Services NOT Covered

Besides substance abuse services managed by ValueOptions^® of Kansas, other health and social services are available to Members.  The following services are not the responsibility of ValueOptions^® of Kansas except as related to coordination of services:

1. Medical (Physical Health) Services — T-XIX of the Social Security Act, referred to as Medicaid, provides medical assistance for certain individuals and families with low incomes and resources. Medicaid became law in 1965, as a jointly funded cooperative between the Federal and State governments to assist States in the provision of adequate medical care to eligible needy persons. T-XIX services in Kansas are provided through a primary care case manager (HealthConnect Kansas), or through a capitated PIHP (HealthWave 19), or via fee-for-service for persons on an HCBS waiver, in long term care, or in a voluntary population (e.g., SSI children age 21 years and under, Title V children age 21 years and under, and Native Americans). S-CHIP (HealthWave 21), is a separate capitated program with mental, behavioral, and substance abuse services provided by a separate contractor.  Limited T-XIX behavioral health services are provided through HealthConnect and HealthWave 19. T-XIX pharmacy services are also provided through fee-for-service, HealthConnect, and HealthWave 19. 
2. Mental Health Services — Most T-XIX mental health services will be delivered through and managed by a non-risk, Prepaid Ambulatory Health Plan (PAHP).
3. Prevention Services — There are thirteen Regional Prevention Centers that provide comprehensive support for the six core substance abuse prevention strategies established by the Center for Substance Abuse Prevention: Information Dissemination, Problem Identification and Referral, Alternative Activities; Education, Community-based Processes and Environment Strategies.
4. Temporary Assistance to Families (TAF) Funded Programs - SRS receives TAF funding to provide TAF cash recipients experiencing substance abuse problems services such as assessment, education, pretreatment counseling, strength based intensive case management, maintaining compliance with TAF core work requirements, and care coordination.  This program is known as Solutions Recovery Care Coordination.  SRS contracts with RADACs and Regional Prevention Centers to provide Solutions Recovery Care Coordination services within SRS offices across the state. 
5. 4th Time Driving Under the Influence (DUI) Treatment program — Under KSA 8-1567,  persons that are convicted of a 4th DUI must spend a minimum of 90 days in jail up to a maximum of 1 yr.  As part of sentencing, they must complete an inpatient or out-patient treatment program and follow all recommendations set for one year.  SRS is responsible for the administration of the program and the Kansas Department of Corrections reimburses SRS for treatment costs.   SRS contracts with RADACs for assessment, care coordination and UM services and with licensed programs for treatment services.
6. Medication-Assisted Treatment — There are five methadone clinics in Kansas (located in the two largest urban areas of the State), that provide non-residential services that support the concept of long-term methadone maintenance or other medication assistance to prevent return to opiate abuse.  ValueOptions^® shall ensure coordination of care for opiate-dependent individuals to include the provision of traditional treatment services concurrent with medication assisted treatment when medically indicated.

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