          3/3/2009
                                            Matrix              Report/Critical Glance: SFY 2009 2nd Quarter LME Performance.
                                                                   Measures


                                                                                  This report is a compilation of all complaints received by Local
                                     State Fiscal Year 2007-
                                                                                  Management Entities (LMEs) for fiscal year 2007-2008. The report
                                      2008 Annual Report
     #101           2/25/2009                                                     allows the public to view and print graphs showing current LME
                                          on Complaints
                                                                  Complaints      information on complaints about mental health, developmental
                                       Received By LMEs
                                                                                  disabilities and substance abuse services throughout the state.




                                                                      8 OF 28
                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title         Subject(s)                                      Summary

                                                                                The outcomes dashboard allows the public to view and print graphs
                                     NC-TOPPS Outcomes
     #100          12/22/2008                                   NC-TOPPS        showing current State and LME information on
                                     at a Glance Dashboard
                                                                                meaningful outcomes for substance abuse and mental health consumers.


                                                                              The report highlights timely access to care; services to persons in need
                                                               Community
                                       SFY 08-09 1st Qtr                      from all disability areas; timely initiation and engagement in services;
                                                             Systems Progress
     #099          12/15/2008         Community Systems                       effective use of state psychiatric hospitals; state psychiatric hospital
                                                              Report/Critical
                                        Progress Report                       readmissions; timely follow-up after inpatient care and child services in
                                                                 Measures
                                                                              non-family settings for the first quarter of SFY 08-09.



                                                               Community        These Appendices are a companion document to the Community
                                      SFY 08-09 1st Qtr      Systems Progress   Systems Progress Report . Both the report and Appendices are
     #099          12/15/2008
                                         Appendices           Report/Critical   available on the Division's website at:
                                                                 Measures       http://www.ncdhhs.gov/mhddsas/statspublications/reports




                                                               Community
                                      SFY 08-09 1st Qtr
                                                             Systems Progress The matrix consists of a table which shows Critical Measures at a
     #099          12/15/2008         LME Performance
                                                              Report/Critical Glance: SFY 2009 1st Quarter LME Performance.
                                           Matrix
                                                                 Measures




                                                                              The report highlights timely access to care; services to persons in need
                                                               Community
                                       SFY 07-08 4th Qtr                      from all disability areas; timely initiation and engagement in services;
                                                             Systems Progress
     #098           9/15/2008         Community Systems                       effective use of state psychiatric hospitals; state psychiatric hospital
                                                              Report/Critical
                                        Progress Report                       readmissions; timely follow-up after inpatient care and child services in
                                                                 Measures
                                                                              non-family settings for the fourth quarter SFY 2007-2008.




                                                                    9 OF 28
                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title         Subject(s)                                      Summary


                                                               Community        These Appendices are a companion document to the Community
                                      SFY 07-08 4th Qtr      Systems Progress   Systems Progress Report . Both the report and Appendices are
     #098           9/15/2008
                                         Appendices           Report/Critical   available on the Division's website at:
                                                                 Measures       http://www.ncdhhs.gov/mhddsas/statspublications/reports




                                      SFY 07-08 4th Qtr        Community
                                      LME Performance        Systems Progress The matrix consists of a table which shows Critical Measures at a
     #098           9/15/2008
                                           Matrix             Report/Critical Glance: SFY 2008 4th Quarter LME Performance.
                                                                 Measures



                                                                                After over forty years of service to the people of North Carolina, Phillip
                                                                                Hoffman, Chief of Resource and Regulatory Management, will be
                                     Chief of Resource and
                                                                                retiring from the Division of Mental Health, Developmental Disabilities,
     #097          8/25/2008              Regulatory          Staff Changes
                                                                                and Substance Abuse Services effective October 31, 2008. Jim Jarrard,
                                         Management
                                                                                currently the Division’s Accountability Team Leader, has agreed to
                                                                                accept the challenge of serving in this key leadership role.
                                                                                In SFY 2008, the Consumer Empowerment Team of the Division’s
                                      2008 Consumer and                         Advocacy and Customer Service Section was charged with the
     #096           8/4/2008           Family Advisory            CFAC          responsibility of providing training to CFACs in North Carolina. This
                                      Committee Training                        was made possible by a one-time allocation of $100,000 from the
                                                                                General Assembly.
                                                                                The Division has made several improvements to the NC Treatment
                                                                                Outcomes and Program Performance System (NC-TOPPS) to be
                                     NC-TOPPS SFY 2008-
     #095          6/30/2008                                    NC-TOPPS        implemented on July 1, 2008. These changes are in the following areas:
                                      2009 Improvements
                                                                                shorter online consumer interviews; new printable interview forms;
                                                                                improved user enrollment process and updated guidelines.




                                                                   10 OF 28
                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title      Subject(s)                                       Summary
                                                                              The Consumer Handbook was developed to help guide and assist
                                                                              individuals seeking services and supports from the public mental health,
                                         MH/DD/SAS           Consumer         developmental disabilities and substance abuse service system. It
     #094          6/19/2008
                                      Consumer Handbook      Handbook         includes information about how to access services, person-centered
                                                                              planning, crisis services, rights and responsibilities of consumers, and
                                                                              helpful contacts and resources.

                                                                           The report highlights timely access to care; services to persons in need
                                                            Community
                                      SFY 07-08 3rd Qtr                    from all disability areas; timely initiation and engagement in services;
                                                          Systems Progress
     #093           6/2/2008          Community Systems                    effective use of state psychiatric hospitals; state psychiatric hospital
                                                           Report/Critical
                                        Progress Report                    readmissions; timely follow-up after inpatient care and child services in
                                                              Measures
                                                                           non-family settings for the third quarter SFY 2007-2008.



