- CASII/CANS/ECSII Information and Evaluator List
More information on CASII/CANS
- CMHW Application for Services
Download CMHW application
For information about the Children’s Mental Health Waiver Program:
Wyoming Medicaid selected Magellan Healthcare, Inc., as the care management entity (CME) for qualifying children and their families, including children served by the Medicaid Children’s Mental Health Waiver (CMHW). Magellan began statewide operations July 1, 2015.
Children not currently financially eligible for Wyoming Medicaid and who meet clinical eligibility criteria for CME services may also apply for participation through the CMHW.
Children already eligible for Wyoming Medicaid may apply for CME services directly with Magellan. For more CME information, please visit http://www.magellanofwyoming.com or contact Magellan via e-mail at: WyomingInfo@MagellanHealth.com or call their customer service center at: 1-855-883-8740 [TDD/TTY: 1-800-424-6259].
What is the Children’s Mental Health Waiver as Managed by the Care Entity?
The Children’s Mental Health Waiver, as managed by the CME, is a short-term home and community based program that uses an intensive care coordination model (high fidelity wraparound) designed to provide a community-based alternative for youth with serious emotional disturbance who might otherwise be hospitalized and whose parents may be required to relinquish custody of their child for them to receive needed mental health treatment and services. The Children’s Mental Health Waiver via the CME seeks to (1) prevent custody relinquishment for youth to receive mental health treatment; (2) prevent or reduce the length of costly psychiatric hospital stays; and (3) provide a mechanism to offer mental health support services to youth with serious emotional disturbance and their families in identified service areas. The Children’s Mental Health Waiver is not a long-term care waiver.
Qualifications for Children/Youth to be Served by the Care Management Entity?
- Children and youth between the ages of 4-20
- Meet the definition of serious emotional disturbance
- Meet at least one Medicaid criteria for inpatient psychiatric hospitalization
- CASII composite score of 20-27 (between ages of 6-20)
- DSM Axis 1 or ICD diagnosis
- Social and emotional assessment information or ECSII (ages 4 & 5)
- Financially eligible for Medicaid based on their own resources
An application must be completed and both clinical and financial requirements must be met before the youth can be accepted. Application instructions are found at: www.magellanofwyoming.com.
Children’s Mental Health Waiver (CMHW)/Care Management Entity (CME) Application Process
Submission of Application and Assessment
The completed application and CASII or ECSII evaluation is:
- Submitted to Magellan Healthcare per the instructions on page 3 of the application.
Screening for Clinical and Financial Eligibility:
The CMHW program screens the application and CASII/ECSII information submitted to determine clinical eligibility. If the applicant is found clinically eligible, the CMHW program notifies the family/youth and refers them to the Wyoming Medicaid Eligibility Customer Service Center at 855-294-2127 to determine program eligibility. The financial qualification is determined based solely on the child/youth’s own income and resources.
Notification of Acceptance or Denial:
Once eligibility is established, the family/youth will be notified in writing of their acceptance to the CME, which is Magellan www.magellanofwyoming.com. They will be helped as they select a family care coordinator to begin the high fidelity wraparound process.
CASII Explanation – Overview of the Child and Adolescent Service Intensity Index (CASII) to explain the tool and how it is used to help establish clinical eligibility for services.