RTC Study 3 Financing Structures and Strategies to Support Effective Systems of Care: Issue Brief 1: Effective Strategies to Finance a Broad Array of Services and Supports
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FMHI Publication ID:
FMHI Publication #235–IB1
building effective systems of care, child mental health, financing
Effective Financing Strategies for Systems of Care is a Research and Training Center study that is examining financing strategies used by states, communities, and tribes to support the infrastructure, services, and support s that comprise systems of care. The study has identified seven key areas to assist states and communities to develop comprehensive and strategic financing plans for systems of care. One of these areas is financing to support a broad array of services and supports.
This issue brief presents the results of the first wave of study site visits regarding financing strategies to support a broad array of clinical services and supports. It is a technical assistance document designed to assist stakeholders to identify strategies and approaches that might be implemented or adapted in their own states, tribes, and communities.
The key strategies that sites use to expand services are:
- Expanding the array of covered services
- Using resources from multiple child-serving systems
- Expanding Medicaid coverage
- Using multiple Medicaid options and strategies
- Using diverse funding streams in addition to Medicaid
- Pooling or braiding funds
- Redirecting dollars from deep-end placements to home and community-based services
- Sharing the costs of services across systems
- Investing in service capacity development
The issue brief offers site examples under each strategy, and summarizes the principal funding sources used.
Stroul, BA, (2007). Issue brief 1: Effective strategies to finance a broad array of services and supports (RTC study 3: Financing structures and strategies to support effective systems of care, FMHI pub. #235-IB1). Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute (FMHI), Research and Training Center for Children’s Mental Health.
(FMHI Publication #235–IB1)