Plans & Goals
Fairfield County ADAMH Community Plan Inventory (2023-2025)
CY 2023-2025 CONTINUUM OF CARE: CROSSWALK FROM ESSENTIAL SERVICE CATEGORIES TO INDIVIDUAL SERVICES
BOARD: Fairfield County ADAMH Board
‡ ORC 340.033 Required Opiate Services
‡ Ambulatory Detox
Treatment focus: Opiate TreatmentService location: Must be in Board area Unless Waived per ORC 5119.221
[Choose At Least 1 of 2 Service]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| SUD Withdrawal Management with Extended On Site Monitoring, RN and LPN Services (ASAM LOC 2 WM) | The Substance Abuse Program (SAP) at Diley Ridge Medical Center, 7911 Diley Rd., Canal Winchester, OH 43110 | No |
|---|
| SUD Withdrawal Management with Extended On Site Monitoring, 23 hour observation per diem (ASAM LOC 2 WM) | None listed | —Not listed |
|---|
‡ Sub-Acute Detox
Treatment focus: Opiate TreatmentService location: May be in another Board area
[Choose At Least 1 of 1 Service]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| SUD Clinically Managed Residential Withdrawl Management (ASAM Level 3.2-WM) | refer to out-of-county providers; Perry Behavioral Health Men's Evolution and Women's Stanton Villa | Yes |
|---|
‡ Non-Intensive Outpatient Service
Treatment focus: Opiate TreatmentService location: Must be in Board area
Essential Service Category fulfilled by a Provider within the Board area that has the ability to provide any of the above Outpatient services (within the constraints specified in the Provider Requirements & Reimbursement Manual for each of the individual services) the following treatment levels:
[Choose At Least 1 of 2 Service]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| Adult (age 18 years and older) up to 9 contact hours/week | Ohio Guidestone, New Horizons, The Recovery Center, Lancaster Recovery Services | Yes |
|---|
| Adolescent (age 13 through 17) up to 6 contact hours/week | Ohio Guidestone, New Horizons, The Recovery Center, Lancaster Recovery Services | Yes |
|---|
‡ Intensive Outpatient Service]
Treatment focus: Opiate TreatmentService location: Must be in Board area
Essential Service Category fulfilled by a Provider within the Board area that has the ability to provide any of the above Outpatient services (within the constraints specified in the Provider Requirements & Reimbursement Manual for each of the individual services) the following treatment levels:
[Choose At Least 1 of 4 Service]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| SUD IOP |
|---|
| Adult (age 18 years and older) 9 or more contact hours/week with a minimum of contact 3 days/week | The Recovery Center, New Horizons, Lancaster Recovery Services | Yes |
|---|
| Adolescent (age 13 through 17) 6 or more contact hours/week with a minimum of contact 3 days?week | None listed | —Not listed |
|---|
| and/or |
|---|
| SUD Partial Hospitalization: |
|---|
| Adult (age 18 years and older) 20 or more contact hours/week with a minimum of contact 3 days/week | None listed | —Not listed |
|---|
| Adolescent (age 13 through 17) 20 or more contact hours/week with a minimum of contact 3 days/week | None listed | —Not listed |
|---|
‡ Medication assisted treatment (MAT)
Treatment focus: Opiate TreatmentService location: Must be in Board area Unless Waived per ORC 5119.221
[Choose At Least 1 of 3 Service]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| Buprenorphine, Buprenorphine/Naloxone administration | The Recovery Center, New Horizons, Lancaster Recovery Services, Ohio Guidestone | Yes |
|---|
| Injection, naltrexone (Vivitrol) | The Recovery Center, New Horizons, Lancaster Recovery Services, Ohio Guidestone | Yes |
|---|
| Methadone administration | Comp Drug Franklin County | No |
|---|
‡ Peer Mentoring
Treatment focus: Opiate TreatmentService location: Must be in Board area
[Choose At Least 1 of 2 Service]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| MH Peer Recovery Support (Peer Certification required) [Specialized Recovery Services (SRS 1915(i)) Only] | New Horizons Mental Health Services | Yes |
|---|
| BH Peer Recovery Support (No Peer Certification required) [Non-Medicaid Payable Service] | Fairfield Center of Hope, Lutheran Social Services | Yes |
|---|
‡ Residential Treatment
Treatment focus: Opiate TreatmentService location: May be in another Board area
