{"id":377,"date":"2025-02-25T17:30:13","date_gmt":"2025-02-25T17:30:13","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dsamh\/eeuprocix\/"},"modified":"2025-02-25T17:30:13","modified_gmt":"2025-02-25T17:30:13","slug":"eeuprocix","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dsamh\/eeuprocix\/","title":{"rendered":"eeuprocix ~  IX. Disenrollment  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\n\n  <br>\n\n  \n\n  <div class=\"container\" id=\"main_header\">\n\n     <!-- BEGIN readspeaker div -->\n\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\n\n      <a accesskey=\"L\" class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&#038;lang=en_us&#038;readid=main_content&#038;url=https:\/\/dhss.delaware.gov\/dsamh\/eeuprocix.html\" title=\"Listen to this page using ReadSpeaker\">\n\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\n\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\n\n      <\/a>\n\n    <\/div>\n\n    <!-- END readspeaker div -->\n\n\n\n    \n\n    <header class=\"pull-left\">\n\n      <h1><!--[type=EDIT name=\"Page Title\"]-->IX. Disenrollment<!--[END]--><\/h1>\n\n    <\/header>\n\n  <\/div><br>\n\n \n\n  <div class=\"container\">\n\n    <div class=\"row\">\n\n      <div class=\"col-md-3\" id=\"leftCol\">\n\n        <div class=\"panel-group\" id=\"accordion\">\n\n          <div class=\"panel sectionmenu_panel\">\n\n            <div class=\"panel-heading\">\n\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i> Substance Abuse and Mental Health Menu<\/strong><\/a><\/p>\n\n            <\/div>\n\n\n\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\n\n              <div class=\"panel-body\" id=\"clf_nav\">\n\n                  <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\n    <li><a href=\"\/dsamh\/\"><h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2><\/a><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\"><h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n    <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\n    <li>\n      <a href=\"\/dsamh\/about.html\">About DSAMH<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dsamh\/sections.html\">Sections &#038; Programs<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dsamh\/faq.html\">FAQs<\/a>\n    <\/li>\n    \n    <li>\n      <a href=\"\/dsamh\/contact.html\">Contact Information<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dsamh\/ofclocations.html\">Office Locations<\/a>\n    <\/li>\n  <\/ul><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#ServicesMenu\"><h2>Services <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n    <ul class=\"panel-collapse collapse\" id=\"ServicesMenu\">  \n   <!-- <li>\n      <a href=\"\/dsamh\/cccp_red.html\">CCCP & Residential Programs<\/a>\n    <\/li>-->\n        <li>\n      <a href=\"\/988.html\">988<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dsamh\/crisis_intervention.html\">Crisis Intervention<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dsamh\/court_programs.html\">Court Programs<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dsamh\/mental_health_cmhc.html\">PROMISE Assessment Center&#8217;s<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dsamh\/dpc.html\">Delaware Psychiatric Center<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dsamh\/eeu_home.html\">Eligibility &#038; Enrollment Unit<\/a>\n    <\/li>\n   \n   \n      <li>\n      <a href=\"\/dsamh\/peerservices.html\">Peer Services<\/a>\n    <\/li>\n\n  \n    <li>\n      <a href=\"\/dsamh\/promise.html\">PROMISE<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dsamh\/gambling.html\">Problem Gambling<\/a>\n    <\/li>\n    \n    <li>\n      <a href=\"\/dsamh\/substance_abuse.html\">Substance Abuse<\/a>\n    <\/li>\n \n    <li>\n      <a href=\"\/dsamh\/tasc.html\">Treatment Access Centers<\/a>\n    <\/li>\n  <\/ul><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#InformationMenu\"><h2>Information <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n    <ul class=\"panel-collapse collapse\" id=\"InformationMenu\">\n    <li>\n      <a href=\"\/dsamh\/train.html\">Training<\/a>\n    <\/li>\n   \n    <li>\n      <a href=\"\/dsamh\/screenerscorner.html\">Mental Health Screener&#8217;s Corner<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dsamh\/recovery_resources.html\">Recovery Resources<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dsamh\/regs.html\">Regulations<\/a>\n    <\/li>\n \n    <li>\n      <a href=\"\/dsamh\/residency\/index.html\">Residency<\/a>\n    <\/li>\n   \n  \n         <li>\n      <a href=\"\/dsamh\/policies\/index.html\">Provider Policies  &#038; Resources<\/a>\n    <\/li>\n         \n        \n        \n        \n  <\/ul><\/li>\n<!