| CCF Family Handbook | |
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Introduction Welcome to Children Come First (CCF). CCF is a program that coordinates care for youth who have a mental health challenge and are at risk of being placed in an institutional setting. This handbook explains what CCF has to offer your child and family. Please read this over carefully. If you have questions, ask your CCF Coordinator. If you are new to CCF, your CCF Coordinator will be talking to you about this handbook. You can then decide if you want to be in our program. CCF has coordinators to work with each family. Our goal is to help families in their communities.
When your child leaves the program, we hope they will be doing better in school, in home and in the community. Please go to the last section of this handbook “Leaving the program”, for more information.
2nd to 4th week and later
CCF services replace your MA coverage for MA-covered mental health services. This includes psychiatric inpatient care, but does not include prescription costs. Your child may only receive MA-covered mental health services found in your child's Plan of Care or through private insurance. The treatment team decides which services are needed and the coordinator must pre-approve these services for them to occur.
You may have to pay for mental health services that are not included in your CCF Plan of Care. Call your CCF Coordinator if you have questions about whether a service is in the Plan.
If you have any questions about MA coverage or other insurance questions, you can contact:
Andy Heidt, Ombudsman, Dane County Human Services
While you are a part of CCF, your CCF Coordinator will find ways to help you be in control. Your Coordinator will help you meet your needs. CCF believes most families can care for their own children and meet their needs. Also, CCF is a time-limited service. This is why it is important to be in control and meet your needs as soon as possible. The CCF Coordinator helps you to make sure you have support, even after your child is no longer in CCF.
You will be assigned a CCF Coordinator through:
Dane County Department of Human Services — ARTT Unit
or
Community Partnerships, Inc. (CP)
Team meetings are held every month and sometimes more often. Your CCF Coordinator will try to schedule meetings at times and places that work best for you. It is important that you take part in team meetings and talk with your coordinator about what you would like to see happen at those meetings. It is our general policy to only go to the meetings that parents are also invited to go attend. Please tell your CCF Coordinator if you have any questions about your team.
Parents always have the right to obtain a second opinion related to mental health care concerns from a qualified mental health care professional. If you would like a second opinion from a different Psychiatrist, therapist, etc., your coordinator can help arrange for this to occur.
Out of Network Providers
All services for your child must be provided by someone covered by your private insurance or the Children Come First (CCF) network. CCF will consider funding Providers who are not in our network, for up to 6 months, in the following situations:
2. Your child lives outside of Dane County and CCF has no Providers in the area;
3. Your child needs a service and CCF doesn’t have anyone in their network that provides that service; or
4. A court-ordered assessment is assigned to someone outside of the CCF network.
All providers need to meet basic standards set to work with CCF youth.
Please talk with your CCF Coordinator to request to use a provider who is not in the CCF network.
Sometimes, because of different reasons, children need to be placed outside of their homes for short periods of time. Examples of these placements are:
CCF will continue to work with your family to try to return your child to your home. Dane County may need you to pay part of the cost of the placement. These expenses are the parent's responsibility. Dane County will review and collect a fee from parents for all of these placements. This fee is on a sliding fee scale. The Dane County Parent Support Collection Unit sets the fee and this office is not part of the Children Come First program. These fees are not covered by Children Come First, but your coordinator may help arrange for these services. You can call the Dane County Parent Support Collection Unit for more information at 608-242-6200.
1. Helping you help yourself: We invite parents to share anything they would like to about their children. What you know about your child’s needs and what they are good at is very important and useful.
2. Parent meetings: We offer parent meetings on the last Wednesday of the month at Community Partnerships, from 5:30-7:00 p.m. Your CCF Coordinator can help provide transportation if you need it. Child care is always available at the office for children during these meetings. Meetings have been on special education, the juvenile courts and other areas important to CCF families. A meal is provided at 6:30 p.m., where parents and children can eat together with staff members attending the meeting. The topics for monthly parent meetings are from parent’s ideas.
3. Help from the Family Advocate: The family advocate is available to work with individuals and families. Some of the types of help that can be provided are: attending school meetings, placements, court, team meetings, mentoring either a parent or child, providing transportation for the parent or child, helping the parent with budgeting issues and providing information.
4. Parent involvement after leaving the CCF program: When the child leaves the CCF program, parents can still stay involved with the parent meetings and other groups. The parent advocate welcomes questions and updates on how you are doing anytime.
These statements explain our thoughts to helping you and your family:
We believe that cultural awareness is a long-term process that encourages an understanding of our own beliefs and values and how they affect our relationships with others.
We believe that it is our duty to gain the needed cultural information about families that will help us work together. We believe that cultural diversity includes more than language, food, the way we dress and cultural events. It is the way a person thinks, acts and understands the world around them.