[Choose At Least 1 of 6 Service]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| Level 4 Recovery Housing | refer to out-of-county providers; Perry Behavioral Health Men's Evolution and Women's Stanton Villa | Yes |
|---|
| SUD Clinically Managed Low-Intensity Residential Treatment-Halfway House (ASAM LOC 3.1) | None listed | —Not listed |
|---|
| SUD Clinically Managed Population-Specific High Intensity Residential Treatment (ASAM LOC 3.3) | None listed | —Not listed |
|---|
| SUD Medically Monitored Intensive IP Treatment [Adults] & Medically Monitored High-Intensity IP Services [Adolescent] (ASAM LOCs 3.7) | None listed | —Not listed |
|---|
| SUD Clinically Managed High Intensity Residential Treatment (ASAM LOC 3.5-WM) | None listed | —Not listed |
|---|
| SUD Medically Monitored Inpatient Withdrawal Management (ASAM LOC 3.7-WM) | None listed | —Not listed |
|---|
‡ Recovery Housing
Treatment focus: Opiate TreatmentService location: Must be in Board area
[Choose At Least 1 of 4 Service]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| Level 1 Recovery Housing | None listed | —Not listed |
|---|
| Level 2 Recovery Housing | The Recovery Center, Lancaster Recovery Services, Lutheran Social Services | Yes |
|---|
| Level 3 Recovery Housing (IOP Required) | The Creed of Recovery | Yes |
|---|
| Level 3 Recovery Housing (IOP Not Required) | None listed | —Not listed |
|---|
‡ 12 Step Approaches
Treatment focus: Opiate TreatmentService location: Must be in Board area
[Choose At Least 1 of 1 Service]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| Existance of 12 Step Programs in Board Area | yes, at numerous locations throughout the county | —Not listed |
|---|
ORC 340.032 Mid-Bienniel Review (MBR) [Sub.S.B. No. 319, December 2016]
Prevention & Wellness Management
Treatment focus: MH & AOD Treatment Including OpiatesService location: May be in another Board area
[Choose At Least 1 of 6 Services]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| SUD Alternatives | The Recovery Center | Yes |
|---|
| SUD Community Based Process | The Recovery Center | Yes |
|---|
| SUD Education | The Recovery Center | Yes |
|---|
| SUD Environmental | The Recovery Center | Yes |
|---|
| SUD Information Dissemination | The Recovery Center | Yes |
|---|
| SUD Problem Identification and Referral | The Recovery Center | Yes |
|---|
[Choose At Least 1 of 6 Services]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| MH Alternatives | The Recovery Center | Yes |
|---|
| MH Community Based Process | The Recovery Center | Yes |
|---|
| MH Education | The Recovery Center | Yes |
|---|
| MH Environmental | The Recovery Center | Yes |
|---|
| MH Information Dissemination | The Recovery Center | Yes |
|---|
| MH Problem Identification and Referral | The Recovery Center | Yes |
|---|
Locate & Inform Persons Needing Services
Treatment focus: MH & AOD Treatment Including OpiatesService location: May be in another Board area
[Choose At Least 1 of 1 Service]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| BH Referral and Information | 2-1-1 Information and Referral, Mental Health America | Yes |
|---|
Recovery Supports, including helping persons in AOD and/or MH services necessary to:
- meet basic human needs;
- care coordination;
- obtain assistance with social, personal & living skills;
- obtain multiple paths to recovery, e.g., 12 step approaches, parent advocacy connection, etc.;
- obtain support, assistance, consultation & education for families, friends & persons receiving AOD & MH services & supports;
Treatment focus: MH & AOD Treatment Including OpiatesService location: May be in another Board area
[Choose At Least 2 of 2 Service]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| SUD Case Management | The Recovery Center, New Horizons, Ohio Guidestone, Lancaster Recovery Services | Yes |
|---|
| MH Community Psychiatric Supportive Treatment (CPST) | New Horizons, Ohio Guidestone | Yes |
|---|
+ participate in peer supports;
Treatment focus: MH & AOD Treatment Including OpiatesService location: May be in another Board area
[Choose At Least 1 of 3 Services]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| MH Peer Recovery Support (Peer Certification required) [Specialized Recovery Services (SRS 1915(i)) Only] | New Horizons | Yes |
|---|
