IRT Referral Process

We understand that navigating the process for Intensive Residential Treatment (IRT) can seem overwhelming, especially if it’s your first time. Whether you’re a healthcare provider, a family member, or someone seeking care, we’re here to help make this journey as smooth and straightforward as possible.

This step-by-step guide is designed to walk you through the entire referral process, from the initial referral to engagement with our IRT team. We’ll cover everything you need to know, including how referrals are initiated, what happens during the review and assessment stages, and how we ensure that each person gets the right care tailored to their needs.

We’re committed to supporting you every step of the way. If you have any questions or need further assistance, please don’t hesitate to reach out to us. Let’s get started on this journey together!

Getting Started with a Referral:

Referrals can be made by MCO staff (like hospital liaisons), HCS staff, or local healthcare providers.

If you’re not starting with the MCO, you’ll need to contact the plan’s liaisons. Don’t worry if you don’t know who they are; you can ask HCA program managers or HCS hospital diversion teams for help.

Reviewing the Referral:

Once a referral is made, the MCO and HCS will review it to make sure the person meets the requirements and that there’s a spot available with the IRT team.

If the person has a Less-Restrictive Alternative (LRA) or Conditional Release (CR) order, the MCO will check if the IRT team can meet all the conditions and arrange any additional treatments if needed.

Sharing the Referral Packet:

HCS staff will send the referral packet, which includes all the important documents, to the IRT team.

Assessment and Finding a Place:

HCS staff will do an assessment called a Comprehensive Assessment Reporting Evaluation (CARES) to see if the person is a good fit for an Adult Family Home (AFH) or Assisted Living Facility (ALF).

They’ll complete the referral to the IRT team before finding a permanent place for the person.

If the person is part of the Residential Support Waiver (RSW) program, HCS will make sure there’s no overlap with IRT services before finalizing placement.

Coordinating Services:

There should be an agreement on what services the SBS provider and IRT team will offer to avoid duplication.

MCOs will be consulted to ensure everything runs smoothly.

Understanding Court Orders:

If the person has an LRA or CR, the services should be clearly mentioned in the court order, and everyone should understand their roles.

Acceptance and Follow-Up:

Once the IRT team accepts the referral, they will contact the person to explain their services and ensure the person agrees to work with them.

The IRT team will inform the MCO and HCS staff about the person’s decision and will make plans to stay engaged with the person before they are discharged.