Behavioral Health (BH) Screening Cumulative Quarterly Report
This report focuses on behavioral health screening rates by region and age group, as well as how many youth screenings indicate potential behavioral health conditions. It's based on MassHealth claims and data on managed care encounters. See below for explanations of each column in the dataset.
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Data definitions
Total visits – All EPSDT/PPHSD visits
Total screens – All 96110 claims billed
Screens w/ visits – The number of 96110 claims submitted on the same date of service as an EPSDT/PPHSD visit. This number is a subset of ‘Total Screens.’
% Visits w/ screen – ‘Screens w/ visit’ divided by ‘Total visits.’ The percentage represents the total number of EPSDT/PPHSD claims that included a behavioral health screen.
% Screen w/ visit – ‘Screens w/ visit’ divided by ‘Total screens.’ Of all behavioral health screens claimed, this percentage represents those that were administered at an EPSDT/PPHSD visit. Therefore, if the ‘% Screens w/ visit’ is 97%, the outstanding 3% are those behavioral health screens that occurred outside of an EPSDT/PPHSD visit, i.e. a sick visit or other follow up visit.
Total screens w/ modifier – Represents the subsection of ‘Total screens’ that included a modifier. 96110 claims that did not include a modifier were not included in this number.
% BH need identified – The number of 96110 claims that included an even ‘U-modifier’ divided by the total number of screens that included a modifier. 96110 claims submitted without a modifier are not included in the ‘% BH need identified’ calculation.
% w/o modifier – Of the total number of 96110 claims, the percent of those claims submitted without a modifier is reflected.
Community Service Agency (CSA) Reports
This report shows referral, enrollment, discharge, and staffing data, including how long between requests for service and service availability, and on any waiting lists. Data is based reports by each of the 32 CSAs, and is reported at the end of each month.
Mobile Crisis Intervention (MCI) Key Indicators Reports
MCI teams respond to youths experiencing behavioral health crises. These reports include data on 9 key indicators for MCI teams, including MCI encounters, the number of encounters per community, average response times, and the percent of encounters resulting in an inpatient admission. Encounters might include follow-up sessions after an initial intervention, depending on the each youth's needs.
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Fiscal Year (FY) 18 MCI Key Indicator Provider Level Report (.docx format)
FY18 MCI Key Indicator Provider Level Report (.pdf format)
Service Use Reports
These reports show data on how many MassHealth members who used one of these 6 CHBI services: Intensive Care Coordination, Family Support and Training, In-Home Therapy, In-Home Behavioral Services, Therapeutic Mentoring, and Youth Mobile Crisis Intervention. Data includes the counts of youth receive each service, average number of hours delivered per month per service, and patterns of usage by youth.
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Wraparound Fidelity Index (WFI) Summary Reports
Wraparound fidelity measures how closely a child's intensive care coordination team adheres to Wraparound principles. (Wraparound is particular approach to children's mental health based on a support team and community-based services.) These reports assess how closely Massachusetts adheres to the Wraparound care model. Data is annual comes from surveys of caregivers, parents, youth, and Wraparound team members.
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System of Care Practice Review (SOCPR) Regional Reports
The System of Care Practice Review (SOCPR) process evaluates the quality of care delivered to people younger than 21 who receive MassHealth's children's behavioral health services. SOCPR was developed by the University of South Florida. It uses a multiple case study methodology to learn whether service providers are practicing System of Care values.
The reports in this section come from 2013 & 2014 reviews of Intensive Care Coordination and In-Home Therapy providers. They are divided by region: West, Central, Northeast, Southeast, and Metro Boston.
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SOCPR – Western Report, May 2014 (.pdf)
SOCPR – Western Report, May 2014 (.txt)
SOCPR – Central Report, January 2014 (.pdf)
SOCPR – Central Report, January 2014 (.pdf)
SOCPR – Northeast Report, October 2013 (.pdf)
SOCPR – Northeast Report, October 2013 (.txt)
SOCPR – Southeast Report, March 2014 (.pdf)
SOCPR – Southeast Report, March 2014 (.txt)
Massachusetts Practice Review (MPR) Reports
The Massachusetts Practice Review (MPR) is the Commonwealth's version of System of Care Practice Review (SOCPR). It was created based on the recommendation that Massachusetts' interview protocol align with the Wraparound process that used for CHBI services. For example, it includes questions that reflect the Wraparound principle of “family voice, family choice”, and questions that investigate the thoroughness of diagnostic assessment, the impact of services on youth, and family progress in areas like coping/self-management, social/emotional functioning, and wellbeing/quality of life.
Downloads include the Massachusetts Protocol, reports on the pilot use of the MPR, and yearly results summaries.
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MPR Pilot Review, FY2015 (.pdf)
MPR Pilot Review, FY2015 (.doc)
MPR Brief Report, May-June 2016 (.pdf)
MPR Brief Report, May-June 2016 (.doc)
MPR Brief Report, Oct 2015 (.pdf)
MPR Brief Report, Oct 2015 (.doc)
MPR Brief Summary Report, Mar-Apr 2016 (.pdf)
MPR Brief Summary Report, Mar-Apr 2016 (.doc)
MPR Year End Summary Report, FY 2019 (.pdf)
MPR Year End Summary Report, FY 2019 (.doc)
MPR Year End Summary Report, FY 2018 (.pdf)
MPR Year End Summary Report, FY 2018 (.doc)
MPR Year End Summary, FY 2017 (.pdf)
MPR Year End Summary, FY 2017 (.doc)