Local Planning and Network Development for LMHAs

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Guidelines For The Local Service Area Plan

The FY 2012 Local Planning and Network Development (LPND) Cycle begins on March 1, 2012.  Per the requirements of 25 TAC, Chapter 412, Subchapter P (related to Provider Network Development) every Local Mental Health Authority (LMHA) must update its Local Network Development Plan (plan).  To achieve this, DSHS is using the same template used in the 2010 cycle, with minor revisions to reflect the new time period. 

Please note the following information about the 2012 planning cycle:

  1. Because this is an update to your existing plan, you are not required to obtain additional community input before you develop the revised plan. You are required to solicit public comment on your draft plan. 
  2. If you choose to solicit additional community input before drafting your plan update, you must document the results in your revised plan.
  3. The Planning and Network Advisory Committee (PNAC) must be actively involved in the development of your 2012 plan update.
  4. You must conduct a new assessment of provider availability for 2012, and revise your procurement plans and explanations accordingly. 
  5. Some responses from your 2010 plan may need little, if any, revision.  You may cut and paste from your 2010 plan as appropriate, but be sure to review prior content and revise as needed.
  6. All LMHAs will be on the same planning schedule; we will not divide LMHAs into three cohorts.
  7. All plans are due October 1, 2012, so you will have seven months to complete your plans.
  8. The template requires you to establish your own implementation schedule. DSHS has not established target dates for initiating and completing procurement, but we anticipate that new providers could initiate services at the beginning of FY 2014. We will contact you periodically to inquire about the results of your procurement activities and the status of your implementation plan. 

Background

THSC §533.03521 requires the LMHA to “develop a local network development plan regarding the configuration and development of the local mental health authority’s provider network. The plan must reflect local needs and priorities and maximize consumer choice and access to qualified service providers.”

In 2010, the Provider Network Development Plan was submitted as part of the LMHA’s local service area plan.  In 2012, the Provider Network Development Plan will stand alone.  The Consolidated Local Service Plan (CLSP) is a formal document that communicates service priorities and plans, including crisis services and efforts to divert individuals from the criminal justice system.  The Network Development Plan describes how the LMHA is developing its network of providers to deliver those services.   Instructions for preparation and submission of both plans are found in the DSHS Performance Contract, Information Item I. Requirements for both plans are found  .

Community Participation

Local planning involves the input of many stakeholders. The process of collecting public input is a critical element of the entire planning process. The LMHA must develop a process for identifying and soliciting input from stakeholders that ensures:

  1. Planning efforts are inclusive and participants represent the diversity of opinion, culture, and ethnicity of the local service area;
  2. Stakeholders have opportunities to participate effectively in the planning process; and
  3. The Planning and Network Advisory Committee is involved to the maximum extent possible.
    Methods for gathering feedback from the community may include focus groups, discussion forums, meetings, surveys, and public hearings. The local authority must use a variety of methods, locations, and times to collect information from a representative cross sample of its stakeholders, including:
  1. consumers and family members,
  2. mental health service providers,
  3. healthcare providers,
  4. advocacy organizations,
  5. representatives of local government,
  6. law enforcement, and
  7. other interested persons

Because LMHA’s will be updating their existing Provider Network Development plans in 2012, LMHAs are not required to solicit additional community before drafting the revised plan.  They are, however, required to post the draft plan for public comment and solicit feedback from stakeholders before submitting a final draft to DSHS.

Local Planning and Network Development (LPND) Template

The LPND Template, below, contains detailed instructions for completing each item:

Plan Submission Schedule and Review Process

Completed plans are due on October 1, 2012.  Plans should be submitted to the DSHS Performance Contracts mailbox at performance.contracts@dshs.state.tx.us.

Plan Review Process

  1.  Draft Plan – This draft must be made available by the LMHA to the service area and all stakeholders/interested parties for review and comment during the planning period. This review period must extend for at least 14 days.
  2.  Final plan sent to DSHS – Plans must be submitted to DSHS at the end of the planning period as specified under the Submission Schedule. The DSHS has 60 days to review the plan and either approve or disapprove it. If approved, the LMHA is notified in writing and instructed to post the DSHS – approved plan on the LMHA’s web page. If disapproved, the plan is returned to the LMHA for revision and resubmission.
    • NOTE: Supporting documentation, such as stakeholder meeting attendance sheets, local demographic data calculations, etc. are not required to be submitted with the plan. However, in accordance with the current Performance Contract, DSHS may request such documentation at a future date.
  3.  LANAC review – The rule requires DSHS to involve stakeholders in the review of Local Provider Network Development Plans. To fulfill this requirement, DSHS brings the plans to the Local Authority Network Advisory Committee (LANAC) for its review and recommendations. The LANAC is comprised of sixteen members representing eight stakeholder groups. Additional information about the LANAC can be found at http://www.dshs.state.tx.us/mhcommunity/LANAC/
  4.  Approval criteria – The LANAC has developed a set of general criteria to guide the review process. These criteria provide a tool for reviewers to use in applying the rule, which governs approval of local plans.

Contact Us

For more information, please send an email to LPND@dshs.state.tx.us.

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Last updated March 16, 2012