North Dakota Children's Treatment Services Level of Care Determinations

Tools and Resources

Maximus has been contracted by the state of North Dakota’s Health and Human Services (HHS) to implement and manage its Children’s Treatment Services Level of Care (LOC) Determinations support the health and well-being of ND children and youth. The role of Maximus in this partnership is to determine the use of residential and treatment foster care services for eligible children and youth who are referred for out-of-home placement and/or residential treatment. The approach of using a single assessment to determine the most appropriate placement aligns with HHS’ priority of advancing the foundations of well-being through access to high-quality services and supports.

As the third-party vendor for North Dakota’s Children’s Treatment Services LOC Determinations for residential setting placement, Maximus uses a single evidence-based assessment tool and established minimum set criteria to determine the most appropriate placement for ND children and youth ensuring their needs are met in the least restrictive setting for admission and continued stay decisions. This ensures that residential or treatment foster care services are reserved for those who are identified to have a clinical need, which may warrant treatment in a North Dakota residential program, such as a Psychiatric Residential Treatment Facility (PRTF), Qualified Residential Treatment Program (QRTP), or Treatment Foster Care (TFC). 

As the identified third-party vendor, Maximus provides a conflict-free assessment using the Child and Adolescent Needs and Strengths (CANS), a functional, validated, multi-purpose tool. The CANS gathers information pertaining to the child and caregivers’ strengths and needs, conducting interviews and conversations with the child/youth, referral sources, custodial case managers, parents or guardians and other appropriate parties before making a determination.

The Maximus Clinical Decision Support Model: Making an out of home placement decision for residential treatment solely based on a systemic calculation of scores has been historically referred to as algorithm, which is not an accurate representation of the detailed decision-making process required to make a determination. Instead, the CANS assessment allows for tying together logical and functional pathways by using combinations of actionable needs and levels of intensity present, to allow for increasing levels of acuity, known as a Clinical Decision Support Model (CDSM). The CDSM is not a calculation defined by an established set of numbers or a computer-generated decision, but rather a determination based on identified strengths and needs established by the CANS and then reviewed for application of clinical judgment by an experienced, licensed clinician with at least 4 years of child welfare and/or children behavioral health experience.  

Stakeholder Support:

Are you a Bachelor's level professional with adolescent behavioral health experience interested in becoming an Independent Contractor with the ND CTS LOC program? Contact our recruiting team to learn more: recruiting@maximus.com

If you are interested in direct hire employment opportunities within the ND CTS LOC program or other Maximus clinical programs, please visit: https://maximus.com/clinical.

Contact the help desk
Phone & Email

844.933.3772

NDCTS@maximus.com

Announcements

  • HHS Memo Applicable to HSZ, DJS, Tribal Social Services, and Nexus PATH

  • New North Dakota Program Updates: Review Training Slideshow on the New Stakeholder Resource Site | Register for Upcoming Learning Events | Review Introductory Video Ahead of July 1 Transition to Children's Treatment Services Level of Care Determinations

    RESOURCES: Training Session Slides Now Available on the Children's Treatment Services Level of Care Site

    The Children's Treatment Services Level of Care Determinations team has put together some important training slides regarding AssessmentPro Referral Submissions ahead of the July 1 transition. These files are now available for download on the ND Children's Treatment Services Level of Care Determinations Tools & Resources Site

    There are two different slideshows, one for Custodial Agencies, to include Human Service Zones, DJS and Tribal Nations and one for Providers, such as PRTFs, QRTPs and Nexus PATH. Use the links below to review the presentation that corresponds to your role.  


    REGISTER: Upcoming Learning Opportunities for the New Children's Treatment Services LOC Determinations Taking Place in June and July 

    The Maximus North Dakota and Training teams are still holding multiple training sessions this summer to help stakeholders better understand the program transition to Children's Treatment Services Level of Care Determinations. Be sure to register for the training that best pertains to your role below. 

    Note: There are several available webinar opportunities throughout June and July for custodial agencies and providers taking place, covering the same topics and content. 


