Peer Mentoring Training for Managed Care Organizations: Developing Peer Mentor Programs

Peer Mentoring Peer Mentoring Training for MCOs Training for MCOs

Objectives 1. Provide Background on Peer Mentor pilot project development & framework 2. Define Peer Mentoring & Peer Mentor Competencies 3. Describe the Peer Mentor internship process 4. Define roles of MCOs, Agencies and BPDD 5. Discuss Peer Mentor service referral and authorization process

The Living Well grant implemented peer to peer education in groups at our pilot sites. Individuals were asking for direct interaction with the self-advocate leaders on different topics. Background On Background On Peer Mentoring Peer Mentoring Pilot Pilot The sites had a desire to explore Peer Mentoring. The grant team began investigating other peer mentoring programs around the country.

The team looked at the models in Michigan, Georgia and North Carolina. Reviewed waiver definitions in other states using peer mentoring Reviewed the Wisconsin Mental Health Peer Specialist program. The Michigan model closely matched what we envisioned for peer mentoring in Wisconsin. Learning from Learning from Other States Other States Contracted with Michigan to train the Living Well Self-Advocates leaders. The grant team provided training to the pilot sites and consortium stakeholders on peer mentoring. Developed a pilot proposal to include 3 Living Well providers and 2 MCO s

Implement the pilot peer with 2 agencies. Mentor 20 individuals over the course of the pilot. Expected Pilot Expected Pilot Outcomes Outcomes Gainful employment for graduates of the Peer Mentor certification. Develop a Wisconsin Peer certification which includes training and internship. Build a sustainable pathway of funding for Peer Mentors in Wisconsin s adult and children s waivers HCBS waivers.

TimeLine for Peer Mentoring Pilot TimeLine for Peer Mentoring Pilot February March April May through July August Training for Pilot Agencies and Managed Care Organization Staff Peer Mentors Apply for Internships with Pilot Agencies Learning Collaborative Meetings start for Agencies, MCO s and Peer Mentors Pilot Agencies select interns and begin orientation Pilot Agencies select potential peer mentees Learning Collaborative Meeting for Agencies, MCO s and Peer Mentors Peer Mentoring begins with supervision Pilot Agencies get baseline evaluation information Learning Collaborative Meeting for Agencies, MCO s and Peer Mentors Peer Mentor Continues Evaluation including observation checklist continues Learning Collaborative Meeting for Agencies, MCO s and Peer Mentors Peer Mentoring Continue with potential wrap up by end of month Post Mentoring Evaluation Completion Evaluation of Peer Mentor for final certification Focus Groups

Definition of Peer Mentor Definition of Peer Mentor A person with a developmental disability who has learned problem solving strategies, how to live a self-determined life, how to be a self-advocate, and knows how to access services and resources in the community.

Ser Services Peer Mentors vices Peer Mentors M May Provide ay Provide Connecting to resources Guidance to find a volunteer opportunity Guidance to build job skills, explore or find a community job Guidance for independent living and moving toward independence Navigating transportation systems Help connecting to recreation and community participation Person-centered planning support Support to develop self-determination and self-advocacy skills

Peer Mentor Role Peer Mentor Role Provide supports through the benefits of shared experiences Encourage and support others to take control of their lives and bring about the changes they want Assist with person-centered planning Build bridges to people and resources within their communities Decrease isolation and loneliness 9

Peer Mentors Differ from Staff & Counselors Peer Mentors Differ from Staff & Counselors They do not tell their peer how to live their life They offer the benefit of their own experiences They are there for encouragement and support They support people to be their own self-advocate 10

11 Peer Mentoring is not: Peer Mentoring is not: A gripe session About the Peer Mentor being an expert A quick fix progress takes time Being a rescuer or a mommy Professional counseling or therapy A substitute for meaningful social and other support services

Peer Mentor Competencies Peer Mentor Competencies Assists others in building their own independent lives Supports person-centered planning goals determined by the individual Works as a collaborator rather than an overseer Listens and builds rapport with people Runs on empathy, not sympathy

Peer Mentor Competencies Peer Mentor Competencies Helps people help themselves Supports self-direction by empowering people to make decisions about their services (and who provides them) Keeps all information about their peer confidential Educates individuals about their rights

Peer Mentor Competencies Peer Mentor Competencies Builds bridges to people and resources within the community Builds/includes Circles of Support by involving friends, family, service providers, etc. Uses People First Language Does not refer to non-disabled people as normal Always asks before helping 14

