CBHI Service Utilization July 1, 2009 through June 30, 2010 Prepared by Office of Behavioral Health...

CBHI Service Utilization

July 1, 2009 through June 30, 2010Prepared by Office of Behavioral Health Staff

Revised 11/23/2010

2

Number of Members Who Received CBHI ServicesAt Any Point Between

July 1, 2009 through June 30, 2010

• This CBHI service data is based on Managed Care encounter data for members who have received the listed CBHI services. The data is submitted to MassHealth by each MassHealth managed care organization. The data is counted by member id, eliminating duplicate member counts.

• MassHealth membership data is from the MassHealth data warehouse.

• Because there are different MassHealth eligibility requirements for some CBHI services, the Table 1 reflects the appropriate denominator for each CBHI service.

3

Number and Percent of MassHealth Members Under 21 Who Received CBHI Services At Any Point Between


Table 1

Average Number of MassHealth Members under 21 eligible * 478,661

*Includes members in Standard and CommonHealth

CBHI ServicesFY 2010 Number of Members

who Received Service

Percentage of MassHealth Members Under 21 who

Received Service

Intensive Care Coordination 6479 1.35%

Family Support and Training 5281 1.10%

In-Home Behavioral Services 242 0.05%

Therapeutic Mentoring 2735 0.57%

Average Number of MassHealth Members under 21 eligible ** 521,321

**Includes members in Standard, CommonHealth, and managed care enrolled members in Basic, Essential, and Family Assistance

CBHI ServicesFY 2010 Number of Members

who Received Service

Percentage of MassHealth Members Under 21 who

Received Service

In-Home Therapy 7492 1.44%

Youth Mobile Crisis Intervention 9727 1.87%

ALL CBHI Services 18473 3.54%

4

• CBHI Service data on the following pages is provided through June 30, 2010.

• The data is for the following six CBHI services:

– Intensive Care coordination– Family Support and Training– In-Home Therapy– In-Home Behavioral Services– Therapeutic Mentoring– Youth Mobile Crisis Intervention

• Each of these services has three charts:

– The first chart is a summary report showing both number of member using services (utilizers), and the average billed service hours per utilizer.

– The second chart shows service utilizers by age group.– The third chart shows average billed service hours by age group.

• These data are based on managed care claims on members for whome providers have billed the CBHI service.

• The data is submitted to Masshealth by each managed care entity in the CBHI Cost and Utilization Reports and combined by Office of Behavioral Health Analytic Staff.

• The Number of Members using services is slightly inflated (<2%) because members who switch between health plans are counted more than once.

Number of Members Who Received CBHI ServicesBy Month with Average Hours of Service Utilization


5

Number of Members Using Intensive Care Coordination by Month with

Average Hours of Service Utilization Per UtilizerJuly 1, 2009 through June 30, 2010

Chart 1

0

1,000

2,000

3,000

4,000

0.0

2.0

4.0

6.0

8.0

10.0

Utilizers 957 1,430 1,788 2,164 2,352 2,597 2,869 3,088 3,367 3,477 3,600 3,734

Hours/Utilizer 7.3 7.3 7.4 7.2 6.4 7.4 7.7 7.5 9.0 8.9 8.2 8.7

J ul Aug Sep Oct Nov Dec J an Feb Mar Apr May J un

6

Number of Members Using Intensive Care Coordination by Month and Age


Chart 2

0

500

1,000

1,500

2,000

2,500

0-12 495 728 897 1,097 1,179 1,314 1,484 1,632 1,807 1,905 2,018 2,117

13-18 451 670 848 1,017 1,125 1,230 1,332 1,394 1,503 1,520 1,536 1,571

19-20 11 32 43 50 48 53 53 62 57 52 46 46


7

Average Hours of Service Utilization Per Member Using Intensive Care Coordination

by Month and Age July 1, 2009 through June 30, 2010

Chart 3

0.0

10.0

20.0

0-12 7.1 7.2 7.4 7.1 6.4 7.2 7.5 7.3 8.6 8.7 8.2 8.9

13-18 7.5 7.3 7.3 7.3 6.4 7.6 7.9 7.6 9.3 9.1 8.2 8.5

19-20 8.6 6.8 9.1 9.1 7.1 8.3 8.1 8.2 11.1 9.4 8.2 9.1

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun

8

Number of Members Using Family Support and Training by Month with

Average Hours of Service Utilization Per Utilizer July 1, 2009 through June 30, 2010

