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Rosie D.
Reforming the Mental Health System in Massachusetts
 

Previous News

June 2016


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Court Seeks Sustainable Framework for the Future of the Remedial Service System

Court Asks Parties to Provide Status Update on All Disengagement Criteria

New "Enhanced" Outpatient Therapy Service Slated for October Implementation Date

March 2016 


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Parties to Discuss Plaintiffs' Proposal for Enhanced Outpatient Therapy for SED Youth

Latest Court Reports Highlight Persistent Problems with Access and Implementation 

State to Continue Collecting, Sharing MCI Data


Commonwealth Releases First of Three MPR Reports for FY2016September 2015


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Court Again Extends Oversight as Disengagement Deadlines Are Delayed into 2016

Access Problems Increase as More Youth Wait Longer for Home-Based Services 

IHT Improvement Projects Underway, But Capacity Issues Remain

Some Progress, But Much Skepticism on Outpatient Initiatives

CBHI Now Integrated into MassHealth 

March 2015

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Judge expresses serious concerns about the suspension of annual client reviews without notice and the opportunity for review

Judge extends monitor's term through the end of 2015

Commonwealth agrees to continue using CANS data to evaluate effectiveness of home-based services

December 2014


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Judge Chides State for Implementation, Data-Collection Delays


Plaintiffs Challenge Proposed Cancellation of the FY2015 SOCPR


Disconcerting Increase in Waitlists for Remedial Services

October 2014


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Court Again Extends Monitor's Term


Actions Designed to Increase Mobile Crisis Intervention in the Community


Proposed Reforms for Outpatient Therapists


Increase Utilization of Intensive Care Coordination


Assess Clinical Outcomes for Youth through CANS Data

July 2014


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Parties Focus on Four Critical Issues as the Next Step in Disengagement


Central Mass. SOCPR Underscores Concerns Over Adequate Care Coordination

March 2014


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Court Monitor's Term Extended at Least Until December 31, 2014

State Agency Access Reports Show Low Utilization of Remedial Services


Outpatient Therapy Evaluation Indicates Poor Service Coordination But Must Be Redone


Utilization of ICC Remains Static for Third Straight Year


Persistent Problems Remain in Community Evaluations by Mobile Crisis Teams

December 2013

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Court Considers Another Extension of Oversight Authority


CSAs Ranked Below National Average on Wraparound Evaluation Tool


Significant Drops in CBHI Service Hours and Service Intensity


Dramatic Increase in Emergency Department Encounters for Mobile Crisis Intervention in July & August

September 2013

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Court Extends Monitoring and Reporting Until June 30, 2014


Plaintiffs File Report on Status of Implementation


Outpatient Therapy Failing as Service Coordination Hub

June 2013


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Court Monitor's Appointment Extended Another Six Months


Parties Finalize Disengagement Criteria


Parties File Status Reports on Implementation


Family Satisfaction Survey for ICC Families

May 2013


Judge to Extend Court Monitor's Appointment

Parties near Agreement on Process for Disengagement

Waitlists Down, but Caseloads Up

MCI Community Evaluations Increase

Only Half of SED Youth Receive Mandatory Mental Health Assessments
February 2013

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Court Hearing on Disengagement Criteria 

State Adopts New Case Review Methodology to Assess IHT and ICC 

Preliminary CANS Data Indicates Improvement

December 2012

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Court Further Extends the Defendants' Reporting and Monitoring Obligations

 

Court Requires the Development and Implementation of Outcome Measures

 

Defendants File Updated Implementation Report

 

MSPCC to Close 2 CSAs

 

State Releases Service Utilization Data for FY 2012

 

Waitlists Increase for IHT, IHBS, but Decrease for ICC

October 2012

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Court Considers Whether to Extend Monitoring and Reporting In Order to Assess Outcomes of the Remedial Services

August 2012

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Defendants' proposal for court disengagement

Plaintiffs' proposal for disengagement criteria

ICC enrollment drops in June

ICC referrals down but data fairly consistent

MCI community encounters still below 60%

June 2012

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Compliance at Issue in Defendants' and Plaintiffs' Reports

Courts Sets Briefing Schedule for Disengagement Plan

Implementation of Remedial Services Deteriorates in Central Massachusetts

Metro Boston CSR Finds 'Weak' System Functions


March 2012

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Court Approves Access Standard for Intensive Care Coordination (ICC)

Court Extends Monitoring and Reporting Until at Least the End of the Year

Court Directs Parties to Develop Disengagement Criteria

Crisis Stabilization Services Will Be Available by May 31, 2012


January 2012

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Court Monitor to Mediate ICC Access Standard Stalemate

Court Monitor's Term May Be Extended

Court To Address Crisis Stabilization on March 1, 2012

Defendants File Semi-Annual Report

Plaintiffs File Seventeenth Status Report

Behavioral Health Screenings Increase But No Follow-up Data

CBHI Service Utilization Data Shows Increase


December 2011

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Judge Orders Defendants to Improve Access to ICC Services

