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Plaintiffs Oppose Defendants' Motion to Terminate the Rosie D. Judgment

Court to Hear Plaintiffs’ Affirmative Motions to Modify the Judgment

April 2020

MassHealth Increases Telehealth Flexibility for the Delivery and Billing of CBHI Services

MassHealth Extends CBHI Payments for Medicaid Eligible Youth with Certain Private Insurance Plans

2019

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First Circuit Finds Plaintiffs Are Eligible for Attorney's Fees

CPR Appeals Termination of Court Monitoring and Reporting

September 2018

Judges Ponsor and Stearns Hold Oral Argument on Defendants’ Motion for Substantial Compliance and Plaintiffs’ Motion for Further Orders

Defendants’ File Motion and Memorandum in Support of Substantial Compliance and to Terminate Monitoring and Court Supervision

Plaintiffs’ File Opposition to Defendants’ Motion for Substantial Compliance and To Terminate Monitoring and Court Supervision

Defendants' File Reply to Plaintiffs' Opposition to Defendants' Motion Regarding Substantial Compliance

Plaintiffs' Submit Reply to Defendants’ Opposition to Motion to Approve and Order Disengagement Measures, Actions to Improve Access to Remedial Services, and Provisions on Outpatient Services

June 2018

Court Directs Defendants to File Motion for Substantial Compliance

Plaintiffs to Re-File Motions to Approve Disengagement Criteria and Incorporate Provisions on Outpatient Therapy

February 2018

Court Holds Status Conference on Access

2017 Massachusetts Practice Review Shows Progress, Concerns

Defendants Prepare To Release Report On Outpatient Services

September 2016

Disengagement Efforts Underway But Not Under Agreement

Plaintiffs, Defendants at Odds About MCI Sustainability Framework

Defendants Object to Proposed Court Order on Outpatient Services

More Troubling Findings from the MPRs; Final Report Due in October

June 2016

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

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

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

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

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

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

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

Central Mass. SOCPR Underscores Concerns Over Adequate Care Coordination

March 2014

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

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

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

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

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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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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