Chart 4

0

1,000

2,000

3,000

0.0

2.0

4.0

6.0

8.0

10.0

Utilizers 617 953 1,297 1,560 1,730 1,945 2,122 2,257 2,539 2,666 2,727 2,801

Hours/Utilizer 5.5 5.7 5.9 5.6 5.4 6.3 6.6 6.2 7.6 7.5 7.2 7.5


9

Number of Members Using Family Support and Training by Month and Age


Chart 5

0

1,000

2,000

0-12 333 511 687 816 906 1,028 1,128 1,229 1,394 1,522 1,585 1,639

13-18 274 423 582 713 786 879 956 989 1,102 1,107 1,107 1,130

19-20 10 19 28 31 38 38 38 39 43 37 35 32


10

Average Hours of Service Utilization Per Member Using Family Support and Training


Chart 6

0.0

5.0

10.0

0-12 5.2 5.7 5.9 5.3 5.3 6.2 6.5 6.1 7.6 7.5 7.1 7.6

13-18 5.7 5.6 5.9 5.7 5.5 6.6 6.6 6.1 7.5 7.5 7.4 7.3

19-20 6.2 6.4 5.8 8.0 5.9 6.1 9.3 8.4 8.7 8.4 6.6 5.5


11

Number of Members Using In-Home Therapy by Month with

Average Hours of Service Utilization Per UtilizerNovember 1, 2009 through June 30, 2010

Chart 7

01,0002,0003,0004,0005,000

0.04.08.012.016.020.0

Utilizers 2,690 3,088 3,367 3,488 3,762 3,912 4,027 4,262

Hours/Utilizer 16.6 17.0 15.7 15.8 18.5 16.5 15.3 15.7

Nov Dec J an Feb Mar Apr May J un

12

Number of Members Using In-Home Therapy by Month and Age

November 1, 2009 through June 30, 2010

Chart 8

0

1,000

2,000

3,000

0-12 1,441 1,661 1,817 1,936 2,126 2,236 2,341 2,540

13-18 1,234 1,410 1,536 1,538 1,623 1,660 1,667 1,696

19-20 15 17 14 14 13 16 19 26

Nov Dec Jan Feb Mar Apr May Jun

13

Average Hours of Service Utilization Per Member Using In-Home Therapy

by Month and Age November 1, 2009 through June 30, 2010

Chart 9

0.0

10.0

20.0

30.0

0-12 16.6 17.0 15.7 15.8 18.5 16.5 15.3 15.7

13-18 18.0 17.6 16.1 15.9 18.8 16.3 15.3 16.1

19-20 15.3 16.4 14.7 17.5 23.7 12.7 11.2 12.3

Nov Dec Jan Feb Mar Apr May Jun

14

Number of Members Using In-Home Behavioral Services by Month with

Average Hours of Service Utilization Per UtilizerOctober 1, 2009 through June 30, 2010

Chart 10

0

50

100

150

200

0.02.04.06.08.010.012.014.016.0

Utilizers 8 24 40 63 83 109 125 146 155

Hours/Utilizer 10.1 11.1 14.6 10.4 11.4 11.3 11.1 9.1 11.8

Oct Nov Dec J an Feb Mar Apr May J un

15

Number of Members Using In-Home Behavioral Services by Month and Age

October 1, 2009 through June 30, 2010

Chart 11

0

50

100

150

0-12 5 15 27 45 57 77 89 108 115

13-18 2 7 10 15 24 30 34 36 39

19-20 1 2 3 3 2 2 2 2 1

Oct Nov Dec Jan Feb Mar Apr May Jun

16

Average Hours of Service Utilization Per Member Using In-Home Behavioral Services