                                                            Community         These Appendices are a companion document to the Community
                                      SFY 07-08 3rd Qtr   Systems Progress    Systems Progress Report . Both the report and Appendices are
     #093           6/2/2008
                                         Appendices        Report/Critical    available on the Division's website at:
                                                              Measures        http://www.ncdhhs.gov/mhddsas/statspublications/reports


                                                                              This communication bulletin has been developed to ensure that
                                                                              stakeholders have accurate information about the transition from John
                                                                              Umstead and Dorothea Dix Hospitals to Central Regional Hospital
                                                                              (CRH). The physical transition to CRH will begin in early June and be
                                                                              completed by July 1, 2008. Additional information about CRH can be
                                       Central Regional
     #092           5/8/2008                               State Facilities   viewed at the following web
                                           Hospital
                                                                              site:http://www.ncdhhs.gov/mhddsas/centralhospital/index.htm
                                                                              Communications in the future weeks will include the details of the move
                                                                              plan, information about the Dix unit implementation, the status of
                                                                              finalizing the new facility construction, and schedules for staff
                                                                              orientation.




                                                                11 OF 28
                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title         Subject(s)                                      Summary

                                       Central Regional
     #092           5/8/2008                                  State Facilities   Frequently asked questions (FAQs) about CRH-Dix Unit.
                                           Hospital

                                     DMHDDSAS Policy                              The Division has approved a reimbursement plan through IPRS for six
                                           Regarding                             state funded Y-Code services provided to substance abuse target
                                       Qualifications of                         populations by designated non-licensed substance abuse professionals.
                                        Designated Non-                          Licensed professionals are required to continue to utilize the current H-
                                      Licensed Substance                         Codes. This plan is effective July 1, 2008. Attachment A lists the
     #091           5/5/2008           Abuse Counseling            IPRS          approved billing codes. Appendix B addresses the required
                                     Professionals Eligible                      qualifications of the non-licensed SA professionals who are eligible to
                                      for Reimbursement                          bill for services under the state-funded target populations. These codes
                                       Through IPRS for                          only apply to IPRS billing for non-licensed SA counseling professionals.
                                     State Funded Y-Code                         LCAS and CCS will continue to utilize the Medicaid and state-funded H-
                                            Services                             codes.

                                                                                  By July 1, 2008 the Division is requiring all MH/DD/SAS provider
                                                                                 agencies receiving public funding to enter their profile data into the
                                                                                 NCcareLINK system. A requirement for all providers to share their
                                     Provider Entry of Data
                                                                                 information through NCcareLINK will be included in the SFY 2009
     #090          3/19/2008          into the NCcareLink      NCcareLink
                                                                                 LME Provider Contract or Memorandum of Agreement. NCcareLINK
                                             System
                                                                                 (www.nccarelink.gov) is a web-based Information and Referral system
                                                                                 unveiled in August 2007 that is designed to assist people seeking a
                                                                                 variety of health and human services in North Carolina. A guidance
                                                                                 manual is included in this communication.

                                                                                 We have redesigned the NC-TOPPS website to improve sharing
                                       New NC-TOPPS                              of information on the consumer outcomes system. The new
     #089          3/17/2008                                   NC-TOPPS
                                     Website and Guidelines                      website can be accessed at the following
                                                                                 address:http://www.ncdhhs.gov/mhddsas/nc-topps




                                                                   12 OF 28
                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title       Subject(s)                                       Summary



                                                             Community        The report highlights services to persons in need from all disability areas;
                                      SFY 07-08 2nd Qtr
                                                           Systems Progress   timely initiation and engagement in services; effective use of state
     #088          2/25/2008          Community Systems
                                                            Report/Critical   psychiatric hospitals; and timely follow-up after inpatient care for the
                                        Progress Report
                                                               Measures       second quarter of SFY 2007-2008.




                                                             Community        These Appendices are a companion document to the Community
                                      SFY 07-08 2nd Qtr    Systems Progress   Systems Progress Report . Both the report and Appendices are
     #088          2/25/2008
                                         Appendices         Report/Critical   available on the Division's website at:
                                                               Measures       http://www.ncdhhs.gov/mhddsas/statspublications/reports


                                                                              Guidelines for the Use of SA Treatment Funds describe the Contingency
                                                                              Management best practice approach and outline the process for Local
                                       Substance Abuse      SA Treatment
     #087           1/3/2008                                                  Management Entities (LMEs) and providers to follow to implement this
                                      Nominal Incentives       Funds
                                                                              approach in programs serving substance abuse consumers. These
                                                                              guidelines have an implementation date of January 1, 2008.


                                                             Community        The report highlights services to persons in need from all disability areas;
                                       SFY 07-08 1st Qtr
                                                           Systems Progress   timely initiation and engagement in services; effective use of state
     #086          12/4/2007          Community Systems
                                                            Report/Critical   psychiatric hospitals; and timely follow-up after inpatient care for the
                                        Progress Report
                                                               Measures       first quarter of SFY 2007-2008.