    REMINDER: Review Introductory Video Now Available on the CTS LOC Website and Take Training Survey

    The ND Children's Treatment Services Level of Care team, in collaboration with HSS team members Melissa Kainz (Utilization Review Administrator) and Brittany Fode (Licensing and Level of Care Administrator), put together a helpful video to introduce stakeholders to the new determination and overall assessment. 

    Click here to review this video at your leisure, and keep in mind that you can review this and other handy program resources on the new ND Children's Treatment Services Level of Care Tools and Resources site

    We'd also love to hear your feedback about future topics you'd like to see covered in upcoming training sessions. Please click here to take a brief survey.
     

    SUPPORT: Contact the Program Help Desk

    Maximus has launched a dedicated email account, phone support, and webpage for the ND Children's Treatment Services Level of Care Determinations Program. Please contact us with any questions regarding the upcoming transition, specific assessments, webinars, or further information.

  • New North Dakota Program Reminder: Watch Introductory Video and Register for Upcoming Learning Events Ahead of July 1 Transition to Children's Treatment Services Level of Care Determinations

    The State of North Dakota – Health and Human Services (HHS) and Maximus continue to move toward the planned merger of assessment services for North Dakota FFPSA-QRTP, Under 21 Psychiatric Services, and Treatment Foster Care provided by Nexus PATH under the new program name, Children’s Treatment Services LOC Determinations. Planned for launch on Monday, July 1, bringing these vital services under one umbrella will foster opportunities to create greater efficiencies, streamline existing processes, and most critically, provide reliable and consistent outcomes for children and families, aligning with their strengths and needs. 

    Continue reading below to review a helpful visual progress tracker of key project milestones, watch an important introductory video, register for upcoming learning opportunities ahead of the new program launch, and check out a few Frequently Asked Questions.
     


    ACTION ITEMS: Review New Introductory Video Now Available on the CTS LOC Website and Take Training Survey

    The ND Children's Treatment Services Level of Care team, in collaboration with HSS team members Melissa Kainz (Utilization Review Administrator) and Brittany Fode (Licensing and Level of Care Administrator), put together a helpful video to introduce stakeholders to the new determination and overall assessment. 

    Click here to review this video at your leisure, and keep in mind that you can review this and other handy program resources on the new ND Children's Treatment Services Level of Care Tools and Resources site


    We'd also love to hear your feedback about future topics you'd like to see covered in upcoming training sessions. Please click this link to take a brief survey.


    REGISTER: Upcoming Learning Opportunities for Referral Submitters, PRTFs, QRTPs, and Nexus PATH Taking Place in June and July 

    The Maximus North Dakota and Training teams are holding several important training sessions this summer to help stakeholders better understand the transition to Children's Treatment Services Level of Care Determinations. Be sure to register for the training that pertains to your role below

    Note: there are two available sessions for this training. Please choose the time and date that best fits your schedule. 


    FAQs: Process Updates, Contact Information, and Resources Access

    What's Changing? 

    As processes are streamlined with the implementation of Children's Treatment Services LOC Determinations, Maximus will continue to keep you informed. 

    The Children’s Treatment Services Level of Care Determination (CTS LOC) will impact children and youth under age 21 who are referred for out-of-home placement and/or residential treatment, such as ND’s:

    • Psychiatric Residential Treatment Facilities (PRTFs)
    • Qualified Residential Treatment Programs (QRTPs)
    • Treatment Foster Care providers 

    It will also impact entities making referrals for out-of-home placement and/or residential treatment, including but are not limited to: 

    • Human Service Centers 
    • Human Service Zone Offices
    • Division of Juvenile Services
    • Tribal nations 
    • Hospitals
    • Schools 
    • Families
    • Other stakeholders

    As part of the assessment process, Maximus will complete an independent review of all documentation that is submitted by families, custodial agencies and service providers. We will also conduct interviews with the child/youth, referral sources, custodial case managers, parents or guardians and other appropriate parties before making a determination.


    What's Staying The Same? 

     

    The Under 21 Acute Psychiatric Services will still include Acute Utilization Reviews, and the referral source will remain as acute hospitals (no change will be made to this process, workflow, or outcomes).


