Louisiana developed a Coordinated System of Care (CSoC) to serve children and youth with significant behavioral health challenges who are in or at imminent risk of out-of-home placement.
The CSoC is an initiative authorized by Governor Bobby Jindal and Governor John Bel Edwards that brings together the Department of Children & Family Services; the Louisiana Department of Education; the Louisiana Department of Health; the Office of Juvenile Justice; the Governor's Office; and family, youth and advocate representatives to create and oversee a service delivery system that is better integrated, has enhanced service offerings and achieves improved outcomes. Specific goals for the CSoC include decreasing the number of youth in residential/detention settings, reduction in the state's cost for providing services by leveraging Medicaid and other funding sources and improving the overall outcomes for these children/youth and their caregivers.
- Incorporates a broad, flexible array of effective services and supports for a defined population
- Is organized into a coordinated network
- Integrates care planning and management across multiple levels
- Is culturally and linguistically competent
- Builds meaningful partnerships with families and youth at the service delivery, management and policy levels
The Louisiana Coordinated System of Care (CSoC) is led by the CSoC Governance Board, as established by Executive Order BJ 2011-5 and Executive Order JBE 2016-31. The Governance Board is comprised of executives of the four departments, a representative from the Governor's Office and family, youth and advocate representatives. This board sets the governance policy for CSoC. The Governance Board is subject to public meeting law. Documents from past and upcoming meetings of the Goverance Board can be found here.
The five regions selected to be the initial implementing regions of the CSoC on March 1, 2012, include New Orleans Region, Baton Rouge Region, Alexandria Region, Shreveport Region, and Monroe Region. CSoC was implemented in the remaining four regions on November 20, 2014. The additional four regions include Covington Region, Thibodaux Region, Lafaytte Region and Lake Charles Region.
CSoC is transforming the way behavioral health services are provided to children and families, enhancing the available service array to offer a spectrum of effective, community-based services and supports for children and youth with significant behavioral health challenges who are in or at risk of out-of-home placement, and their families. To be successful, coordinated systems of care require a commitment to trying, reflecting, revising and adapting to ensure the system is continuously improving.
The purpose of the Standard Operating Procedure manual is to provide guidance for conducting the day-to-day activities that are necessary in developing, implementing and sustaining the Coordinated System of Care in Louisiana. Guidance is provided in the areas of CSoC eligibility, referral, screening/assessment, enrollment, services, quality assurance and training requirements. This document that will be reviewed and updated on a semi-annual basis or more frequently as needed as the Coordinated System of Care evolves.
National Wraparound Initiative (NWI)
Since 2004, the National Wraparound Initiative has worked to promote understanding about the components and benefits of care coordination using the Wraparound practice model, and to provide the field with resources and guidance that facilitate high quality and consistent Wraparound implementation.
Principles and standards established by NWI have guided the establishment of CSoC in Louisiana.
CMS Waiver Application
The Louisiana Department of Health (LDH), Bureau of Health Services Financing and the Office of Behavioral Health (OBH) currently provide home and community-based services through the concurrent Healthy Louisiana and Coordinated System of Care 1915(b) Waiver and the Coordinated System of Care (CSoC)Severely Emotionally Disturbed (SED) Children’s 1915(c) Waiver to eligible Medicaid recipients. LDH hereby gives public notice of its intent to seek approval from the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) for a renewal of its applications for the concurrent Healthy Louisiana and Coordinated System of Care (CSoC) 1915(b) Waiver and the Coordinated System of Care (CSoC) Severely Emotionally Disturbed (SED) Children’s 1915(c) Waiver Program. In compliance with CMS requirements, OBH is posting the renewal applications (LA.028.02.00 and LA.029.02.00) for public comment from November 19, 2021 to December 18, 2021. Interested persons may submit written comments to the Office of Behavioral Health, P.O. Box 4049, Baton Rouge, LA 70821-4049 or by email to firstname.lastname@example.org. The deadline for receipt of all written comments is December 18, 2021, by 4:30 p.m.