Medicaid 1115 Waiver-Ready
As states look to move toward changes in Substance Abuse Treatment funding, WITS can support new initiatives such as Section 1115 Demonstration Waivers, Medicaid Eligibility and Medicaid Billing.
In California, WITS supports the State of California Department of Health Care Services’ Section 1115 Bridge to Reform Demonstration Waiver, including the Drug Medi-Cal Eligibility and Delivery System (DMC-ODS). FEI is currently supporting other states as they move toward meeting the goals and reporting requirements contained in the waiver, using the modules contained within WITS today for data collection and reporting. These include items such as:
ASAM Assessment Integration
CMS has required that individuals who are being placed in residential treatment are assessed using ASAM Criteria. WITS supports the use of the ASAM CONTINUUMTM Assessment tool, which is the only approved electronic assessment for determining level of care placements using ASAM criteria. WITS allows users to track the ASAM recommended level of care, as well as a different level of care and reason for the discrepancy.
Authorization of Services
Through WITS billing modules, an authorization for care for residential services or other levels of care can be officially recorded and stored as part of the client’s record.
Manage Provider Continuum of Care
WITS tracks the number and types of providers within the agency’s catchment area, helping a county or state determine needs for improved access to providers geographically. This includes tracking of certification criteria for providers in the network.
State or Countywide Waitlist Capability
View beds/slots across all providers; Manage according to Block Grant priorities
Timely Access to Care
Track the time it takes for a client to access services, and the reasons for delays in access to care.
Case Management and
Track clients as they move through the continuum of care, ensuring they receive the appropriate services at the appropriate time. Prevent fraud, waste, and abuse.
Program Review and Improvement
Utilize data directly from the reporting modules to understand where people are getting better, using what level of funds and resources, so that care can be improved.
- Enhance county and provider decision making based on data
- Compare expenditures to the level of care and results
- Provide all state and federal reporting criteria data
- Robust Microsoft-based reporting tool
Continuum of Care:
Case Management and Residency:
Selective Provider Contracting:
Provider Appeals Process:
Authorization and Utilization Management:
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