Contact your CCF Coordinator if you think your child needs to be in a psychiatric hospital. For ARTT clients, the Youth Crisis Unit at the Mental Health Center of Dane County decides on the psychiatric hospital needs for those children enrolled in CCF who do not have primary health insurance.
Informal Grievances
If you are unhappy with your care, you can let the person you are working with know you are not happy. He or she can try to help work it out. If you don’t want to tell this person, you can call his/her Supervisor.
Formal Grievance
If you are not happy with the response from the person you are working with, or their supervisor you can file a formal Grievance. You can also do this right away if you want. To do this, contact the following people:
Quality Improvement Manager 1334 Dewey Court Madison, WI 53703 608) 250-6634, ext. 110
For ARTT:
If you would like, you may use this form to file your grievance Click here for a Grievance Initiation form If you need help to file or write your Grievance you can call Wisconsin Family Ties at (608) 267-6888. If your formal Grievance is about a decision to decrease or deny a covered service, you must file within 45 days of that decision. This also applies:
This is how Children Come First will respond to your formal grievance:
2. If the Quality Improvement Manager (for Community Partnerships) or the CYF Mental Health Manager (for ARTT) needs more time to make a decision, their time period may be increased by 14 calendar days. If this happens, we will notify you in writing. We will explain why we need more time. We will also tell you when we will have a decision for you. The total time for Children Come First to make a decision will not be more than 45 calendar days from when you filed. 3. If you do not like the CCF Manager’s decision, you can ask for it to be reviewed by the CCF Grievance Committee. You have 14 days from the day you receive the Manager’s decision letter to ask for this review. You can ask for this review by contacting the following person:
1202 Northport Dr. Madison, WI 53704 (608) 242-6404
Expedited Review If you think your grievance is urgent you can ask for an Expedited Review. This means we will decide very quickly. This is for when you need a response right away to prevent serious harm. We will look over your concerns and decide within 2 business days. You can ask for an Expedited Review from the person you are working with, or their Supervisor. You will not be penalized for asking for this. Also, your providers will not be penalized for asking for this. If we do not think this is urgent, we may not speed up your decision. If that happens, we will tell you right away. We will also mail you a letter within 2 calendar days. We will then respond to your grievance in our regular timeframes.
Grievance Rights
• Look at the information Children Come First used to make its decision. • Attend meetings about your grievance. You can bring whoever you want to these meetings. This could be a family member, a friend, or a provider. • Present new information during the grievance process. • Ask that your grievance be handled in an urgent manner (see Expedited Review above). • Have an interpreter. This will be free to you. You can ask for an interpreter by calling the Quality Improvement Manager (for Community Partnerships) or the CYF Mental Health Manager (for ARTT). • Move to any part of this grievance process at any time. Appealing a Decision Please note: You can go to any part of this grievance process at any time. You can file directly with the State if you want to. You have 14 days from the date you get the CCF Grievance Committee decision to ask for a State level review.
Appealing to the Department of Health and Family Services
P.O. Box 6470 Madison, WI 53716 Phone: 1-800-760-0001 The Department will review your grievance. They will provide a final response within 30 days from the date the Department has all the information they need to make a decision.
State Fair Hearing Request
P.O. Box 7875 Madison, WI 53703-7875 In your letter you will need to include the enrollee’s name and social security number, your mailing address, a brief description of the problem, and your signature. The hearing request date will be the date they receive your letter.
If your Appeal is about a decrease or denial of a covered service this applies:
b. If you were getting the service before the decision CCF will provide the same level of service during this process. If the decision does not change you may have to pay for these services. If you need help asking for a State Fair Hearing, you can call the Medicaid Managed Care Ombudsman at 1-800-760-0001.
CCF services will end if:
You are always encouraged to attend the parent groups and stay in contact after your child leaves the program. It is also possible for your child to re-enroll into the program if needed in the future. Ask your Coordinator for more information.
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| Important Phone Numbers | |
| After hours ARTT-CCF crisis line of the Youth Crisis program 608-280-2610 | |
| After hours CP-CCF crisis line Pager 608-657-0964 | |
| Alcohol and drug assessments 608-263-8173 | |
| Briarpatch Teen Helpline 608-251-6221 | |
| CCF Family Advocate 608-250-6634 ex. 124 | |
| Dane County Department of Human Services CYF Mental Health Manager 608-242-6404 | |
| Dane County Parent Support Collection Unit (Alternate care payment questions) 608-242-6226 | |
| Domestic Abuse Intervention Services 608-251-4445 | |
| First Call for Help 2-1-1 | |
| Parental Stress Center Helpline 608-241-4888/608-241-2221 | |
| Suicide prevention helpline 608-280-2600 | |
| Wisconsin Department of Health and Family Services Division of Managed Health Care Programs CCF Contract Monitor 1 W. Wilson Room 265 Madison, WI 53703 608-264-7724 | |
| Wisconsin Family Ties 608-267-6888 | |