February 22: The Judge adopts the Commonwealth’s proposed remedial plan with four major modifications that reflect key provisions of the plaintiffs’ proposed plan. The Judge’s order, approving the plan sets firm timetables: services must be in place by June 2009.
May: Following recommendations of the parties, the Court appoints Karen Snyder as Court Monitor. Her role is to over see the implementation of the Plan, mediate disputes and ultimately determine compliance.
May: The Commonwealth names Emily Sherwood as the Rosie D. State Coordinator.
July 16: The Court enters its final judgment, incorporating the revised Remedial Plan with an additional modification which ensures that all children with SED are entitled to medically necessary home-based services.
August: The parties begin designing the new children's mental health sytem
December 31: New screening for behavioral health issues begins by primary care clinicians
January: In response to the plaintiffs' motion to provide remedial services to children in all Medicaid expansion populations, the defendants agree to serve all Medicaid-eligible children, regardless of coverage categories.
March: MassHealth submits State Plan Amendments for taregeted case management and EPSDT services to cover remedial services.
June - September: parties develop medical necessity criteria and program specifications for each remedial service.
November 30: Mental health evaluations using the CANS instrument required initiated for all Medicaid-eligible children referred for services.
December 2: CMS approves State Plan Amendment for targeted case management (Intensive Care Coordination)
February: court allows modest extension of time to implement four of the seven remedial services; requires full implementation of all services by December 1, 2009
March: new Community Service Agencies (CSAs) selected
April: new Emergency Service Providers selected; provider networks for other remedial services selected
May: Monitor issues recommendation on caseload limits for care coordinators; wraparound training of CSA staff
June 4: CMS approves EPSDT State Plan Amendment for other remedial services
June: state agency protocols released for DCF, DMH, and DYS; state agency staff trained; ulitization management procedures finalized; CSA Operations Manual issued
June 30: ICC, family partners, and mobile crisis services begin