Scope of Service

Providers will provide support and reassurance in exercising new skills, adjusting to new environments, or experiencing potential stressors provided to Williams Class Members in early transition from a NF/Institution for Mental Disease (IMD) to independent community living by a person with lived experience in recovery. Some Williams Class Members have been labeled as Unable-to-Serve due to complex needs that cannot be met with existing Medicaid mental health services alone. Services provided will include:

  1. Temporary social support.
  2. Teaching coping and community adjustment skills and linking Clients with important community resources.
  3. Assisting the client with getting comfortable participating in natural community supports.
  4. Providing a source of encouragement and hope.

This non-clinical/therapeutic service is intended to assist in improving class members' ability to remain long term in community placement. This will be provided in combination with on-going team service. The service will be provided by a staff person in recovery who is a Certified Recovery Support Specialist (CRSS) or who will have this certification within six months after the hire date.

Deliverables

The providers will deliver the service of In-Home Recovery Supports to Williams Class Members who have been recommended by DHS/DMH or its designee to be eligible for the service. This will include:

  1. A CRSS being available during extended work hours (from 8:00 a.m. to 10:00 p.m.) to respond to calls from the Class Member authorized to receive this service.
  2. A CRSS response to the authorized Class Member will be in person from the hours of 8:00 a.m. to 5:00 p.m. or by phone after 5:00 p.m. to 10:00 p.m. to calm situations that could potentially become crisis situations. Crises will be addressed by team clinicians.
  3. A CRSS sharing his/her recovery story as relevant to the authorized Class Member to encourage her/him to continue working on the community placement.
  4. Consultation and interaction by the CRSS with the provider team that is also delivering services to the individual - to assure a smooth transition and a clear understanding between the team and CRSS on how integrated efforts will transpire.

The service will be delivered to the Class Member for no longer than six months and may bridge pre and post transition. If transition has not occurred within the first four months from assignment, the service for the Class Member will be discontinued. The anticipated outcome is that following delivery of this service the Class Member will be able to maintain independent living in community placement with routine service supports.

Reporting Requirements:

  1. Financial Report in accordance with Exhibit C.
  2. Performance Report in accordance with Exhibit E.

Payment

Payment will be issued monthly and reconciled on the basis of reported allowable expenses per the Grant Funds Recovery Act [30ILCS 705/7 and 8].

The Provider shall report quarterly allowable grant expenses on the appropriate DMH reporting template to the DMH program contact no later than November 1, February 1, May 1, and August 1, and reported expenses should be consistent with the submitted annual grant budget. If any budget variances are noted, the DMH program contact may request that the provider submit a revised grant budget before subsequent monthly payments will be made. DMH program contacts and reporting templates can be found in the Provider section of the DHS website.

Performance Measures

The Provider shall report quarterly performance on the appropriate DMH reporting template to the DMH program contact no later than November 1, February 1, May 1, and August 1. DMH program contacts and reporting templates can be found in the Provider section of the DHS website.

The following are included in the reporting template:

  1. Number of unduplicated individuals served
  2. Number of hours of service provided
  3. Number of hours of service provided in natural settings as defined in 59 Ill. Adm. Code 132 (Rule 132)
  4. Number of individuals who receive this service between 1 and 3 months, post transition
  5. Number of individuals who receive this service between 3 months and 1 day and 6 months, post transition
  6. Number of individuals who returned to Long Term Care while receiving this service

Performance Standards

  1. 100% of individuals referred for this service who consent to be served will be served
  2. 100% of the hours identified in the treatment plan will be provided, pre and post transition.
  3. 70% of hours will be provided in the natural setting (home or community settings)
  4. 100% of Class Members referred will receive this service between 1 and 3 months
  5. 50% of Class Members referred will receive this service between 3.1 months and 6 months.