Designing Care Management Entities for Youth with Complex Behavioral Health Needs
The National Evaluation for the CHIPRA Quality Demonstration Grant Program, Implementation Guide Number 2
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Key Findings
- CMEs are a promising model for serving high-cost, high-need youth with serious behavioral health concerns. Designing and implementing a CME, however, can be a large undertaking.
- A state that decides to move forward has considerable flexibility in how it designs CMEs. This guide helps states make decisions about CME funding mechanisms, management structure, youth eligibility criteria, services, provider qualifications and training, payment, and monitoring.
- Given the complexity and interrelatedness of design features, a state should review the full implications of each design decision before moving forward. Engaging stakeholders, consulting experts, and analyzing data can help a state determine which approach is most appropriate for its context.
This implementation guide aims to help states implement or improve care management entities (CMEs), which are designed to coordinate services provided by the many state agencies that serve youth with complex behavioral health needs. By ensuring that services are comprehensive but not duplicative, CMEs can improve outcomes for these youth and their families, in addition to lowering costs to the state. This guide may be helpful to states that are interested in implementing or improving CMEs and to county agencies that are responsible for financing behavioral health or social services within the state.
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