                                                             Community        These Appendices are a companion document to the Community
                                       SFY 07-08 1st Qtr   Systems Progress   Systems Progress Report . Both the report and Appendices are
     #086          12/4/2007
                                         Appendices         Report/Critical   available on the Division's website at:
                                                               Measures       http://www.ncdhhs.gov/mhddsas/statspublications/reports




                                                                 13 OF 28
                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title         Subject(s)                                       Summary

                                     Provider Applications
                                                             SAS RFP Local
                                     for Substances Abuse                        These applications have been developed in response to Session Law
                                                              Host-Regional
     #085          12/3/2007          Service Cross Area                         2007-323, House Bill 1473 to increase the availability of substance abuse
                                                             Purchase Budget
                                       Services Program                          treatment.
                                                                  Form
                                        (CASP) Funding
                                                                                 There have recently been a number of stories in the media regarding the
                                                               Community
                                                                                 future of Community Rehabilitation Programs (CRPs), commonly known
                                          Community           Rehabilitation
                                                                                 as Sheltered Workshops. These articles have erroneously created the
     #084          11/19/2007            Rehabilitation        Programs or
                                                                                 impression that the Division of Mental Health, Developmental
                                           Programs             Sheltered
                                                                                 Disabilities and Substance Abuse Services is planning to discontinue its
                                                                Workshops
                                                                                 support of CRPs.
                                     LMEs Selected for the
                                                                                 Four Local Management Entities (LMEs) have been selected to
                                      HB 1473 Legislative
                                                                                 participate in the Hospital Pilot project required by Section 10.49 (s1-s5)
                                       Pilot for LMEs to
     #083          11/1/2007                                  State Facilities   of HB 1473. The four selected LMEs will receive funding to reduce
                                         Reduce State
                                                                                 State psychiatric hospital use and to increase local services for persons
                                      Psychiatric Hospital
                                                                                 with mental illness.
                                              Usage
                                                                                 The Division created the Provider Action Agenda Committee (PAAC), a
                                       DRAFT Provider                            group comprised of representatives from provider agencies and Local
                                        Action Agenda                            Management Entities, to achieve more integrated and standardized
     #082          10/24/2007            Committee                PAAC           processes and procedures in the delivery of publicly funded mental
                                     Recommendations for                         health, developmental disabilities, and substance abuse services. Please
                                       Public Comment                            provide any suggestions or feedback regarding this document to Dick
                                                                                 Oliver, dick.oliver@ncmail.net, by November 30, 2007.

                                       Standards for LME
                                                                                 These standards will be used as the basis for the Division to award single
                                        Qualifications for    Single Stream
     #081          10/1/2007                                                     stream funding after October 1, 2007 to any LME that meets these
                                     Single Stream Funding       Funding
                                                                                 standards within the SFY 08 and SFY 09 fiscal years.
                                      for SFY08 & SFY09




                                                                   14 OF 28
                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title         Subject(s)                                       Summary
                                                                              The report highlights from the Fourth Quarter SFY 2006-2007 services
                                                                              to Persons in Need; Timely Initiation and Engagement in Service;
                                                               Community
                                       SFY 06-07 4th Qtr                      Effective Use of State Psychiatric Hospitals; Timely Follow-Up after
                                                             Systems Progress
     #080          9/10/2007          Community Systems                       Inpatient Care; Consumer Choice of Service Providers; Use of Evidence-
                                                              Report/Critical
                                        Progress IReport                      Based Service Models and Best Practices; Consumer/Family
                                                                 Measures
                                                                              Involvement in System (CFAC Attendance) and Effective Management
                                                                              of Information

                                                               Community         These Appendices are a companion document to the Community
                                      SFY 06-07 4th Qtr      Systems Progress    Systems Progress Report . Both the report and Appendices are
     #080          9/10/2007
                                         Appendices           Report/Critical    available on the Division's website at:
                                                                 Measures        http://www.ncdhhs.gov/mhddsas/statspublications/reports


                                                                                 Section 10.49(y) of the 2007-2009 Appropriations Act, HB 1473,
                                                              Single Stream      requires the Department of Health and Human Services to “designate two
     #079          8/31/2007         Single Stream Funding
                                                                 Funding         additional local management entities to receive all State allocations
                                                                                 through single stream funding” by September 1, 2007.

                                                                                 On July 5, 2007, Governor Mike Easley signed HB 625 into law. This
                                                                                 legislation made changes to the names of several of the facilities operated
                                                                                 by the Division of Mental Health, Developmental Disabilities, and
                                      State Facility Name
     #078          8/21/2007                                  State Facilities   Substance Abuse Services. It clarifies that the hospitals are psychiatric
                                            Changes
                                                                                 hospitals, updates the designation of Caswell, Murdoch and J. Iverson
                                                                                 Riddle to developmental centers and specifies that Whitaker and Wright
                                                                                 Schools are residential programs for children.
                                                                                 This guidance document provides an overview of the Complaint
                                                                                 Reporting System and associated forms. Instructions regarding data
                                     Guidelines for LME
                                                                                 collection, analysis and reporting are provided. Updates to this document
     #077          8/14/2007         Complaint Reporting        Complaints
                                                                                 include instructions for the changes made to the Customer Service
                                      System -- Update
                                                                                 Collection Form and the LME Quarterly
                                                                                 Complaint Report.




                                                                   15 OF 28
                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title         Subject(s)                                     Summary
                                                                               This form is to be used by Local Management Entity (LME) staff to
                                                                               document customer service issues such as concerns, complaints,
                                                                               compliments, investigations and requests for information involving any
                                       Customer Service
     #077          8/14/2007                                    Complaints     person requesting or receiving publicly funded MH/DD/SA services from
                                        Collection Form
                                                                               a LME or a MH/DD/SA service provider.


                                                                               This form is meant to summarize all complaints made to an Area
                                         LME Quarterly
     #077          8/14/2007                                    Complaints     Authority/County Program (AA/CP) for each quarter in the state fiscal
                                        Complaint Report
                                                                               year.
                                                                               Administrative Rule 10A NCAC 27G .0609 requires each LME to report
                                                                               to the Division of Mental Health,
                                      Complaint Reporting
     #077          8/14/2007                                    Complaints     Developmental Disabilities and Substance Abuse Services
                                         Instructions
                                                                               (DMH/DD/SAS) on a quarterly basis in an electronic
                                                                               format provided by the Secretary on all complaints made to the LME.

