Intensive In-Home Behavioral Health Treatment

Overview

A new Oregon Health Plan level of care

The 2019 Oregon Legislature approved $6.6M in general funds to expand the existing continuum of care for children to include an intensive community-based alternative to residential treatment and inpatient hospitalization.

The IIBHT benefit will be available to Oregon Health Plan members not enrolled with a coordinated care organization (CCO) starting July 2020. CCOs will cover the IIBHT benefit starting Jan. 1, 2021.

The Oregon Administrative Rules for IIBHT are in 309-019-0167, 410-172-0650 and 410-172-0695.

Addressing the barriers

OHA added IIBHT as a level of care for children through age 20 to address several existing gaps in the children's mental health service array. IIBHT care:

Can provide 4-6 hours of intensive, in-home services per week to children who need more support and services than what is provided in traditional outpatient services
Offers an array of services to children and families including psychiatric services, mental health therapy, care coordination, skills training and peer support services while preserving their existing placement in the community
Reduces in out-of-home placements for children including residential treatment and inpatient hospitalizations
Is available to children living in a variety of settings in the community. Children can access IIBHT while living in foster care, group homes, shelter care and behavior rehabilitation services.
Is also available to children with intellectual and developmental disabilities.

Program highlights

IIBHT services are tailored to meet the individual needs of the child and family and includes access to a multidisciplinary team of professionals and 24/7 proactive and crisis response to the home. IIBHT providers will:

Meet with the child and family within 3 days of being referred to the program to assess the needs and collaboratively develop a treatment plan, and
Meet monthly with the child and family to review progress, update treatment goals and safety plans.

Enrollment in IIBHT is not time-limited and is based on the individual needs of the child and their family.

Outcomes

Oregon Health & Science University will:

Work with IIBHT providers to collect outcome data for children enrolled in services, and
Analyze the data to demonstrate program effectiveness and inform quality performance activities.

The Ohio Scale and Hope Scale will both be used to gather information directly from the child and family at both the start and end of the program.

Webinars

Link
Introduction and overview of IIBHT
Medicaid Rules: Access and Authorization
Oregon Administrative Rules Feedback
Program Rules and Basic Requirements
Rules Advisory Committee

Becoming an IIBHT provider

If you are interested in becoming a provider for this new program, please contact OHA's Licensing and Certification Unit for behavioral health programs.

Contact

Page Info
Beth Holliman Acute Care Coordinator 503-820-1197 she/her/hers

Documents

URL
9.18.2020 Slide Deck- IIBHT Learning Collaborative
Comagine Open Card Referral From
IIBHT Comparison Chart
Learning Collaborative September 2020 Memo
Outcome Measure Hope Scale Youth
Outcome Measure Ohio Scale Parent
U of WA Developing Practice Standards Webinar Slides
U of WA IIBHT Practice Standards

Keep informed

If you would like regular updates on IIBHT and future Stakeholder Engagement events, please sign up to get OHA Behavioral Health Updates.

Questions?

Please email OHA-IIBHT.program@dhsoha.state.or.us.