| BH Peer Recovery Support (No Peer Certification required) [Non-Medicaid Payable Service] | Lutheran Social Services, New Horizons, Ohio Guidestone, Lancaster Recovery Services | Yes |
|---|
| MH-Consumer Operated Service | Fairfield Center of Hope | Yes |
|---|
+ obtain employmet, vocation & educational opporitunities;
Treatment focus: MH & AOD Treatment Including OpiatesService location: May be in another Board area
[Choose At Least 1 of 2 Services]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| BH Individualized Placement and Support-Supported Employment (IPS-SE) [Specialized Recovery Services (SRS 1915(i)) Only] | New Horizons Mental Health Services | Yes |
|---|
| BH Employment/Vocational [Non-Medicaid Payable Service] | None listed | —Not listed |
|---|
+ obtain housing & support from a wide range of options;
Treatment focus: MH & AOD Treatment Including OpiatesService location: May be in another Board area
[Choose At Least 1 of 3 Services]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| SUD Housing - Residential Care | refer to out-of-county providers such as Perry Behavioral Health | Yes |
|---|
| SUD Housing - Permanent | The Recovery Center -Pearl House | Yes |
|---|
| SUD Time Limited/Temporary | None listed | —Not listed |
|---|
[Choose At Least 1 of 3 Services]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| MH Housing - Residential Care | We have 5 homes. | No |
|---|
| MH Housing - Permanent | New Horizons Mental Health Services | Yes |
|---|
| MH Time Limited/Temporary | Lutheran Social Services | Yes |
|---|
Assessment Services
Treatment focus: MH & Non-Opiate AOD TreatmentService location: May be in another Board area
[Choose At Least 1 of 1 Services]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| BH Psychiatric Diagnostic Evaluation (w/o or w medical) | Mid-Ohio Psychological Services, The Recovery Center, New Horizons, Ohio Guidestone | Yes |
|---|
[Choose At Least 1 of 6 Services]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| BH Screening, Brief Intervention, Referral to Treatment (SBIRT) | None listed | —Not listed |
|---|
| SUD Assessment | The Recovery Center, Lancaster Recovery, New Horizons, Ohio Guidestone | Yes |
|---|
| Psychological Testing | None listed | —Not listed |
|---|
| Developmental Testing | None listed | —Not listed |
|---|
| Neurobehavioral Status Exam | None listed | —Not listed |
|---|
| Neuropsychological Testing | None listed | —Not listed |
|---|
Residential Services
Treatment focus: MH & Non-Opiate AOD TreatmentService location: May be in another Board area
[Choose At Least 1 of 3 Services]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| SUD Clinically Managed Low-Intensity Residential Treatment-Halfway House (ASAM LOC 3.1) | refer to out-of-county providers; Perry Behavioral Health Men's Evolution and Women's Stanton Villa | —Not listed |
|---|
| SUD Clinically Managed Population-Specific High Intensity Residential Treatment (ASAM LOC 3.3) | None listed | —Not listed |
|---|
| SUD Medically Monitored Intensive IP Treatment [Adults] & Medically Monitored High-Intensity IP Services [Adolescent] (ASAM LOCs 3.7) | None listed | —Not listed |
|---|
[Choose At Least 1 of 1 Services]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| MH Housing - Residential Treatment Room & Board: Type 1 Licensed Facility | We have 5 homes. | —Not listed |
|---|
Outpatient services, including:
+Non-Intensive;
Treatment focus: MH & Non-Opiate AOD TreatmentService location: May be in another Board area
[Choose At Least 2 of 8 Services]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| BH Psychotherapy | New Horizons, Ohio Guidestone, Mid-Ohio Psychological Services, The Recovery Center | Yes |
|---|
| BH Family Psychotherapy | New Horizons, Ohio Guidestone, Mid-Ohio Psychological Services, The Recovery Center | Yes |
|---|
| BH Multiple-Family Group Psychotherapy. | New Horizons, Ohio Guidestone, Mid-Ohio Psychological Services, The Recovery Center | Yes |
|---|
| BH Group Psychotherapy | New Horizons, Ohio Guidestone, Mid-Ohio Psychological Services, The Recovery Center | Yes |
|---|
| BH Counseling & Therapy, individual | New Horizons, Ohio Guidestone, Mid-Ohio Psychological Services, The Recovery Center | Yes |
|---|
| SUD Group Counseling | New Horizons, Ohio Guidestone, The Recovery Center, Lancaster Recovery Services | Yes |
|---|
