Home & Community Based Expanded Services Art, Equine & Pet Therapies
Dec 14, 2015
Home & Community Based Expanded Services
Art, Equine & Pet Therapies
About MTM
One of the largest transportation & healthcare service managers in the country
Established in 1995 to manage Medicaid & Medicare transportation benefit
Manages home & community based services for members of managed care programs WellCare of Florida is one of our primary clients
URAC accredited
National Network
750+ provider network spans 28 states Seven million encounters managed annually
Network Management Recruiting Credentialing Training Managing claims Performing outreach
Licensed Health Professional Credentials
Licensed/registered therapist, counselor, or practitioner
Copy of current license or registration as behavioral, medical, or social services practitioner
If pets or horses are used in mental health treatment, proof of training is required
Art Therapist Credentials
Current certification or registration from Art Therapy Certification Board (ATCB)
Evidence showing completion of Master’s in Art Therapy degree
Seeking registration as an art therapist/under supervision of an ATR
Equine-Assisted Psychotherapist Credentials
Licensed/registered psychologist, behavioral therapist, mental health disorder specialist, social worker, or physical/ occupational therapist
Qualified to provide therapy using animals Documentation of training, licenses & certifications Two years of experience providing Equine-Assisted Therapy Current liability insurance certificate with at least $1 million CSL Criminal background checks, no older than one year, for staff that
may come in contact with members Current business license & tax ID or Social Security number
Equine-Assisted Therapist Credentials
Proof of training as Equine Therapist
Two years’ experience providing Equine-Assisted Therapy
Employment at an Equine Therapy center that meets credentialing requirements
Equine Center Credentials
Current membership in at least one professional association such as: Equine Assisted Growth & Learning Association (EAGALA) Professional Association of Therapeutic Horsemanship (PATH) Human Equine Alliance for Learning (HEAL) National Association of Certified Professionals in Equine
Therapy (NACPET) Those engaging in Animal-Assisted Therapy must be
adequately trained
Equine Center Credentials Cont’d.
Horses used must be certified by one or more of the following: Certified Therapy Horse Association (CTHA) International Association of Equine Assisted Psychotherapy (EAGALA)
Therapy horses must be: Examined by a licensed veterinarian within previous 12 months Certified as able to participate in the program Receive annual exams & certification
Safety equipment for all riders including riding helmets, safety belts & appropriate saddles/bridles
Equine Center Credentials Cont’d.
Equipped to protect all therapy horses, including adequate space for: Each horse to be housed & exercised Disposal of waste Appropriate equipment & supplies to feed & water each horse Equipment to properly groom each horse
Satisfy all national, state & local standards for proper, humane treatment of animals
Current liability insurance certificate with at least $1 million CSL
Equine Center Credentials Cont’d.
Criminal background checks, no older than one year, for staff that may come in contact with members Staff or volunteers with convictions of felony, abuse, sexual
misconduct, or abuse of animals must be excluded Horses must have at least two years of experience in
handicapped/therapeutic operations or as a school horse used in a daily lesson program
Current business license & tax ID or Social Security number
PATH Premium Accreditation
Evidence of current Premium Accreditation
Current liability insurance certificate with at least $1 million CSL
Criminal background checks, no older than one year, for staff that may come in contact with members
Current business license & tax ID or Social Security number
Psychotherapist Using Pets Credentials
Licensed/registered psychologist, behavioral therapist, mental health disorder specialist, social worker, or physical/ occupational therapist
Documentation of training, licenses & certifications
Pet Therapist Credentials
Therapy pets must be: Examined by a licensed veterinarian within previous 12 months Certified for therapy purposes
Pets must have at least one year of experience providing pet- or canine-assisted therapy
Current liability insurance certificate with at least $1 million CSL
Adequate space for each animal according to local codes & ordinances
Pet Therapist Credentials Cont’d. Therapist must have current membership in at least one professional
association such as: American Humane Society or its affiliates International Association of Canine Professionals (IACP) Other similar professional association.
Proof of training in pet therapy Criminal background checks, no older than one year, for staff that may
come in contact with members MTM will conduct background check for volunteers
Current business license & tax ID or Social Security number (if paid for services
Policies & Procedures
Obtaining written consent from a parent, guardian, or legally responsible person before beginning services
HIPAA & the limits of confidentiality in handling all medical & personal information
Formulating & following therapy plan for members, including duration & frequency
Safety training
Policies & Procedures Cont’d.
Fees, financial arrangements & dealing with third-party payers
Discontinuing or completing therapy Complaint resolution & tracking Conflict of interest Dealing with cultural expectations & variations Assuring quality, measuring outcomes & reporting
service quality
Following Credentialing & Contracting
An MTM Care Coordinator will get a referral from member’s health plan for therapy
Care Coordinator will contact therapy provider based on location & specialty
Computer-based program will exchange information regarding member & treatment notes
HCBS-dedicated phone number
Rates
Individual therapy session of at least 45 minutes conducted by a licensed mental health professional or Art Therapist: $75
Group therapy session of at least 45 minutes conducted by a licensed mental health professional or Art Therapist: $35 per group member
Therapeutic riding session of at least 40 minutes conducted at an equine therapy center by an equine therapist: Public rate of $35-$45
Planned Town Hall Meetings March 13, 2 to 4 p.m., Homewood Suites, 287
Apalachee Parkway, Tallahassee 32301 March 14, 10 a.m. to 12 p.m., Crowne Plaza, 1201
Riverplace Blvd, Jacksonville 32207 April 28, 4 to 6 p.m., Mariott Waterside, 700 S. Florida
Ave., Tampa 33602 April 29, 10 a.m. to 12 p.m., Courtyard, 4455 Metro
Parkway, Ft. Meyers 33916 April 29, Miami, Location TBD
Contact Us
For more information: http://www.mtm-inc.net/hcbs/join-our-provider-network/ho
me-healthcare-provider-network-application/ Feiruz Awcash; Education, Training & Outreach Manager
Phone: 703-344-3352 Fax: 772-266-4984 Email: [email protected]
Tamara Snowden; Network Management Recruiter Phone: 636-695-5659 Fax: 800-459-6224 Email: [email protected]