ABOUT Louisiana's Coordinated System of Care (CSoC)

In Louisiana, we have developed the Coordinated System of Care (CSoC), a new approach to offering behavioral health care services for children/youth and their families that is based on system of care values.

This initiative creates a single point of entry for families of children who have complex behavioral health needs and are either in or at risk of being in out-of-home placement (e.g. foster homes, group homes, juvenile detention facilities, residential treatment centers) by combining resources of the State's four child-serving agencies: Department of Children and Family Services, Department of Education, Department of Health and, Office of Juvenile Justice.

Children with serious mental health or substance abuse problems often are involved with many state agencies, and CSoC brings all of these together into one coordinated network to offer the right services at the right time at the right level of intensity.

Families enrolled in CSoC will receive intensive, individualized services in their communities. In this process, the family and child partner with a team of people they choose and work together to develop a plan that meets their needs, rather than having other people develop a plan for them.

Combining all services into one coordinated plan allows for better communication and collaboration among families, youth, state agencies, providers and others who support the family. Initiatives like these are also more cost effective; encouraging sharing of resources across state agencies in Louisiana has resulted in the ability to leverage additional funding from other sources.

Supports and Services

Children and families enrolled in CSoC will be eligible for all of the services available through Medicaid plus specialized treatment planning and services offered through CSoC. In particular, these families will be able to receive:

The goal of CSoC is to make sure that families who have children with severe behavioral health challenges get the right support and services, at the right time, for the right amount of time, from the right provider, to keep or return children home or to their home communities.

Waiver Application

The Department proposes to renew the CSoC waiver, effective March 1, 2017, for a five-year period. In addition to renewing the waiver, the Department proposes to make the following changes to the waiver:

  • Modify the age criteria from “birth through age 21” to “5 through age 20” in order to target services to the highest need individuals; and
  • Exclude enrollees from participating in the CSoC Waiver program who do not reside in home and community-based settings as defined in 42 CFR 441.301(c)(4), and in accordance with the Department’s policies and procedures.

In compliance with the Centers for Medicare and Medicaid Services (CMS) regulations, the Department is posting the Coordinated System of Care Severely Emotional Disturbed Children’s Waiver Application for Renewal (LA.0889) for public comment October 28 through November 27, 2016. CMS regulations require the Louisiana Department of Health to actively engage the public and give program participants, advocates, providers and other community stakeholders the opportunity to provide input regarding changes made to current waiver applications prior to the submission of final versions to CMS.

A hard copy of the application shall be made available upon request to the Department at MedicaidPolicy@la.gov, or by calling 225.342.6843. Interested persons may submit written comments to Jen Steele, Louisiana Department of Health, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge, LA 70821-9030 or by email to MedicaidPolicy@la.gov. Ms. Steele is responsible for responding to inquiries regarding this public notice. The deadline for receipt of all written comments is November 27, 2016 by 4:30 p.m.