How to become a Treat First Agency

Become a Treat First Agency

If you have reviewed the previous TxF Talks, you have a good feel for the benefits and strategies for becoming a Treat First Agency in New Mexico.

In this Talk we will review the steps and forms you need to complete.

Participation Agreement

Agency Provider Name*
Purpose of the Treat First Clinical Model

The New Mexico “Treat First” model of care is an innovative approach to behavioral health clinical practice improvement. The organizing principle is to ensure a timely and effective response to a person’s needs as a first priority. It is structured as a way to achieve immediate formation of a therapeutic relationship while gathering needed historical, assessment and treatment planning information over the course of a small number of therapeutic encounters. One of the primary goals has been to decrease the number of members that are “no shows” for the next scheduled appointment because their need was not met upon initial intake.

Population to be served
- All new admissions = 1st visit of care or “new episode of care”, not seen in last (90) days.
- All age groups are appropriate for Treat First.
Location of Sites*
Provider Agency Name Location

Add additional sites as needed.
Expectations for Participation

State
- Upon receipt of a signed Attestation Form from a provider agency, BHSD, HSD, will provide a Certificate of Acknowledgement naming the organization as a Treat First Agency.
- BHSD has built and will provide, through its Vendor (aka Falling Colors Technologies) a web-based data collection mechanism for ongoing reporting.
- Prepare materials for and conduct a Briefing/Orientation to all the agency Lead Contacts prior to implementation of the model.
- Meet with new agencies, along with Falling Colors Technologies, to walk through the data collection methods.
- Conduct ongoing Treat First Learning Community gatherings which would enable the sites to share their discoveries and the state to capture the elements that worked the best across the participating provider agencies
- Prepare a final report to state leadership as to the progress of the Treat First Model
Participating Sites
- The provider agency will sign this Participant Agreement and submit through the website or email it to Treat.First@state.nm.us.
- The provider agency will complete and sign an Attestation Form and submit through the website or email it to Treat.First@state.nm.us.
- Upon receipt of your signed Certificate of Acknowledgement from the state office, the provider agency will forward a copy of that certificate to:
  - the Medical Assistance Division’s designated staff: Debra.Basey@ state.nm.us and to Tonya.Pamatian@state.nm.us
  - the Falling Colors staff at support@bhsdstar.org
- Assign an agency Lead Contact for your Treat First program to work with the state.
- Agree to implement the Treat First Model with all new admissions unless otherwise deemed inappropriate.
- Participate in the initial Site Orientation and data collection trainings.
- Submit the Data Collection Training Request form to support@bhsdstar.org.
- Collect & submit on the Falling Colors Technologies website the predetermined data sets on all new admissions during the first 4 visits of their care.
- Participate in scheduled conference calls or face-to-face meetings to share learnings and give feedback on how to upgrade the Treat First model.
- Participate in ongoing trainings on the Treat First model, as needed.
- On an annual basis, the agency will prepare a brief operational description of what worked best locally and which people were best served by the model.
MCO’s
- Honor the waived requirements and the procedures as clarified and defined in the Treat First Model for specialized behavioral health services as used in:
  - Medicaid Behavioral Health Policy and Billing Manual
  - Medicaid Behavioral Health Supplement
- Work to resolve any billing issues that arise from these agreements as quickly as possible.
I have read and agree to the above information.*
- Yes - I Agree

Attestation Form

List all your agency’s sites that are/will be participating in Treat First:*
Name/Location of Facility Site Medicaid ID NPI

Insert more if needed
The Provider Agency attests to the following activities:
Is familiar with, and is following, the procedures as clarified and defined in the Treat First Model for specialized behavioral health services as used in: Medicaid Behavioral Health Policy & Billing Manual Medicaid Behavioral Health Supplement*
- Yes
- No
Has signed their Participation Agreement*
- Yes
- No
Has participated in, or scheduled, an initial Orientation session with the state.*
- Yes
- No, or Date Scheduled
Has registered their agency and relevant staff in the BHSDstar.org web-based data collection system.*
- Yes
- No, or Date Scheduled
Will post the required data on a timely basis.*
- Yes
- No
Will utilize the Self Check-In and Session Check-Out Instruments with all participating clients.*
- Yes
- No
Will participate in the scheduled Treat First Learning Community meetings.*
- Yes
- No
Staff have been/are being trained in the modules contained on www.TreatFirst.org*
- Yes
- No
Signature*
Name*
First Last
Professional Title*
Email
Date*
MM slash DD slash YYYY

Data Collection Training Request

Data Collection Training Request Form

Lead Contact Name
First Last
Lead Contact Phone
Lead Contact Email
List all your agency's sites that are/will be participating in Treat First
Name/Location of Facility Site Medicaid ID NPI

(Insert more if needed)
When are you requesting that your staff be trained on the data collection system?
Month
Day
Year
Number of staff attending training
Please enter a number greater than or equal to 1.
Signature
Name and Title
Email
Date
Month
Day
Year

Downloadable Forms

Participation Agreement
Submit this form to Treat.First@hsd.nm.gov
Attestation Form
Submit this form to Treat.First@hsd.nm.gov
Data Collection Training Request
Submit this form to Falling Colors at support@bhsdstar.org.
Sample Certificate of Acknowledgement
An example certificate that you will receive upon completion.

Provider Agency Name	Location

Name/Location of Facility Site	Medicaid ID	NPI

Name/Location of Facility Site	Medicaid ID	NPI

Become a Treat First Agency

Participation Agreement

Participation Agreement

Purpose of the Treat First Clinical Model

Population to be served

Expectations for Participation

State

Participating Sites

MCO’s

Attestation Form

Attestation Form

The Provider Agency attests to the following activities:

Data Collection Training Request

Data Collection Training Request Form

Downloadable Forms

Participation Agreement

Attestation Form

Data Collection Training Request

Sample Certificate of Acknowledgement