Intensive Home and Community-Based Services. 1. Intensive Care Coordination Intensive Care Coordination (ICC) includes facilitating assessment, care planning, coordination of services, authorization of services, and monitoring of services and supports to address children’s health conditions by a single, consistent care coordinator. Intensive Care Coordination provides: • A single point of accountability for ensuring that medically necessary Medicaid services are accessed, coordinated, and delivered in a strength-based, individualized, family-driven, child-guided culturally and linguistically relevant manner; • Services and supports that are guided by the needs of the child; • Facilitation of a collaborative relationship among a child, the family, and child-serving systems; • Support for the parent/caregiver in meeting the child’s needs; • A care planning process that ensures that a care coordinator organizes and matches care across providers and child-serving systems to allow the child to be served in the home and community; and • Facilitated development of an individual’s care planning team (CPT). Teaming is a process that brings together individuals selected by the child and family who are committed to them through informal, formal, and community support and service relationships. ICC will facilitate cross-system involvement and a formal child and family team. ICC service components consist of: Assessment: Iowa HHS will implement its care planning team process, which includes • completing a strengths-based, needs driven, comprehensive assessment to organize and guide the development of a Care Plan and a risk management/safety plan; • an assessment process that determines the needs of the child for medical, educational, social, behavioral health, or other services; • an ICC that may also include the planning and coordination of urgent needs before the comprehensive assessment is completed; Interim Settlement Agreement
Intensive Home and Community-Based Services. Intensive in-home services are intensive services provided to Class Members in their home or in the community. Services are individualized, strength based, family centered, and culturally competent. All services focus on the Class Member’s emotional/ behavioral needs. Services may include behavior management, therapy, crisis intervention, and parent education and training. Intensive services should be provided to, among others, Class Members at risk of out-of-home placement, including a residential program or psychiatric hospital, Class Members transitioning from an out-of-home placement back to their families or other community setting, and Class Members with significant behavioral health needs.
