Welcome to CEU By Net - and 'Welcome to Care Management'
Online CEU Course Course 5A Is for AOD and Mental Health Counselors, Social Workers, and MFTs - 'Welcome To Care Management! Do They REALLY Need Treatment?'
Understand That Infamous 'Care Management' and 'Utilization Review Process' which is now inherent in Health Care Reform! It Requires A Significant Shift In Treatment Approach By Mental Health and Chemical Dependency Providers. New Approaches to Programming and to Documentation of the Treatment. And You Have To Play 'Mother May I?' with the Managed Care Company. It's Painful to Some, Impossible for Others - But Here's How to Do It, and to Understand It.
FlexiCourse 5A contains the two modules found in Course 4A, plus one additional module. Bite-sized portions of this course are found in MiniCourses 1B, 1C, and 3A.
WANT A DETAILED DESCRIPTION of what's covered in this courses? Or just want to ENROLL in the course? Know how many credit hours are awarded for different boards? Just hop on over to our Course Catalog now and take a look.To take the quizzes you must enroll in the course in the catalog by clicking the SIGN UP NOW button. If you have an Annual Subscription, ignore the price tag under the Sign Up Now button - that's for people without a subscription.
If you are a social worker, LPC, MFT, or other mental health or substance abuse treatment provider - and are involved in or concerned about Managed Care under the new Health Care Reform - this online Continuing Education (CE) course is timely and relevant. Get a clear view of the upside and downside of Managed Care from the provider's perspective. Know what you are getting into and what you may need to change about how you do treatment and document it in treatment records.
OR if you are already 'in' Managed Care, know where there may be some untapped contracting options for providers (and which are safe and which are not). Get some proven tips on how to avoid RECOUPMENT of funds by the HMO through your approach to Care Management and what you write in treatment records. And get a clear understanding about the 4 Core Elements that drive those Care Management decisions to approve or deny your treatment requests.
This online CEU Course 5A provides an unvarnished view of what has CHANGED due to the coming of Managed Care to the Mental Health (MH) and Chemical Dependency (CD) treatment fields.
We summarize the clinical and programmatic changes (and sometimes painful adjustments) which providers must make in order to comply with Managed Care contracts. And we tell you why managed care companies 'do what they do' in decisions about patient care (to authorize the request for treatment or to deny it) - and how you can deal with this to get what your client needs.
The course also discusses what can go wrong in a State's Managed Care Plan - things that cause confusion and trouble for both the HMO and the behavioral health provider. And which types of Provider Agreements or Contracts are worth a shot, vs. those that have 'Don't even think about it!" written all over them.
FlexiCourse 5A contains the course materials for three (3) separate CE certificates:
- "Module 101 - Managed Care In Public Health Programs: It's Not Your Grandpa's Chevy!" . . . and
- "Module 201 - The Good, The Bad, and The Ugly of Managed Care Contracts, Including Clinical and Programmatic Contract Options for Professionals"
- "Module 301 - Welcome to Care Management! More On the Professional & Clinical Issues In Managed Care ..... How MCOs Make Those Treatment Decisions, and How To Deal With It."
You may earn all three CE Certificates now, or you may wish to delay earning one or more of the certificates for up to one year after purchase of the course -- whenever you need them most! It's your choice!
MC 101 - Managed Care In Public Health Programs: It's Not Your Grandpa's Chevy!
- This online CEU course provides an unvarnished view of what has CHANGED due to the coming of Managed Care to the Mental Health (MH) and Chemical Dependency (CD) and Substance Abuse (SA) treatment fields. We include 'what can go WRONG' in the State's design of its plans, and what type of Provider Agreements to rigorously avoid.
MC 201 - 
The Good, The Bad, and The Ugly of Managed Care, Including Clinical and Program Options for Professionals
Are there different kinds of Managed Care plans? Yes indeed. There's The Good, The Bad, and The Ugly - for the Managed Care companies AND for the providers! But we don't just throw you out there - we identify those plans that are 'mostly safe' (like Fee for Service and Case Rates) vs. those that are 'nerve wracking' vs. those with 'don't even think about it!' written all over them.
MC 301 - 
"Playing Mother May I - Welcome to Care Management! The HMO's Level of Care (LOC) System . . . and How It Affects Our Documentation of What We Do and How We Do It."
These changes oftentimes involve uprooting some traditional practices that are hard to let go of - a process which is noxious to some, and impossible for others. We also present a brief introduction to some positive, creative ways that Behavioral Health Providers can 'come out of the box' in their thinking and practices - or can expand (under contract with a managed care company) the non-traditional services which they already provide to persons with serious mental illness or chemical dependency.
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If you want to get an in-depth view of how documentation of treatment must change under managed care, consider Course 2B - 'They're Coming To Audit WHEN?' a.k.a. 'What Can Go Wrong In That Chart!' In Course 2B we also give a detailed prescription for how you can 'audit' your own records before the HMO auditors hit the door!
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