ICC Program Specifications May Be Modified

Crisis Stabilization Services to Be Available Soon

More Youth Are Receiving Crisis Services in the Community

Wait Times Dip, But Youth Still Go Weeks Without Services


October 2011

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Court Declares Intent to Enter Order on Waiting Lists

Court Requires Parties to Confer on Crisis Stabilization

Second Annual Report on Wraparound Fidelity Index Reveals Little Improvement

Second Community Practice Review in Western Massachusetts Finds Substantial Regression

June 2011

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Court Schedules Hearing on Access Motion and Requires Parties to Submit Supplemental Pleadings

MassHealth Withdraws Crisis Stabilization Services from Waiver

Defendants Submit Semi-Annual Report and Plaintiffs File Response

 

Utilization of Wraparound Services Appears to Plateau

March 2011

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Judge visits CSAs and mobile crisis programs in Springfield

Monitor issues final compliance report for the Northeast Region

Monitor issues preliminary findings for the Metro-Boston and Southeast Regions

CSA monthly reports reveal both progress and concerns

January 2011

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Court Once Again Denies the Commonwealth's Challenge to the Monitor's Compliance Reviews

Court Takes Plaintiffs' Motion on Timely Access to Services Under Advisement

Judge to Visit Local Programs

Key Implementation Issues Cited in the Plaintiffs' Fifteenth Status Report

Court Monitor Completes Compliance Reviews in the Northeast and Metro-Boston Regions

WBUR Radio Does Five Part Series on the Children's Mental Health System in Massachusetts

November 2010

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Plaintiffs File Motion to End Waiting Lists

MassHealth Agrees to Begin to Collect Information on Waiting Lists for Other Remedial Services

The Commonwealth Is Still Considering Whether to Renew Its Effort to Halt the Monitor's Review

Monitor Issues Preliminary Findings from Case Review in the Northeast Region

Defendants Submit Semi-Annual Status Report on Implementation

September 2010

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Court Rejects Commonwealth's Effort to Halt the Monitor's Case Reviews

Preliminary Waiting List Data Collected

Court Requests Legal Briefs on Waiting Lists

Service Utilization Data Reflects Trends, Concerns

Plateau in Delivery of Mobile Crisis Services Continues

July 2010

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Monitor’s case review process allowed to proceed, but legal proceedings loom

Crisis stabilization services still a year away

Court delays action on wait lists

Data indicates strong demand for services

June 2010

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Parties submit their responses to proposed court order on waiting lists

The Commonwealth agrees to provide crisis stabilization services through its waiver program

The defendants submit their semi-annual report on implementation

The plaintiffs respond with their fourteenth status report May 2010

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Court directs parties to resolve three disputes

May 18, 2010 Court hearing on disputes

Crisis stabilization services remain in limbo

Care coordination caseload limits remain in dispute

Waiting lists for ICC and other services

February 2010

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Federal government refuses to approve crisis stabilization services

Court holds status conference and directs monitor and parties to resolve three implementation issues

Intensive care coordination enrollment continues to increase

Mobile crisis intervention services mostly provided in hospitals

MassHealth decides not to modify the service authorization process

Evaluation methods to ensure fidelity to wraparound principles are established

January 2010 Click here to view the following stories:

Data shows significant increase in screening

MassHealth develops data collection and evaluation matrix

MBHP to collect information on the quality of ICC using the Wraparound Fidelity Assessment System

Monitor to conduct individual child reviews

Behavior providers expand under new definitions

Service guidelines to be developed for each new remedial service

Training completed for legal network attorneys
December 2009

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Parties file status reports

Families seeking intensive care coordination continues to grow

Interagency protocols developed for most EOHHS agencies

First wraparound training cycle completed

CMS likely to reject crisis stabilization plan amendment

November 2009

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In-Home behavior therapists expanded

Monitor's survey of CSA providers notes several implementation challenges

Process for converting to CommonHealth is flawed and inefficient

Utilization of ICC and other services continues to rise

Families and providers confront start-up problems with various services

October 2009

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Court updated about system implementation issues

Two new remedial services start October 1 and a third will begin on November 1, 2009

Court establishes deadlines for resolution of in-home behavior services motion

Court takes under advisement the monitor's recommendations on caseload limits for care managers

Court visits Community Service Agency in Hampshire County

Final DYS protocol and dispute resolution procedure issued

Center trains and coordinates advocacy resource network for families

September 2009

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Community Service Agencies engage over 1,200 families

Process for approving new services is inconsistent and confusing

In-home behavior and mentoring about to begin as MassHealth imposes new certification requirement for behavior therapists

Interagency protocols completed for most EOHHS agencies

New assessment and crisis services utilization data released

Legal advocacy now available for families denied services

August 2009

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Court Holds Status Conference on New Services

Three Remedial Services Begin

Court Defers Ruling on Care Coordinator Caseload Recommendations

Court Indicates Preference for Single Authorization Process

Interagency Protocols and Dispute Resolution Procedure Nearing Completion

Center for Public Representation Launches Individual Advocacy Project for Families