By Month and AgeOctober 1, 2009 through June 30, 2010

Chart 12

0.0

10.0

20.0

30.0

0-12 8.8 10.1 14.0 10.3 11.2 10.8 11.5 9.2 11.9

13-18 8.9 15.7 18.9 11.8 12.8 12.7 10.6 8.5 11.7

19-20 19.5 2.9 5.3 6.3 2.0 11.8 6.6 14.9 3.8


17

Number of Members Using Therapeutic Mentoring by Month with

Average Hours of Service Utilization Per Utilizer October 1, 2009 through June 30, 2010

Chart 13

0

500

1,000

1,500

2,000

0.02.04.06.08.010.012.014.0

Utilizers 151 516 769 1,060 1,261 1,501 1,640 1,712 1,901

Hours/Utilizer 6.5 9.7 10.3 9.7 10.2 12.0 11.2 10.3 10.9

Oct Nov Dec J an Feb Mar Apr May J un

18

Number of Members Using Therapeutic Mentoring by Month and Age

October 1, 2009 through June 30, 2010

Chart 14

0

500

1,000

1,500

0-12 81 246 382 531 632 793 854 910 1,070

13-18 68 267 379 521 616 694 770 781 813

19-20 2 3 8 8 13 14 16 21 18


19

Average Hours of Service Utilization Per Member Using Therapeutic Mentoring

by Month and Age October 1, 2009 through June 30, 2010

Chart 15

0.0

10.0

20.0

0-12 6.7 8.7 9.8 9.7 10.2 11.7 11.1 10.2 10.5

13-18 6.3 10.7 10.7 9.7 10.2 12.3 11.2 10.5 11.5

19-20 7.4 12.9 11.2 11.2 7.6 14.6 10.0 10.7 12.7


20

Number of Members Using Youth Mobile Crisis Intervention by Month with

Average Hours of Service Utilization Per UtilizerJuly 1, 2009 through June 30, 2010

Chart 16

0

500

1,000

1,500

2,000

0.0

2.0

4.0

6.0

8.0

10.0

Utilizers 725 777 1,064 1,238 1,098 1,093 1,385 1,265 1,707 1,569 1,569 1,300

Hours/Utilizer 5.6 5.7 5.7 5.8 6.3 6.0 6.2 6.4 6.6 6.2 6.3 6.1


21

Number of Members Using Youth Mobile Crisis Intervention by Month and Age


Chart 17

0

500

1,000

0-12 188 219 321 376 345 351 441 399 641 565 599 458

13-18 420 431 604 718 629 619 783 727 914 875 860 718

19-20 117 127 139 144 124 123 161 139 152 129 110 124


22

Average Hours of Service Utilization Per Member Using Youth Mobile Crisis Intervention


Chart 18

0.0

5.0

10.0

0-12 6.2 5.9 6.3 6.4 6.2 6.0 6.3 6.8 6.8 6.8 6.5 6.5

13-18 5.5 5.8 5.6 5.8 6.4 6.1 6.2 6.4 6.7 5.9 6.3 6.1

19-20 5.3 5.3 4.9 4.5 5.8 5.2 6.2 5.6 5.0 4.9 5.3 4.7


23

Percentage of Members Receiving Intensive Care Coordination Accessing Other Behavioral Health Services


• Table 2 on the following page represents the percent of youth receiving ICC who also used other Behavioral Health Services in that month.

• This data is based on the managed care claims data on members for whom providers billed ICC and other behavioral health services during the month. The data is submitted to MassHealth by each managed care entity in the ICC Key Indicator Report, and combined by Office of Behavioral Health Analytic Staff.

• The estimated number of utilizers is slightly inflated because members who switch between health plans are counted more than once.

• The numbers do not exactly match the data in the other charts, because they are based on a different report, which are run on a different date.

