Medicaid Managed Care - U.S. Senate Special Committee on Aging

* Day Ttesoment
Tr=atnt Foster <strong>Care</strong>-
* Medical Support.
* Outpatient Therapy.
- Mentoring.
* Respite <strong>Care</strong>.
* Crisis Beds.
* AODA Services.
* <strong>Special</strong> Therapies.
Transportation,
* Job Training/Placement
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The program also provides care coordination services through both contactod agencies and through its
own specialized care coordination unit called Stride. which combines care cordination with in-home
therapy. In addition, there is the Mobile Vryent Teatrment Team which provides crisis intervention
services.
Funding for Wraparound Milwaukee comes from three rnain sources:
* A S15 million federal grant from the Center for Menta KHealth Srvices. The grant was awarded in 1994
and is being used over a period of five years. This year's amount is approximately S3 million.
* A case rate of S3,300 per nonth per child paid by Milwauke County't child welarx departmeDt
* A Wisconsin <strong>Medicaid</strong> cap rare of $1,400 per month per <strong>Medicaid</strong>-eligible child.
Currently, Wraparound Milwaukee bas 270 children enrolled in the program (approximately 7540% of
them are <strong>Medicaid</strong> eligible). Says Wraparound Milwaukee Project Director, Bruce Katradt, the goal is to
raise the enrollment to 400 this year.
The program has proved successful both in raving money and imroving OutCome Wheas residential
nreaunent costs around $5,000 per month, per child, no: including the cost of iddirional ceay rnal
health services. Wraparound Milwaukee provides comprehensive meental health came for leys than what the
coSt of residenrial rreatment alone would be.
The outcomes are better. too. According to Rogers, in relation to achieving inprovod otterse
instinutional care often does not fully prepare a child to return hone. Wraparound, however. helps children
develop their social competeneies so they learn how to intcraet positively with their families and other
people in their communities.
Steve Gilbertson. a psychologist with Wraparound Milwaukee also agrees that outoemes through
Wraparound Milwaukee tend to be better than through residential treatrent- 'Reaidential treatment usually
relies on external structre to improve a child's behavior, but Wraparound helps a child learn self control."