    How do I contact the ND Children’s Treatment Services LOC Determinations Help Desk at Maximus?


    How do I get on the communication distribution list?

    To be added to the Children’s Treatment Services LOC Determinations email distribution list, email a request to NDCTS@maximus.com with the subject line: “Please add my email to the ND CTS LOC Contact List.” This communication should include your name, title, agency/facility, email address, and contact phone number.


    Who should I contact with any questions about the referral process?

    To find answers to your referral process questions, call North Dakota Children’s Treatment Services LOC Determinations help desk: 844.933.3772 or email: NDCTS@maximus.com.


    When I leave a voicemail for the ND Children’s Treatment Services LOC Determinations team at Maximus, what turnaround time should I expect for a call-back?

    We thank you for your patience as we address calls in the order we receive them. Our standard practice is to return them as soon as the next help desk agent is available, and within the same business day for calls received before 3:00 p.m. CST. Calls received after 3:00 p.m. CST will be resolved the next business day.


    Where can I find ND Children’s Treatment Services LOC Determinations support materials online?

    Explore the ND Children’s Treatment Services LOC Determinations Tools & Resources page, which has a growing list of content that will eventually include a broad range of support content, including contact information, recent announcements, helpful guides and training materials, and relevant state links. You can find these resources at: https://maximusclinicalservices.com/svcs/north_dakota_cts.

    Does Maximus have introductory AssessmentPro training resources available, which can be viewed by new staff who will be completing Children’s Treatment Services LOC Determinations?

    Yes, the ND Children’s Treatment Services LOC Determinations Tools & Resources page will have training materials accessible for review as soon as they are completed. Bookmark the site and check in regularly for updates: https://maximusclinicalservices.com/svcs/north_dakota_cts 

    Individual system usage questions can also be fielded to the ND CTS LOC help desk team: NDCTS@maximus.com.


    SUPPORT: Contact the Program Help Desk

    Maximus has launched a dedicated email account, phone support, and webpage for the ND Children's Treatment Services Level of Care Determinations Program.

    Please contact us with any questions regarding the upcoming transition, specific assessments, webinars, or further information.

  • New North Dakota Program Announcement: Children's Treatment Services Level of Care Determinations to Launch on Monday, July 1 | Program FAQs | Introductory Video and Learning Events Coming Soon

    To support the health and well-being of ND children and youth, the State of North Dakota – Health and Human Services (HHS) and Maximus are excited to announce that on Monday, July 1, assessment services for North Dakota FFPSA-QRTP, Under 21 Psychiatric Services, and Treatment Foster Care provided by Nexus PATH will merge under a new program name, Children’s Treatment Services LOC Determinations. The transition to bring these vital services under one umbrella will provide an opportunity to create greater efficiencies, streamline existing processes, and provide reliable and consistent outcomes for children and families, aligning with their strengths and needs. 

    The role of Maximus in this partnership is to determine the use of residential and treatment foster care services for eligible children and youth who are referred for out-of-home placement and/or residential treatment. The approach of using a single assessment to determine the most appropriate placement aligns with HHS’ priority of advancing the foundations of well-being through access to high-quality services and supports.

    Click here to review the entire State announcement on the new Children's Treatment Services Level of Care Determinations site. As HHS has suggested in their announcement, “This change will support the health and well-being of ND children and youth. The approach of using a single assessment to determine the most appropriate placement aligns with HHS’ priority of advancing the foundations of well-being through access to high-quality services and supports”. 

    Keeping all key program stakeholders informed will remain a vital responsibility for both HHS and Maximus throughout the implementation and beyond. Continue reading below to start prepping for this change with a helpful visual progress tracker of key project milestones, as well as important next steps

     

     


    What's Changing?

    As processes are streamlined with the implementation of Children's Treatment Services LOC Determinations, Maximus will keep you informed. 

