Background
T-XIX-funded substance abuse services and substance abuse services funded by other sources such as the SAPT Block Grant will continue to be overseen by SRS at this time. SRS, through its Health Care Policy Division of Addiction and Prevention Services (AAPS) funds a comprehensive substance abuse treatment infrastructure, guided by evidence-based practices, data-driven processes, and outcomes-based planning and evaluation. To facilitate its oversight, AAPS has developed an information system, called the AAPS Integrated Data System. Through this system, AAPS licenses substance abuse providers, provides information regarding grants, reviews the medical necessity of services against the Kansas definition of medical necessity and the requested level of care against ASAM criteria as contained in the Kansas Member Placement Criteria (KCPC) System, pays claims, captures the National Outcome Measures as required by Substance Abuse and Mental Health Services Administration (SAMHSA), and monitors quality of care. Providers use the AAPS Integrated Data System to create electronic records, request treatment, and bill for substance abuse services provided. ValueOptions of Kansas will continue to use the AAPS Integrated Data System and integrate the use of ValueOptions of Kansas managed care information systems.
AAPS has traditionally funded Regional Alcohol and Drug Assessment Centers (RADACs) to provide statewide on-site assessment and referrals to the treatment service that best meets the Member’s needs. RADACs currently conduct assessments, referrals, outreach and care coordination services. Although the RADAC’s role in assessment, referral and care coordination on behalf of AAPS and SAPT-funded priority Members shall continue through a subcontracted relationship with ValueOptions of Kansas, the RADACs’ role in Utilization Management (UM) and prior authorization of care will cease on July 1, 2007.