                                          James Osberg                         James W. Osberg, Ph.D., has been promoted to the position of Chief of
     #076          7/27/2007           appointed chief of      Staff Changes   State Operated Services in the Division of Mental Health, Developmental
                                     State Operated Services                   Disabilities, and Substance Abuse Services.

                                                                               Trend seen across LMEs to reduce or deny state funding across the board
                                                                               to individuals served on the CAP-MR/DD waiver who may be dually
                                     Clarification Regarding
                                                                               diagnosed with both a developmental disability (DD) and mental illness.
                                     IPRS Funding for CAP-
     #075           7/2/2007                                       IPRS        In a similar trend, we have noted that LMEs are doing across the board
                                        MR/DD Waiver
                                                                               reductions in rates of state funded DD services. Guidelines put in place
                                            Recipients
                                                                               in order to ensure that all of the needs of consumers are met including the
                                                                               assurance of health and safety.
                                      State Strategic Plan                     The State Strategic Plan was developed with priorities which will
     #074          6/29/2007                                    State Plan
                                      2007 - 2010 Memo                         improve services and supports for consumers and families.




                                                                   16 OF 28
                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title         Subject(s)                                      Summary
                                                                              The report highlights for the third quarter of of SFY 2006-2007 Services
                                                                              to Persons In Need; Timely initiation and engagement
                                                               Community      in service; Effective use of state psychiatric hospitals; Timely follow-up
                                      SFY 06-07 3rd Qtr
                                                             Systems Progress after inpatient care; Consumer choice of service
     #073          5/31/2007          Community Systems
                                                              Report/Critical providers; Use of evidence based service models and best
                                        Progress Report
                                                                 Measures     practices; Involvement of consumers and family members in the local
                                                                              system; Effective management of service funds and Effective
                                                                              management of information.

                                                               Community        These Appendices are a companion document to the Community
                                      SFY 06-07 3rd Qtr      Systems Progress   Systems Progress Report . Both the report and Appendices are
     #073          5/31/2007
                                         Appendices           Report/Critical   available on the Division's website at:
                                                                 Measures       http://www.ncdhhs.gov/mhddsas/statspublications/reports


                                     DRAFT State Strategic                    A draft of the State Strategic Plan for 2007-2010 was presented for
     #072          4/27/2007                                     State Plan
                                        Plan 2007-10                          public review and comment.
                                                                              The report highlights for the Second Quarter SFY 2006-2007 Services to
                                                                              Persons In Need; Timely initiation and engagement
                                                               Community      in service; Effective use of state psychiatric hospitals; Timely follow-up
                                      SFY 06-07 2nd Qtr
                                                             Systems Progress after inpatient care; Consumer choice of service
     #071          3/27/2007          Community Systems
                                                              Report/Critical providers; Use of evidence based service models and best
                                       Progress Report
                                                                 Measures     practices; Involvement of consumers and family members in the local
                                                                              system; Effective management of service funds and Effective
                                                                              management of information.

                                                               Community        These Appendices are a companion document to the Community
                                      SFY 06-07 2nd Qtr      Systems Progress   Systems Progress Report . Both the report and Appendices are
     #071          3/27/2007
                                         Appendices           Report/Critical   available on the Division's website at:
                                                                 Measures       http://www.ncdhhs.gov/mhddsas/statspublications/reports




                                                                   17 OF 28
                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title          Subject(s)                                     Summary

                                                                              Effective March 19, 2007 the Division will be adding a new Adult
                                                                              Substance Abuse IPRS target population for Treatment Engagement and
                                     Adult Substance Abuse                    Recovery (ASTER). The addition of this target population will
     #070          3/15/2007          Target Populations   Target Populations immediately assure statewide eligibility for substance abuse assessment
                                            Expanded                          and treatment services for an adult consumer with a primary substance
                                                                              abuse or dependence disorder who is not already eligible for services
                                                                              through a current target population.

                                                                                One of the most critical components to achieving the goal of consumers
                                                                                being able to live in communities of their choice is ensuring an adequate
                                                                                supply of decent, safe and affordable housing for persons with mental
                                                                                illness, developmental disabilities and/or substance abuse disorders. In
                                                                                order to maximize this opportunity, various initiatives that have been
     #069          2/12/2007           Housing Initiatives        Housing       undertaken to address the housing needs of consumers are discussed. A
                                                                                Housing Specialist position was established in the Division to designate a
                                                                                staff member to be actively engaged and dedicated solely to housing
                                                                                activities. Funding has also been provided for 20 housing specialist
                                                                                positions in the LMEs. A description of LME Housing Coordination
                                                                                Activities and an overview of key housing initiatives are attached.

                                        Revised Local                           Two documents provided which will be used to guide the development of
                                                               Local Business
     #068          12/22/2006         Business Plan 2007-                       Local Management Entities (LMEs) Local Business Plans (LBP) for SFY
                                                                    Plan
                                             2010                               2007-2010.
                                       Update to Bulletin                       An update was provided to one of the forms included in DMH/DD/SAS
     #067          12/18/2006         #063 Non-Medicaid            Appeals      Communication Bulletin #063, Non-Medicaid Appeal Process, issued on
                                        Appeal Process                          10/9/2006.
     #066          10/31/2006           State Plan 2006          State Plan     Analysis of State Plans 2001-2005.

                                     Cultural and Linguistic                    The Division is pleased to accept the final report submitted by the
                                                                 Cultural
     #065          10/23/2006         Competency Action                         Cultural Competency Advisory Group entitled, Cultural and Linguistic
                                                                Competency
                                               Plan                             Competency Action Plan.