--    <li><a id=\"SocialMenuHeader\"><h2>Connect <i class=\"fa fa-thumbs-o-up fa-fw\"><\/i><\/h2><\/a>\n  <ul id=\"SocialMenu\">\n    <li class=\"facebook\"><a href=\"https:\/\/www.facebook.com\/DEPublicHealth\" title=\"Division of Public Health Facebook Page\" target=\"_blank\"><i class=\"fa fa-facebook-square fa-lg\"><\/i> Facebook<\/a><\/li>\n    <li class=\"twitter\"><a href=\"https:\/\/twitter.com\/Delaware_DHSS\" title=\"Delaware Health and Social Services Twitter Account\" target=\"_blank\"><i class=\"fa fa-twitter-square fa-lg\"><\/i> Twitter<\/a><\/li>\n  <li class=\"googleplus\"><a href=\"#\"><i class=\"fa fa-google-plus-square fa-lg\"><\/i> Google +<\/a><\/li>\n    <li class=\"flickr\"><a href=\"#\"><i class=\"fa fa-flickr fa-lg\"><\/i> Flickr<\/a><\/li>\n    <li class=\"youtube\"><a href=\"#\"><i class=\"fa fa-youtube-square fa-lg\"><\/i> Youtube<\/a><\/li>\n    <li class=\"instagram\"><a href=\"#\"><i class=\"fa fa-instagram fa-lg\"><\/i> Instagram<\/a><\/li>\n    <li class=\"linkedin\"><a href=\"#\"><i class=\"fa fa-linkedin-square fa-lg\"><\/i> Linkedin<\/a><\/li>\n    <li class=\"pinterest\"><a href=\"#\"><i class=\"fa fa-pinterest-square fa-lg\"><\/i> Pinterest<\/a><\/li>\n  <\/ul>\n<\/li> -->\n<\/ul>\n\n\n\n              <\/div>\n\n            <\/div>\n\n          <\/div>\n\n        <\/div><br>\n\n      <\/div>\n\n\n\n      <div class=\"col-md-9\" id=\"main_content\"> \n\n  <!--[type=HTMLEDIT name=\"Content\"]-->\n\n\n\n<p>\n\n\n  The EEU will assume primary responsibilities for administering the disenrollment process. Responsibilities will include: final approval\n\n\n  of a change in service status; final authorization of disenrollment from the DSAMH LTC system; and the processing of disenrollment\n\n\n  information to the Division of Social Services\/Medicaid Office for Medicaid beneficiaries.\n\n\n<\/p>\n\n\n<p>\n\n\n  A program participant may be disenrolled from the DSAMH LTC system under the following circumstances:\n\n\n<\/p>\n\n\n<ul>\n\n\n  <li>Improvement in behavioral health status, as indicated by a combination of the following:\n\n\n    <ul>\n\n\n      <li>a change in diagnosis and\/or functioning no longer indicating a need for long term intensive service provision; evidence that the\n\n\n      enrollee has not needed\/utilized higher levels of care\n\n\n      <\/li>\n\n\n      <li>stable medication history;\n\n\n      <\/li>\n\n\n      <li>stable psychosocial factors as demonstrated by an assessment of functioning and quality of life scales; or\n\n\n      <\/li>\n\n\n    <\/ul>\n\n\n  <\/li>\n\n\n  <li>Placement in a correctional facility (detainee or un-sentenced vs. sentenced); or\n\n\n  <\/li>\n\n\n  <li>Inpatient treatment in a nursing facility beyond a continuous sixty day period prior to the request for disenrollment; or\n\n\n  <\/li>\n\n\n  <li>Relocation to another state; or\n\n\n  <\/li>\n\n\n  <li>Death of participant.\n\n\n  <\/li>\n\n\n<\/ul><br>\n\n\n<p>\n\n\n  In order to effect a disenrollment, the EEU will request that the primary service provider submit a DSAMH LTC Client Discharge Summary.\n\n\n  The DSAMH LTC Discharge Summary will include: a summary of the enrollee&#8217;s treatment plans; medications; and other pertinent information\n\n\n  required to promote the most successful transfer for the client. The Discharge Summary will provide recommendations on treatment and\n\n\n  support required to continue the consumer&#8217;s recover, including the methods to be used for ongoing self-care and relapse prevention. As\n\n\n  part of this process, the EEU will confirm the consumer&#8217;s Medicaid eligibility before referring a consumer back to the DSHP MCO or a\n\n\n  treatment provider for the basic benefit and will change the SPI flag in the MMIS for Medicaid beneficiaries.\n\n\n<\/p>\n\n\n<p>\n\n\n  When management of the consumer&#8217;s behavioral health care is to be returned to a Medicaid DSHP MCO, the EEU will ensure that the Primary\n\n\n  Service Provider coordinates with the consumer&#8217;s\/client&#8217;s MCO to effect a clinically appropriate transition of care.\n\n\n<\/p>  <!--[END]-->\n\n  \n\n      <\/div>\n\n    <\/div>\n\n  <\/div><!-- \/container -->\n\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Listen IX. Disenrollment Substance Abuse and Mental Health Menu Home About About DSAMH Sections &#038; Programs FAQs Contact Information Office Locations Services 988 Crisis Intervention Court Programs PROMISE Assessment Center&#8217;s Delaware Psychiatric Center Eligibility &#038; Enrollment Unit Peer Services PROMISE Problem Gambling Substance Abuse Treatment Access Centers Information Training Mental Health Screener&#8217;s Corner Recovery Resources [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-377","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dsamh\/wp-json\/wp\/v2\/pages\/377","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dhss.delaware.gov\/dsamh\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dhss.delaware.gov\/dsamh\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dsamh\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dsamh\/wp-json\/wp\/v2\/comments?post=377"}],"version-history":[{"count":0,"href":"https:\/\/dhss.delaware.gov\/dsamh\/wp-json\/wp\/v2\/pages\/377\/revisions"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/dsamh\/wp-json\/wp\/v2\/media?parent=377"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}