July 2009

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Remedial Services Begin

Operations Manual for CSAs

State Agency Protocols

Service Authorization Parameters

ICC Caseload Limits Dispute

New Training and Coaching Provider Selected

June 2009

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Court Holds Lengthy Status Conference to Review Progress

CMS Approves State Plan Amendment

Core Services to Begin on July 1, 2009

CSA Operations Manual Almost Finalized

Court Monitor Issues Recommendation on Dispute Concerning Care Manager Caseload Limits

State Agency Protocols and Agency Dispute Resolution Process Still Not Finalized

MassHealth Announces Standard Authorization Parameters for All New Services, But Requires Prior Approval by Managed Care Entities for Most Services

MassHealth Announces that Families Cannot Appeal Denial of Services by CSAs

May 2009

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Federal Action of New Remedial Services Imminent

Program Specifications for Each Remedial Service are Finalized

Medical Necessity Criteria for Each Remedial Service Are Finalized

Community Service Agency (CSA) Development

CSA Operations Manual

Interagency Protocols

Utilization Management

Training and Coaching

April 2009

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Judge Hears Status Report on Implementation

State Resubmits State Plan Amendment for Remedial Services

New Emergency Services Providers Selected for Mobile Crisis Services

Information on New Services To Be Provided to Families and Professionals

March 2009

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Court Agrees to Modest Delay for Initiating Certain Remedial Services

Court to Hold Regular Status Conferences for Next Few Months

MBHP Selects CSAs

MassHealth Issues RFR for Wraparound Training and Coaching

MassHealth to Develop Operations Manual and Utilization Review Procedures for CSAs

Selection of Emergency Service Providers Delayed Until April

February 2009

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Medicaid Agency Files Motion to Delay Remedial Treatment Services

Court Holds Hearing on EOHHS' Motion to Modify

Court Awards the Plaintiffs' Attorneys' Fees

Parties Still Discussing Medical Necessity Criteria for Remedial Services

New Community Service Agencies to be Selected

RFR Delayed for Training and Coaching

December 2008

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Parties File Status Reports

Court Status Conference Focuses on Eligibility Criteria for Intensive Care Management

CMS Approves State Plan Amendment for ICC but Expresses Concerns Over a Second Amendment on the Other Remedial Services

Further Review of Medical Necessity Criteria for Home-Based Services

Proposed Reimbursement Rates for Community Service Agencies

EPSDT Screening Data

November 2008

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Request for Response for Community Service Agencies Issued

Program Specifications for All Remedial Services Issued but Medical Necessity Criteria Delayed

Rate Settings Hearings on Remedial Services Scheduled

CMS Decision on Remedial Services Delayed

Family Stabilization Teams Expanded as Part of Court-Approved Agreement or Interim Services

Parties Submit Status Reports to Court

September 2008

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Final Medical Necessity Criteria and Program Specifications Developed for Remedial Services

State Responds to CMS Questions Concerning Remedial Services

State Submits Revised State Plan Amendment for EPSDT Remedial Services

Request for Response (RFR) for Community Service Agencies Delayed

August 2008

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Enhanced FST Now Available Statewide

CMS Seeks More Information About Rosie D. Services

MassHealth to Finalize Medical Necessity Criteria and Specifications for New Remedial Services by Summer's End

Judge Denies Appeals of Adverse SED Findings

June 2008

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Defendants Submit Six-Month Implementation Report

Judge Ready to Decide Interim Services Dispute

SED Ruling Expected by July 15

MassHealth Delays Issuance of Request for Response (RFR) for New Community Service Agencies

May 2008

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Parties Debate Over Specifications on ICC, Other Services

Plaintiffs Ask Monitor to Mediate Dispute on Interim Services

Child Advocates Seek Mental Health Reforms

April 2008

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Plaintiffs Submit Comments on the Design of the Children’s Mental Health Service Delivery System

State Seeks CMS Approval of New Behavioral Health Services

State Finalizes Mental Health Evaluation Process

State Finalizes Eligibility Determination Process for Serious Emotional Disturbance and Intensive Care Coordination

March 2008

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Judge to Decide SED Determination Dispute

State Issues RFI, Seeks Feedback About Children’s New Mental Health Service Delivery System

Commonwealth Close to Completing the Design of the Second Stage in the Rosie D. Remedy – the Preliminary Mental Health Evaluation

State to Submit Plan Amendments on Covered Service

MassHealth to seek new contracts for ESPs, MCOs as part of Rosie D. Implementation

February 2008

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Center Staff Pen Article on Rosie D. Implementation for Family Organization Newsletter

Legislative Briefing on implementation

Favorable Committee Report on Children's Mental Health Bill

State Agrees to Extend Remedial Screening to all Medicaid Children

Behavioral Screening for Children

Court Once Again Denies the Commonwealth's Challenge to the Monitor's Compliance Reviews

Court Takes Plaintiffs' Motion on Timely Access to Services Under Advisement

Judge to Visit Local Programs

Key Implementation Issues Cited in the Plaintiffs' Fifteenth Status Report

Court Monitor Completes Compliance Reviews in the Northeast and Metro-Boston Regions

WBUR Radio Does Five Part Series on the Children's Mental Health System in Massachusetts

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