                                                                    18 OF 28
                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title        Subject(s)                                      Summary

                                         Standardized
                                       Guidelines for the
                                     Payment of Room and       Residential      The development of standardized guidelines for payment of room and
     #064          10/16/2006
                                      Board for Medicaid       Treatment        board for children in residential placements.
                                      Eligible Children in
                                     Residential Placement

                                     Non-Medicaid Appeal                        NCGS 143-B-147(a) 10.35 (a) required the adoption of rules to allow a
     #063          10/9/2006                                     Appeals
                                          Process                               Non-Medicaid Appeal Process. Process developed and implemented.

                                                                                The Division created the Provider Action Agenda Committee (PAAC, a
                                                                                group comprised of representatives from provider agencies and Local
     #062          10/4/2006         Provider Action Update      PAAC           Management Entities, to achieve more integrated and standardized
                                                                                processes and procedures in the delivery of publicly funded mental
                                                                                health, developmental disabilities, and substance abuse services.
                                     Partners for Planning                      Partnering of the Division and LMEs to plan and develop regional crisis
     #061          8/14/2006           Regional Crisis        Crisis Services   facilities to meet the needs of consumers who may need immediate
                                           Services                             services.
                                                                                The North Carolina General Assembly recently enacted legislation which
                                                                                made several changes to Chapter 122C, the Mental Health,
                                     Legislative Changes to
                                                                                Developmental Disabilities and Substance Abuse Services Act of 1985.
     #060           8/7/2006          the Structure of Area   Area Boards
                                                                                The legislation, S. L. 2006-142, became effective July 19, 2006.
                                              Boards
                                                                                Changes that relate to the composition and structure of Area Boards is
                                                                                addressed.
                                     Session Law 2006-142                       State and local CFACs are now codified in statute. The new statute is
     #059           8/2/2006          House Bill 2077 Re:         CFAC          entitled Mental Health Reform Changes (Session Law 2006-142, House
                                     State and Local CFACs                      Bill 2077.




                                                                  19 OF 28
                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title         Subject(s)                                     Summary

                                                                              The Division has requested that the LMEs currently funded to provide
                                                                              regional services not proceed with plans to divest unless they have
                                     Services to Consumers    Deaf, Hard of
                                                                              already done so. LMEs that have currently contracted out for these
     #058           7/5/2006         who are Deaf, Hard of   Hearing or Deaf-
                                                                              specialty services may continue with their contract arrangement or re-
                                     Hearing or Deaf-Blind        Blind
                                                                              establish deaf specialty positions on the LME payroll.


                                                                               There is currently legislation pending that would modify the timing and
                                       Modify Timing of                        purpose of the State Plan. The legislation modifies the timing of issuance
     #057          6/14/2006                                    State Plan
                                          State Plan                           of the State Plan, calling for them to be issued every three years,
                                                                               beginning July 1, 2007.
                                                                               This guidance document provides an overview of the Complaint
                                                                               Reporting System and associated forms.
                                     Guidelines for LME
                                                                               Instructions regarding data collection, analysis and reporting are
     # 056         6/12/2006         Complaint Reporting        Complaints
                                                                               provided. Updates to this document include
                                           System
                                                                               instructions for the changes made to the Customer Service Collection
                                                                               Form and the LME Quarterly Complaint Report.
                                                                               This form is to be used by Local Management Entity (LME) staff to
                                                                               document customer service issues such as concerns, complaints,
                                     Guidelines for LME                        compliments, investigations and requests for information involving any
     # 056         6/12/2006         Complaint Reporting        Complaints     person requesting or receiving publicly funded MH/DD/SA services from
                                           System                              a LME or a MH/DD/SA service provider.


                                     Guidelines for LME                        This form is meant to summarize all complaints made to an Area
     # 056         6/12/2006         Complaint Reporting        Complaints     Authority/County Program (AA/CP) for each quarter in the state fiscal
                                           System                              year.
                                                                               The reporting of complaints regarding NCGS 122C licensed facilities
                                     Guidelines for LME
                                                                               (except hospitals) and unlicensed community-based providers of mental
     # 056         6/12/2006         Complaint Reporting        Complaints
                                                                               health, developmental disability and
                                           System
                                                                               substance abuse services is a statewide requirement.
                                        New Phases for
     #055           6/1/2006                                  Endorsement      New Phases for Provider Endorsement provided.
                                     Provider Endorsement




                                                                  20 OF 28
                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title          Subject(s)                                       Summary

                                     Standardized Contract
                                        for State-Funded
                                     Services; Standardized                     The LME and the Provider enter into this Contract to govern Provider’s
     #054           3/9/2006         Guidance on Provider     Provider Contract provision of mental health, developmental disabilities and substance
                                     Billing Requirements;                      abuse services to individuals referred to it by the LME.
                                      Standardized Excel
                                         Billing Format
                                     Provider Claim/Denial
     #054           3/9/2006                                  Provider Contract Standardized provider billing format.
                                             Format
                                      Standardized Excel
     #054           3/9/2006                                  Provider Contract Standardized Excel provider billing format.
                                         Billing Format
                                        DMH/DD/SAS
                                                                                 A plan was developed as an initial set of action steps to be taken to
     #053          2/10/2006            Provider Action            PAAC
                                                                                 address identified provider concerns.
                                             Agenda
                                                                                 Centers for Medicare and Medicaid Services (CMS) has approved the
                                      Federal Approval of                        Medicaid State Plan Amendment (SPA) which the Department of Health
     #052           1/3/2006                                        SPA
                                       Enhanced Benefits                         and Human Services submitted to provide for new and enhanced services
                                                                                 for individuals with mental illness and substance use disorders.

