American Innovative Healthcare Solutions proposes expanding psychiatric care services through developing a continuum of care. They aim to serve underserved populations like those with chronic mental illness living in nursing homes or group homes. Their model emphasizes collaboration, treating the whole person, and removing obstacles to help patients. They plan to partner with providers, develop different levels of care including inpatient and outpatient services, and leverage Medicare reimbursement to build a sustainable service delivery system.

1. American Innovative Healthcare Solutions LLC Psychiatric Care Service Expansion Proposal

6. Developing a Continuum of Care

12. Psychiatric Levels of Care Problems and Services Problems GAF Appropriate Services Inpatient Severe uncontrolled delusions, hallucinations, suicidal plans or attempts. 1 0-30 Medication management, crisis stabilization, referral to outpatient resources, including housing and 24 X 7 supervision. Partial Hospitalization Moderate-Severe delusions, hallucinations, suicidal thoughts without plans. 25-40 Medication optimization, group Therapy, Psychological education, Med. Ed., Individual therapy and referrals to outpatient resources made. Intensive Outpatient Mild-moderate, Delusions, hallucinations, decreasing suicidal thoughts without plans. 41-60 Group Therapy, psychological education, Individual therapy has begun with an individual therapist and psychiatrist. Linkage to outpatient resources completed. Outpatient Medically Necessary Care Reasonable Probability to Benefit. Mild-moderate, Delusions, hallucinations, decreasing suicidal thoughts without plans. 35-70 Group Therapy. Individual therapy has begun with an individual therapist and psychiatrist. Evaluation and Management. Medication management. Psychosocial Rehabilitation No medical necessity for group or individual therapy. Moderate-Severe delusions, hallucinations, without suicidal plans. 10-50 Assistance with most activities of daily living, group social, recreational activity. Medication compliance, teaching social interaction skills, Med. Ed.,

13. Psychiatric and Addictions Levels of Care Levels of Care Behaviors Global Assessment of Functioning (GAF) Axis V Hours per week What is Medically Necessary & Reasonable? Appropriate Services Inpatient Hallucinations, delusions, suicidal GAF 10-30 24 X 7 care Emergency management, Stabilization. Medication changes Individual, family, group tx, medication Ed., OT Partial Hospitalization Impairment in reality testing and communication GAF 25-40 16-20 hours per week Increase family support, teach coping skills, optimize meds. Individual, family, group tx, psychological education, medication Ed., OT Intensive Outpatient (Not recognized by Medicare) Moderate symptoms, and difficulty in working and social functioning GAF 50-70 10-20 hours per week Expand support system, demonstrate effective coping skills, return to work or school. Psych Assessment, psychological education, Group, individual and family therapy. Outpatient Mild-severe symptoms. 35-70 1-10 hours per week Talk therapy, medical management, reassessment every 30-90 days. Psych Assessment, Group, individual and family therapy Psychosocial Rehabilitation Low probability to improve Reached their baseline of functioning Activities Daily Living, recreation, social activity, med. compliance Support, counseling, employment to maintain baseline.

14. LCPC LCSW Behavioral Health Assistants M.D. Senior Leadership Professional Disciplines Psychiatrists

16. Psychological Services under the Incident-to Provision WPS PSYCH-013-014 ~ ~