    The Children’s Treatment Services Level of Care Determination (CTS LOC) will impact children and youth under age 21 who are referred for out-of-home placement and/or residential treatment, such as ND’s:

    • Psychiatric residential treatment facilities (PRTFs)
    • Qualified residential treatment providers (QRTPs)
    • Treatment foster care providers

    It will also impact entities making referrals for out-of-home placement and/or residential treatment, including but are not limited to: 

    • Human Service Centers 
    • Human Service Zone Offices
    • Division of Juvenile Services
    • Tribal nations 
    • Hospitals
    • Schools 
    • Families
    • Other stakeholders

    As part of the assessment process, Maximus will complete an independent review of all documentation that is submitted by families and service providers. We will also conduct interviews with the child/youth, referral sources, custodial case managers, parents or guardians and other appropriate parties before making a determination.

    The assessment itself will include an outcome for the most appropriate and least restrictive level of care setting, in addition to: 

    • Identified strengths and needs of the child
    • Short and long term goals associated with the child's strength and needs
    • Recommended interventions 
    • Placement preferences of those interviewed as part of the assessment

    What's Staying The Same? 

    The Under 21 acute psychiatric services will still include Acute Utilization Reviews, and the referral source will remain as acute hospitals (no change will be made to this process, workflow, or outcomes).


    FAQs: Contact Information and Resource Access

    How do I contact the North Dakota Children’s Treatment Services LOC Determinations Help Desk at Maximus?

    How does our facility get on the communication distribution list?

    To be added to the Children’s Treatment Services LOC Determinations email distribution list, email a request to NDCTS@maximus.com with the subject line: “Please add my email to the ND CTS LOC Contact List.” This communication should include your name, title, agency/facility, email address, and contact phone number.

    Who should I contact with any questions about the referral process?

    To find answers to your referral process questions, call North Dakota Children’s Treatment Services LOC Determinations help desk: 844.933.3772 or email: NDCTS@maximus.com.

    When I leave a voicemail for the North Dakota Children’s Treatment Services LOC Determinations team at Maximus, what turnaround time should I expect for a call-back?

    We thank you for your patience as we address calls in the order we receive them. Our standard practice is to return them as soon as the next help desk agent is available, and within the same business day for calls received before 3:00 p.m. CST. Calls received after 3:00 p.m. CST will be resolved the next business day.

    Where can I find North Dakota Children’s Treatment Services LOC Determinations support materials online?

    Explore the North Dakota Children’s Treatment Services LOC Determinations Tools & Resources page, which has a growing list of content that will eventually include a broad range of support content, including contact information, recent announcements, helpful guides and training materials, and relevant state links. You can find these resources at: https://maximusclinicalservices.com/svcs/north_dakota_cts.

    Does Maximus have introductory AssessmentPro training resources available, which can be viewed by new staff who will be completing Children’s Treatment Services LOC Determinations?

    Yes, the North Dakota Children’s Treatment Services LOC Determinations Tools & Resources page will have training materials accessible for review as soon as they are completed. Bookmark the site and check in regularly for updates: https://maximusclinicalservices.com/svcs/north_dakota_cts 

    Individual system usage questions can also be fielded to the North Dakota U21 help desk team: NDCTS@maximus.com.


    NEXT STEPS: Informational Webinars + Program Resources Coming Soon

    Stay posted for additional communications coming your way ahead of the July 1 go-live date. They will help to guide you through this change with program updates, learning opportunities, and new resources.

    In collaboration with HHS during the week of June 3, Maximus will issue a pre-recorded informational webinar for your viewing pleasure at a time convenient to you, which will cover a high-level overview of what’s to come with CFS LOC Determinations. It will also include a survey link for any comments, questions, or items you’re interested in learning more about as we collaboratively work towards the July 1 go-live date. 

    We look forward to working closely with you throughout this transition process to ensure you have all the necessary tools and supports needed to continue making a positive impact for those we serve together across North Dakota.


    SUPPORT: Contact the Program Help Desk

    Maximus has launched a dedicated email account, phone support, and webpage for the North Dakota Children's Treatment Services Level of Care Determinations Program.

    Please contact with any questions regarding the upcoming transition, specific assessments, webinars, or further information.

    Phone: 844.933.3772 | Fax: 877.431.9568  | Email: NDCTS@maximus.com