                                      DRAFT Cultural and
                                                                 Cultural        A draft cultural competency plan for the state operated facilities, Local
     #051          12/22/2005        Linguistic Competency
                                                                Competency       Management Entities and the provider community has been developed.
                                          Action Plan




                                                                    21 OF 28
                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title        Subject(s)                                     Summary


                                                                              The Division has established lists of national accrediting agencies that
                                                                              provide sufficient choice for the variety of LMEs and service providers
                                                                              that currently constitute our public mental health, developmental
                                                                              disabilities and substance abuse system. Approved Accreditation
                                                                              Agencies For Service Provider Accreditation: Council on Quality and
                                       Approved List of                       Leadership (CQL);. Council on Accreditation (COA); CARF – Originally
                                     Agencies That (a) May                    Council on Accreditation of Rehabilitation Facilities, International
                                     Accredit Providers of                    (CARF); and Joint Commission for the Accreditation of Healthcare
     #050          11/14/2005        MH/DD/SA Services,       Accreditation   Organizations (JCAHO). Approved Accrediting Agencies for Local
                                     and (b) May Accredit                     Management Entity (LME) Behavioral Health Management Functions:
                                      LMEs for Systems                        National Committee for Quality Assurance (NCQA); Utilization Review
                                         Management                           Accreditation Commission, now called URAC; Council on Accreditation
                                                                              (COA) ; Council on Accreditation of Rehabilitation Facilities,
                                                                              International, now called CARF and Joint Commission for Accreditation
                                                                              of Healthcare Organizations (JCAHO). Certain providers of community
                                                                              intervention services are required to be accredited within three years as a
                                                                              Medicaid provider.

                                                                              As a result of a revision to G.S. 122C-233.1: Licensure of Residential
                                     Letter of Support from
                                                               Residential    Treatment Facilities, Providers applying for licensure for a residential
     #049          10/24/2005         LME Required for
                                                               Treatment      facility are required to seek a letter of support from the local management
                                            Licensure
                                                                              entity.
                                                                              The Division of Mental Health, Developmental Disabilities, and
                                                                              Substance Abuse Services and the Division of Medical Assistance are
                                                                              proposing a transitional plan to begin to develop community capacity in
                                      Transition Plan for
                                                              Mobile Crisis   Mobile Crisis Management that will reflect services available under the
     #048          9/22/2005            Mobile Crisis
                                                              Management      new definition pending approval at the Centers for Medicare and
                                         Management
                                                                              Medicaid Services (CMS). This transition plan will allow for billing of
                                                                              Mobile Crisis Management using the existing service codes as a way to
                                                                              provide this service until the new definition is in place.




                                                                  22 OF 28
                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date           Bulletin Title          Subject(s)                                        Summary
                                                                                  In an effort to address potential capacity issues and support service
                                                                                  definition mastery, an “endorsement schedule” (or window) has been
                                     Provider Endorsement
     #047          8/31/2005                                     Endorsement      established for the transition period. Providers should apply for
                                        Transition Plan
                                                                                  endorsement of the service they wish to provide during the timeframes
                                                                                  indicated.
                                      Implementation of
                                                                                  The implementation of the new Enhanced Benefit services to be covered
                                        New Medicaid
                                                                                  under the Medicaid Rehabilitation Option is contingent upon the
     #046           8/3/2005         Rehabilitation Option           SPA
                                                                                  approval of a Medicaid State Plan Amendment (SPA) by the federal
                                      Enhanced Benefit
                                                                                  Centers for Medicare and Medicaid Services (CMS).
                                       Services Delayed
                                                                                  The Centers for Medicare and Medicaid Services (CMS) has approved
                                       Approval of CAP-         CAP- MR/DD        North Carolina’s request for a new Home and Community Based Waiver
     #045          7/25/2005
                                        MR/DD Waiver              Waiver          for persons with mental retardation or developmental disabilities (CAP-
                                                                                  MR/DD).
                                                                                  In order to ensure providers have the appropriate qualifications prior to
                                      Final Policy-Provider                       Medicaid direct enrollment, we have designed a process that will require
     #044           7/1/2005                                     Endorsement
                                      Endorsement Memo                            providers to be endorsed by the Local Management Entity (LME) as a
                                                                                  prerequisite for Medicaid enrollment.
                                                                                  State Plan 2005 posted. This Plan reflects the continued transformation
     #043           7/1/2005             State Plan 2005          State Plan      of the mental health, developmental disabilities and substance abuse
                                                                                  service system in North Carolina.
                                            Revised
                                                                                  It has been determined in consultation with the Division of Medical
                                       Implementation for       CAP- MR/DD
     #042          5/31/2005                                                      Assistance that the implementation date for the new waiver will be
                                       New CAP-MR/DD              Waiver
                                                                                  postponed until September 1, 2005.
                                            Waiver
                                       DRAFT State Plan
     #041          5/25/2005                                      State Plan      Draft 2005 State Plan attached.
                                             2005
                                        Service Transition
                                       Guidance -- How to
                                     Use Existing Definition                    This communication contains information on how Intensive In-Home
     #040          5/17/2005                                  Intensive In-Home
                                     in Transition: Intensive                   services for children may be delivered and billed during the transition.
                                      In Home Services for
                                             Children



                                                                     23 OF 28
                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title         Subject(s)                                      Summary
                                           Revised
                                     Implementation Date                       Postponed the implementation of the new service definitions along with
                                                             Enhanced Benefit
     #039          5/11/2005          for New Medicaid                        the associated Medicaid State Plan changes such as direct enrollment for
                                                                 Services
                                     Rehabilitation Option                    providers of those services, until October 1, 2005.
                                      State Plan Services
                                                                                The Division of Mental Health, Developmental Disabilities and
                                       Final Consumer
     #038          4/29/2005                                    Complaints      Substance Abuse Services finalized the Policy for Consumer Complaints
                                       Complaint Policy
                                                                                to an Area/County Program.


