How are services organized and paid for?
Wraparound services are organized differently in every region, county and location. The funds come through DPW to counties, where some have managed care, and some are fee for service. Some counties have a Base Service Unit (BSU) that might conduct an extended assessment to determine the necessary level of care. Others have a case management system that will help make recommendations for services and providers. The system for billing for TSS, BSC, and MT is confusing. There are certain rules for billing that seem to change based on interpretations of regulations and the Kirk T. lawsuit. Providers need staff to be able to do the billing and record keeping in order to be reimbursed. Reimbursement to providers is lacking. The Birth to three EI is paid for through the IDEA funds in combination with State and Federal dollars through the Office of Mental Retardation and run out of the county office. Preschool Early Intervention three to age of beginners EI is paid for through IDEA funds/State
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