24

Percentage of Members Receiving Intensive Care Coordination Accessing Other Behavioral Health Services


Table 2

Number of ICC

Utilizers

% Using 24

Hour Level

Of Care

% Using

Non-24 Hour

Diversionary

Services

% Using

Outpatient

Services

% Receiving

FS&T

Services

% Receiving

MCI Services

% Receiving

In-Home

Therapy

Services

% Receiving

In-Home

Behavioral

Services

% Receiving

Therapeutic

Mentoring

Jul 2009 958 10.1% 5.2% 65.6% 60.2% 10.2% NA NA NA

Aug 2009 1,429 10.8% 5.2% 63.5% 61.6% 9.4% NA NA NA

Sep 2009 1,787 9.3% 5.5% 66.3% 66.9% 10.8% NA NA NA

Oct 2009 2,164 10.4% 4.8% 67.1% 65.1% 8.9% NA 0.3% 4.1%

Nov 2009 2,350 8.6% 4.2% 64.4% 67.1% 6.7% 21.8% 2.7% 11.1%

Dec 2009 2,598 7.0% 3.1% 64.9% 71.0% 5.9% 24.6% 3.6% 15.5%

Jan 2010 2,869 6.9% 3.4% 64.3% 70.3% 7.1% 25.5% 3.9% 20.2%

Feb 2010 3,087 6.5% 3.3% 63.2% 69.5% 6.8% 26.0% 4.6% 21.8%

Mar 2010 3,366 6.1% 2.9% 66.0% 72.3% 7.6% 27.0% 8.6% 23.2%

Apr 2010 3,474 6.1% 2.3% 64.5% 73.8% 7.2% 26.5% 8.5% 23.8%

May 2010 3,600 5.6% 2.3% 62.8% 73.5% 6.9% 25.1% 8.9% 24.2%

Jun 2010 3,739 5.0% 2.2% 61.5% 73.3% 5.7% 26.2% 9.4% 25.7%

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Average Hours of Behavioral Health Services Accessed by Members Receiving Intensive Care Coordination


• Table 3 on the following page represents the average number of hours for services received by youth receiving ICC and other Behavioral Health Services in that month. Hours are calculated based on the number of units of service provided per utilizer. For 24 Hour Level of Care, which includes inpatient and Community Based Acute Treatment services, the data represents the average number of days of service.

• This data is based on the managed care claims data on members for whom providers billed ICC and other services during the month. The data is submitted to MassHealth by each managed care entity in the ICC Key Indicator report, and combined by Office of Behavioral Health Analytic Staff.

• The estimated number of utilizers is slightly inflated because members who switch between health plans are counted more than once.

• The numbers do not exactly match the data in the other charts, because they are based on a different report, which are run on a different date.

26

Average Hours of Behavioral Health Services Accessed by Members Receiving Intensive Care Coordination


Table 3

Mean Hours per ICC Utilizer per MonthMean Days per ICC Utilizer per Month

FY2010 Number of ICC Utilizers ICC - MA

ICC - Non MA FS&T

In-Home Therapy - MA

In-Home Therapy - Non MA

In-Home Behavioral Therapy - MA

In-Home Behavioral Monitoring - Non MA

Therapeutic Mentoring MCI

24 Hour Level of Care

Jul 2009 958 6.64 6.22 5.65 N/A N/A N/A N/A N/A 7.41 16.45

Aug 1,429 6.76 6.17 5.99 N/A N/A N/A N/A N/A 5.69 15.28

Sep 1,787 6.86 6.65 6.16 N/A N/A N/A N/A N/A 6.33 15.08

Oct 2,164 6.74 6.69 5.88 N/A N/A 7.96 6.19 6.41 6.76 14.32

Nov 2,350 6.19 6.02 5.66 11.47 9.65 9.65 6.00 8.29 7.27 15.30

Dec 2,598 7.19 6.60 6.50 11.83 9.73 9.84 11.69 9.78 7.34 14.72

Jan 2010 2,869 7.31 7.14 6.79 11.15 9.86 8.11 6.27 9.89 7.14 14.28

Feb 3,087 7.07 7.10 6.35 11.40 10.06 8.74 6.99 10.31 7.03 15.12

Mar 3,366 8.38 8.57 7.73 13.23 11.47 7.88 7.88 12.13 7.60 14.86

Apr 3,474 8.23 8.65 7.67 12.08 10.34 8.59 5.76 11.46 6.88 16.41

May 3,600 7.81 8.04 7.32 11.53 9.89 6.75 5.59 10.55 7.25 16.13

Jun 3,739 8.27 8.45 7.56 11.88 10.55 7.56 8.21 11.10 7.74 15.20

CBHI Service Utilization July 1, 2009 through June 30, 2010 Prepared by Office of Behavioral Health...

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