                                                                                In order to ensure providers have the appropriate qualifications prior to
                                                                                enrollment, we have designed a process that will require providers to be
     #037          4/22/2005         Provider Endorsement      Endorsement      endorsed by the Local Management Entity (LME) as a prerequisite for
                                                                                Medicaid enrollment. Endorsement will consist of a verification and
                                                                                quality assurance process using statewide criteria.


                                                                                Established lists of national accrediting organizations that provide
                                                                                sufficient choice for the variety of LMEs and service providers that
                                                                                currently constitute our public mental health, developmental disabilities
                                                                                and substance abuse system. Approved Accreditation Agencies For
                                       Approved List of                         Service Provider Accreditation: Council on Quality and Leadership
                                     Organization who (a)                       (CQL);. Council on Accreditation (COA); CARF – Originally Council on
                                         May Accredit                           Accreditation of Rehabilitation Facilities, International (CARF); and
                                         Providers of                           Joint Commission for the Accreditation of Healthcare Organizations
     #036          4/11/2005                                   Accreditation
                                     MH/DD/SA Services,                         (JCAHO). Approved Accrediting Agencies for Local Management
                                     and (b) May Accredit                       Entity (LME) Behavioral Health Management Functions: National
                                      LMEs for Systems                          Committee for Quality Assurance (NCQA); Utilization Review
                                         Management                             Accreditation Commission, now called URAC; Council on Accreditation
                                                                                (COA) ; Council on Accreditation of Rehabilitation Facilities,
                                                                                International, now called CARF and
                                                                                Joint Commission for Accreditation of Healthcare Organizations
                                                                                (JCAHO)




                                                                   24 OF 28
                                   TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                           BULLETINS


Bulletin Number   Bulletin Date           Bulletin Title         Subject(s)                                      Summary
                                        Policy Guidance:                         The purpose of this policy document is to clarify expectations about the
                                        Development of                           provision of crisis services at the local level as required in the DHHS-
     #035           3/21/2005          Community Based         Crisis Services   LME Performance Agreement. Further, the document provides guidance
                                       Crisis Stabilization                      regarding development of community capacity and operations of an array
                                             Services                            of crisis services.
                                                                                 The guidelines address the underlying values and principles, the essential
                                        Person-Centered       Person-Centered    elements of person centered planning, the required documentation
     #034           3/21/2005
                                       Planning Guidelines        Planning       elements, and indicators to demonstrate that person centered planning has
                                                                                 occurred.
                                                                                 To identify a group of masters level and doctoral level expert trainers
                  3/7/05 updated         Clinical Faculty
     #033                                                        Training        who will be endorsed by the Division to offer training on the new
                     12/15/06              Application
                                                                                 and modified service definitions.
                                       Service Definitions
                                                                                 This is the first of several training initiatives designed to ensure
                                       Videoconference for
     #032            3/1/2005                                    Training        consumer and family understanding of the new Service Definitions
                                         Consumers and
                                                                                 scheduled to take effect July 1, 2005.
                                            Families
                                                                                 Appendix B in State Plan 2003 outlined the essential elements of a
                                      LME/CFAC Relational                        Relational Agreement between the Consumer and Family Advisory
     #031          11/22/2004                                     CFAC
                                        Agreement Memo                           Committee (CFAC) and the Governing Board of each Local Management
                                                                                 Entity (LME).
                                                                                 A draft policy for Consumer Complaints to an Area/County Program has
                                       DRAFT Policy for
                                                                                 been developed. Comments may be submitted through December 31,
                                      Consumer Complaints
     #030          11/22/2004                                   Complaints       2004 to: Stuart Berde, Team Leader, Customer Services and Community
                                        to Area/County
                                                                                 Rights Team.
                                            Program
                                                                                 J. Michael Hennike will join the Executive Leadership Team of the
                                                                                 Division of Mental Health, Developmental Disabilities and Substance
     #029          11/10/2004         Interim Appointments     Staff Changes     Abuse services in the role of Interim Chief of State Operated Services
                                                                                 and Dr. Alexander Myers will assume the role of Interim Director of
                                                                                 Murdoch Center effective November 15, 2004.




                                                                   25 OF 28
                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title         Subject(s)                                    Summary
                                                                            The two institutions have combined a number of administrative activities,
                                                                            including administrative services, budget and
                                        Cherry Hospital-                    human resources In order to ensure that the unique clinical services
     #028          10/25/2004            O'Berry Center    State Facilities offered by each institution remain stable and continue to meet the mental
                                      Alliance Adjustments                  health and developmental disability needs of consumers, we have
                                                                            decided to discontinue the current efforts to blend the clinical
                                                                            components of the two institutions.
                                                                            The purpose of the communication plan is to provide an overall
                                                                            framework for planning, constructing and managing the wide variety of
     #027          8/30/2004          Communication Plan   Communication
                                                                            communications that occur within the public mental
                                                                            health/developmental disabilities/substance abuse service system.
                                                                            Attached is the draft of the comprehensive 1915 (c ) Home and
                                     Draft 1915 (c ) Home    Home and
                                                                            Community Based Waiver. This draft is simultaneously being
     #026          8/23/2004         and Community Based Community Based
                                                                            submitted to the Division of Medical Assistance and posted to the
                                             Waiver            Waiver
                                                                            Division of MH/DD/SAS public website.
                                                                            A cross-division team has been appointed with specific expertise in all
                                      Child Mental Health   Child Mental
     #025          8/16/2004                                                aspects of Child and Adolescent services to concentrate on the
                                              Plan             Health
                                                                            implementation of the Child Mental Health Plan.
                                                                               A team appointed to write a waiver to address some of the problems that
                                     CAP/MR-DD Waiver         CAP- MR/DD
     #024          7/26/2004                                                   are well documented regarding the current waiver, such as the absence of
                                          Team                  Waiver
                                                                               standardized utilization review and level of care processes.