| MH Therapeutic Behavioral Services (TBS) | New Horizons, Ohio Guidestone, Mid-Ohio Psychological Services, The Recovery Center | Yes |
|---|
| MH Psychosocial Rehabilitation (PSR) | New Horizons, Ohio Guidestone, Mid-Ohio Psychological Services, The Recovery Center | Yes |
|---|
Intensive Outpatient Services
Treatment focus: MH & Non-Opiate AOD TreatmentService location: May be in another Board area
[Choose At Least 2 of 2 Services]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| BH Evaluation & Management (E/M) | The Recovery Center, New Horizons, Ohio Guidestone, Lancaster Recovery Services | Yes |
|---|
| SUD Intensive Outpatient Program (IOP) and SUD Partial Hospitalization (PH) group counseling | The Recovery Center, New Horizons, Ohio Guidestone, Lancaster Recovery Services | Yes |
|---|
[Choose At Least 1 of 13 Services]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| BH Electrocardiogram, with at least 12 leads | None listed | —Not listed |
|---|
| SUD RN Services | The Recovery Center, New Horizons, Ohio Guidestone | Yes |
|---|
| SUD LPN Services | The Recovery Center, New Horizons, Ohio Guidestone, Lancaster Recovery Services | Yes |
|---|
| MH LPN Nursing Services | The Recovery Center, New Horizons, Ohio Guidestone | Yes |
|---|
| MH RN Nursing Services | The Recovery Center, New Horizons, Ohio Guidestone | Yes |
|---|
| Urine Drug Screening | The Recovery Center, New Horizons, Ohio Guidestone, Lancaster Recovery Services | Yes |
|---|
| Medication Administered by Medical Personnel (J-Codes) | The Recovery Center, New Horizons, Ohio Guidestone, Lancaster Recovery Services | Yes |
|---|
| Laboratory Services | New Horizons Mental Health Services CCBHC site | Yes |
|---|
| Vaccine Administration Code | None listed | —Not listed |
|---|
| Vaccine CPT | None listed | —Not listed |
|---|
| MH Day Treatment | None listed | —Not listed |
|---|
| MH Assertive Community Treatment (ACT) | None listed | —Not listed |
|---|
| MH Intensive Home-based Therapy (IBHT) | Ohio Guidestone, New Horizons | Yes |
|---|
+Withdrawl Management;
Treatment focus: Non-Opiate AOD TreatmentService location: May be in another Board area
[Choose At Least 1 of 5 Services]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| SUD Withdrawal Management with Extended On Site Monitoring, RN and LPN Services (ASAM LOC 2 WM) | The Substance Abuse Program (SAP) at Diley Ridge Medical Center, 7911 Diley Rd., Canal Winchester, OH 43110 | No |
|---|
| SUD Withdrawal Management with Extended On Site Monitoring, 23 hour observation per diem (ASAM LOC 2 WM) | None listed | —Not listed |
|---|
| SUD Clinically Managed Residential Withdrawl Management (ASAM Level 3.2-WM) | We refer to Perry Behavioral Health in Perry County. | No |
|---|
| SUD Clinically Managed High Intensity Residential Treatment (ASAM LOC 3.5-WM) | None listed | —Not listed |
|---|
| SUD Medically Monitored Inpatient Withdrawal Management (ASAM LOC 3.7-WM) | None listed | —Not listed |
|---|
Emergency & Crisis.
Treatment focus: MH & AOD Treatment Including OpiatesService location: May be in another Board area
[Choose At Least 1 of 1 Services]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| BH Psychotherapy For Crisis | New Horizons Mental Health Services | Yes |
|---|
[Choose At Least 1 of 4 Services]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| BH Counseling & Therapy, individual | New Horizons Mental Health Services | Yes |
|---|
| MH Therapeutic Behavioral Services (TBS) (determined by rendering provider, not nursing) | New Horizons Mental Health Services | Yes |
|---|
| MH Psychosocial Rehabilitation (PSR) (determined by rendering provider, not nursing) | New Horizons Mental Health Services | Yes |
|---|
| BH Hotline | 2-1-1 Information and Referral | Yes |
|---|
Inpatient Care
Treatment focus: MH & AOD Treatment Including OpiatesService location: May be in another Board area
[Choose At Least 2 of 2 Services]
| Medicaid & Non-Medicaid Payable Services | Provider | Board Contract (Y/N) |
|---|
| SUD Acute Hospital Detoxification | The Substance Abuse Program (SAP) at Diley Ridge Medical Center, 7911 Diley Rd., Canal Winchester, OH 43110 | No |
|---|
| MH Private Inpatient psychiatric | We refer to out-of-county private hospitals such as Mt. Carmel Behavioral Health, Dublin Springs, Columbus Springs, Sun Behavioral | Yes |
|---|