Overall Overall Process to Become a Certified Process to Become a Certified Peer Mentor Peer Mentor Complete Forms & Evaluation Tools Internship (90 hours) Exit Certification Interview

Peer Mentor Requirements Peer Mentor Requirements At least 18 years of age Have an intellectual/developmental disability Attend WI BPDD s Peer Mentor 101 training Complete a 90-hour internship with a service provider. Participate in annual continuing education trainings to maintain skills and expand knowledge base

90 90 Internship Hours Internship Hours Shadowing (agency staff and certified peer mentors) Learning the long-term care system & community resources Attending required agency trainings/orientation Aggending relevant staff trainings and meetings Attending peer trainings & conferences Monthly Peer Mentor teleconference calls Annual Peer Conference Annual Peer Mentor Retreat Mentoring one-on-one Mentoring in a group setting Co-facilitating groups Other work duties related to mentoring 50% of internship hours must be face-to-face mentoring

Managed Care Organization Role Managed Care Organization Role Identify a pathway for agencies to bill for Peer Mentoring services. Use a consistent rate structure with all providers during the pilot with the option to test two approaches = Hourly and 15 minutes increments. Work with pilot sites to identify potential mentees. Collaborate with BPDD to train IDT staff on benefits of Peer Mentoring. 18

Managed Care Organization Role Managed Care Organization Role Expedite the RAD and service authorization process during pilot phase. Support this process moving forward after the pilot phase. Execute a limited term contract (until Peer Mentoring is added to FC waiver) with pilot agencies to continue to provide Peer Mentoring services. Participate in monthly collaborative conversations on the development of long-term service, quality standards, rates, etc.

Agency (Employer) Role Agency (Employer) Role Execute a contract with MCO for Peer Mentoring services. Assure all training, documentation, and other contract requirements are met for this service. Identify the Peer Mentor Supervisor who is responsible for the success of the Peer Mentor. Hire Peer Mentor before beginning the internship. Notify BPDD of internship start date.

Agency (Employer) Role Agency (Employer) Role The agency is not responsible for service-related needs due to the persons disability as the employer (example: personal care, transportation, job coaching) The agency may provide disability related assistance which could include personal care transportation and job coaching. Provide supervision and support during the paid internship. Ensure typical employer responsibilities are upheld including training, supervision and support, scheduling support, contract requirements including but not limited to background checks.

Agency (Employer) Role Agency (Employer) Role Bill MCO for Peer Mentoring services. Support the Peer Mentor with ongoing training requirements and assure they are up-to-date. Work with MCO to recruit mentees - focusing on ages 12-26. (At least 20 people total across the 2 agencies for the pilot) Create a process to match Peer Mentor(s) with mentees.

Agency (Employer) Role Agency (Employer) Role Participate in monthly collaborative meetings during the pilot with BPDD, MCO s and agencies. Conduct Peer Mentor performance evaluation surveys with mentees at end of internship period - provide documentation to BPDD. Complete Peer Mentor performance evaluation at end of internship period - provide documentation to BPDD. Decide with BPDD and Peer Mentor if mentor has passed internship phase and is ready for provide Peer Mentoring services.

BPDD Role BPDD Role Provide technical assistance to the agencies and Peer Mentors. Facilitate monthly meetings/trainings for Peer Mentors. Participate in evaluation of the Peer Mentors and provide periodic feedback toward progress. Conduct exit interviews with Peer Mentors and supervisors.

BPDD Role BPDD Role Build and manage relationships with partners and other key stakeholders to serve as a resource for content, ideas, and partnership. Provide training for Peer Mentors, supervisors at agencies, and Managed Care Organizations. Lead monthly learning collaborative meetings with all pilot partners. Collaborate with project evaluator to collect evaluation information on the pilot project.

Referral and Authorization Discussion Referral and Authorization Discussion 1. Can agencies recruit "internally" during pilot project? Goal is to expedite the mentee identification process due to short pilot timeline. 2. Do the two agencies have the appropriate services and ratios in their contracts with the MCOs? - Lakeland waiting on DHS statement 3. How MCOs will expedite Member Centered Plan updates and service authorizations? So we have ample opportunity to see outcomes. 4. What modifier will be used with service codes to identify it as Peer Mentoring?