CFTSS

Provides service overview with case examples and discusses managed care billing, contracting, medical necessity/UM, referrals, and recommendations for YPST.

Provides refresher of FPSS and discusses Managed Care billing, contracting, medical necessity, referrals and recommendation process for FPSS.
FAQ document from this training

Provides a refresher for OLP, CPST and PSR; reviews what was presented on those services at the in-person Children and Family Treatment and Support Services trainings held in May and June. Also covers additional context and examples.

Discusses process of Utilization Management for OLP, CPST, and PSR including medical necessity, utilization management requirements and strategies to optimize utilization management.
FAQ document from this training

Reviews 4 of the new CFTSS (formerly SPA): OLP, CPST, PSR and FPSS including service descriptions and implementation details.
FAQ document from this training

CFTSS OLP and CPST Designation/Licensure Update

CMHRS Regulation Waiver - extended July 20, 2021
- Transitioning to a CMHRS Program Guidance - July 6, 2020
- CMHRS Guidance - August 2019
- CMHRS CPAR Application Guidance - Jan 2020
  - Provider agencies who do not otherwise have an OMH license, and would like to apply for CMHRS licensure, are required to complete the OMH Comprehensive Prior Approval Review (CPAR) application process.
- CMHRS EZ PAR Application Guidance - Sept 23, 2019 - for currently designated OMH OLP/CPST providers
- State Presentation - August 2019 - currently designated OLP/CPST providers are required to review
CFTSS Incident Reporting Manual - Updated August 1, 2019
- State presentation on May 21, 2019
  - Slides
  - Recording available for download

CFTSS Pathways to Care - State Refresher - August 2019

Includes information about individual Managed Care Plan requirements for notification, pre-authorization and concurrent review for OLP, CPST, PSR, FPSS, YPST, and CI services.

The form was developed in collaboration with providers MMCPs as a sample template to capture all the necessary information to substantiate medical necessity for CFTSS. Some MMCPs will require concurrent review authorization after the first three visits. This form can be used by providers who are making concurrent review authorization requests to MMCPs. This form is not required by the State.

Children's System Transformation