                                                                               The final State Fiscal Year 2004-2005 (SFY 04/05) contract
                                       Final DHHS/LME          DHHS/LME
     #023          7/20/2004                                                   between the North Carolina Department of Health and Human Services
                                            Contract            Contract
                                                                               (DHHS) and the Local Management Entities (LMEs) is posted.

                                                                               Description of the initial and multi-year goals and strategies for
                                         Workforce              Workforce      implementing a statewide system of planning and responding to
     #022           7/9/2004
                                       Development Plan        Development     education and training needs in North Carolina’s public mental health,
                                                                               developmental disabilities and substance abuse system reform.

     #021           7/1/2004            State Plan 2004         State Plan     Copy of State Plan 2004 is attached.




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                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title         Subject(s)                                     Summary
                                                                               Key functional elements identified in accordance with G. S. 122C-121(b)
                                         Area Director                         requirement that each Area Board conducts an annual performance
     #020           6/1/2004                                  Area Director
                                          Evaluation                           evaluation of the Area Director based “on criteria established by the
                                                                               Secretary and the area board.”
                                       State Plan 2004
     #019          5/21/2004                                    State Plan     Comments being received on the draft 2004 State Plan.
                                           DRAFT
                                         Workforce
                                                               Workforce       Attached you will find a draft of the Division’s strategic workforce
     #018          4/27/2004          Development Plan
                                                              Development      development plan.
                                           DRAFT
                                      Maintaining Public
                                                                               The purpose of this communication is to provide guidance as area/county
     #017          4/22/2004           Sector Access to         Psychiatry
                                                                               programs proceed with divestiture of currently employed psychiatrists.
                                         Psychiatrists
                                                                                Guidelines have been established in accordance to General Statute 122C-
                                                                               112.1(a)(26) and G.S. 122C-141.which sets forth the criteria and process
                                     Criteria and Procedure                    for approval of direct service delivery by: (a) an area or county program
                                                               Assurance of
                                        for Approval of                        which serves as the LME; or (b) by a separate county department when
     #016          3/29/2004                                     Service
                                     Service Delivery by an                    another area/county program serves as the LME. Please contact Dick
                                                               Availability
                                      Area/County Program                      Oliver at 919-715-1294 or e-mail Dick.Oliver@ncmail.net, if you have
                                                                               questions regarding this
                                                                               document.
                                                                               A copy of the draft State Fiscal Year 2004-2005 (SFY 04/05) contract
                                     DRAFT Performance        Performance      between the North Carolina Department of Health and Human Services
     #015           2/2/2004
                                        Agreement:             Agreement       (DHHS) and the Local Management Entities (LMEs) is attached with all
                                                                               required attachments .
                                                                               Announced that Ms. Leza Wainwright is the new Deputy Director of the
                                                                               Division of Mental Health, Developmental Disabilities and Substance
     #014           1/5/2004         New Deputy Director      Staff Changes
                                                                               Abuse Services for the North Carolina Department of Health and Human
                                                                               Services
                                                                Systems        Clarification provided in reference to case management and that it is
     #013          11/13/2003        Systems Management
                                                               Management      defined as a direct, individual client service.
                                                                Division       Detail provided regarding the Divisions organizational structure for State
     #012          10/30/2003        Reorganization Update
                                                              Reorganization   Fiscal Year2003/2004 (SFY 03/04).
                                                                               Attached is the final version of the Child Mental Health Plan. This
                                      Final Child Mental      Child Mental
     #011           9/8/2003                                                   document describes how the Division will provide mental
                                          Health Plan            Health
                                                                               health services to children and adolescents in the state.



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                                  TOPICAL INDEX AND ABSTRACTS OF DMH//DD/SAS COMMUNICATION
                                                          BULLETINS


Bulletin Number   Bulletin Date          Bulletin Title          Subject(s)                                      Summary
                                                               Child Mental
     #010          7/14/2003           Draft Child Plan                          Draft Child Mental Health Plan posted for review and comments.
                                                                  Health
     #009           7/1/2003            State Plan 2003          State Plan      A copy of State Plan 2003 attached.

                                      Archived DRAFT
     #008                                                        State Plan
                                         State Plan
                                     Best Practice - Adult     Adult Mental      Provided clarification of best practice for Adults with Mental Illness as
     #007          2/12/2003
                                        Mental Health            Health          required per the state plan.
                                                                                 It is expected that local community hospitals will be involved in the
                                                                Community
     #006          1/16/2003         Community Hospitals                         development and implementation of the strategic local business plans for
                                                                 Hospitals
                                                                                 Area Programs.
                                       Q&A for County           County
                                                                                 Response to questions posed by county commissioners and
     #005          1/16/2003           Commissioners/        Commissioners/
                                                                                 managers regarding state mental health reform.
                                         Managers              Managers
                                                                                Details on recognizing the importance of consumer access to safe, decent
     #004          11/21/2002              Housing                Housing       and affordable housing as an important element in building a successful
                                                                                community based service system.
                                     Management of State                        LME focus on working with important and respected community
     #003          10/28/2002        Plan Target and Non-    Target Populations partners in helping to plan and provide for services to persons within the
                                       Target Populations                       target and non-target populations.
                                      Local Business Plan                       Provided clarification on the Department’s requirements pertaining to the
                                                              Local Business
     #002          10/2/2002         Submission and LME                         format and submission of local business plans as well as clarification on
                                                                    Plan
                                          Certification                         the LME certification requirements and process.
                                                                                Initiation of the Communication Bulletin series as the single formal
                                      Initial Information/
     #001          9/27/2002                                  Communication method of communication for State Plan matters of system-wide
                                           Instruction
                                                                                relevance.




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