Case Management Services Funding Sources Admissions The Mountain Regional Services, Inc. Case Management Department is a dedicated group of professionals qualified to provide services for individuals with developmental disabilities. Each Case Manager meets State requirements which include at least an Associates Degree and three years experience working with individuals with a disability OR a Bachelor's Degree in psychology, social work, education or other human service area and one year experience working with individuals with a disability. Another name for a Case Manager is an "Individually-Selected Service Coordinator" or ISC. A Case Manager is usually the first contact you will have at MRSI. You will receive a list of qualified ISC's from the State of Wyoming. A Case Manager helps with the admission and funding process. After funding is received, you will be given another opportunity to choose whom you would like to be your Case Manager (ISC) for the following year. The Area Resource Specialist, who is an employee of the State of Wyoming, will be contacting you to make this choice. Your Case Manager will then begin writing an Individualized Plan of Care (IPC). At this point, your Case Manager becomes someone who coordinates the wide variety of services that are available to developmentally disabled individuals, such as Residential Habilitation, Day Habilitation,  Skilled Nursing, Psychology, and many others that your Case Manager will be happy to review with you and help you decide which services will best fit your needs. Some other things a Case Manager will do are visit the person served in their home at least one time per month to make sure that all services are going well; obtain recommendations and bids for adaptive equipment and home modifications when the need arises; monitor and have knowledge of individual person served income and resources to help maintain eligibility for funding sources; obtain guardian approval on medication changes, hospitalizations and Emergency Room visits; address person served concerns with services providers; be available 24 hours per day on an emergency basis; and train staff on person served as needed. Targeted Case Management Mountain Regional Services offers Targeted Case Management for Developmentally Disabled persons.  Targeted case management (TCM) is a Medicaid service administered by the Wyoming Division of Developmental Disabilities for non-waiver, developmentally disabled individuals of any age. This is a Medicaid service. It is designed to assist clinically and financially eligible individuals in gaining access to needed medical, social, educational, and other services. TCM officially began February 1, 1997. Through targeted case mangement, needed services and supports are organized into an integrated system of care. The individual served has an individually-selected service coordinator (ISC) whom they select. The ISC assures that the following targeted case management activities are delivered: Writing the Individual Plan of Care for Targeted Case Management. Linkage – Working with clients and/or service providers to secure access to services. Activities include making telephone calls to agencies to arrange for appointments or services following the initial referral process, and preparing clients for these appointments. Monitoring and Follow-up – Contacting the client or others to ensure that a client is following a prescribed service plan and monitoring the progress and impact of that plan. Referral – Arranging initial appointments for clients with service providers or informing clients of services available, addresses and telephone numbers of agencies providing services. Advocacy – Advocacy on behalf of a specific client for the purpose of accessing needed services. Crisis Intervention – Crisis intervention and stabilization are provided in situations requiring immediate attention/resolution for a specific client. Services Provided by Mountain Regional Services, Inc.: KEY: * - On Adult Waiver ONLY ** - On Children's and Adult Waiver *** - On Children's Waiver ONLY *In-Home Support: This service is for a person served who lives with their family within the family home. This service includes training the person served to carry out an individually designed program which allows the person served to acquire, retain, and improve the self-help, socialization and adaptive skills necessary to live successfully in the community. **Personal Care: This service provides assistance with eating, bathing, dressing, personal hygiene, and activities of daily living. It may also include assistance with the preparation of meals, but does not include the cost of meals themselves. *Adult Waiver Only: When it is specified in the IPC, this service may also include such housekeeping chores as bed making, dusting and vacuuming, which are essential to the health and welfare of the person served. **Adaptive Equipment (New and Repair): This service will provide specialized equipment and supplies such as devices, controls or appliances, (specified in the IPC), which enable the person served to increase his/her abilities to perform activities of daily living or to perceive, control or communicate with the environment that he/she lives in. **Home Modification (New and Repair): This service would pay for the physical adaptations that are made to the person served's home which are necessary to ensure the health, welfare and safety of the person served, or which enables the person served to function with greater independence in the home. Specialized Therapies: There are several specialized therapies that Mountain Regional Services provides: **Psychological - MRSI has several Psychologists on staff and you will receive this service if it is shown that you have a need. The Psychologist can help you adjust to daily issues and any other issues that are important to you. Family/parent therapy is provided on the Children's Waiver. A Psychologist can perform an assessment with you to determine if this service would help you. **Psychiatry - MRSI offers the unique opportunity of consulting with psychiatrists with specialty interests in the areas of adult as well as child and adolescent treatment. Medications are selected based on an awareness of the rapidly changing field of psychopharmacology and the growing awareness that each individual has a unique biological makeup that is more or less responsive to different classes of medications and medications within the respective class being used. Ongoing monitoring of an individual's response to his or her medication(s) provides for early recognition of favorable or unfavorable responses to medications so that changes, dosage adjustments, or education interventions can be initiated quickly and efficiently to achieve the desired therapeutic effect in a way that minimizes consumer discomfort and maximizes helpful results. Each consumer has a thorough initial psychiatric screening, diagnosis, and programmatic intervention strategy with emphasis on consumer input to ensure understanding, participation, and flexibility in treating the specific needs of the individual. Moreover, each consumer is informed of the strengths, limitations, and purpose of the prescribed medication, what to expect, when to expect it, and how to recognize whether or not positive treatment effects are occurring. Our psychiatrists endorse an approach to treatment that includes the belief that any intervention effort is more likely to be effective when consumer and doctor have a working relationship and share in the responsibility for achieving a treatment success. **Skilled Nursing Services: Mountain Regional Services, Inc. has several Registered Nurses on staff. This service is provided to those who have been ordered by an attending physician to receive specific skilled nursing treatments and care. This service is provided to those who live in their families' homes, specialized foster homes, group homes, or other community home settings. Funding Sources: There are several funding sources available and an MRSI Case Manager will be able to assist you in finding the funding that would best suit your needs. Some funding sources include: Wyoming Medicaid Waiver (Children and Adult); State contracts; Department of Vocational Rehabilitation; etc. Each funding source may require different eligibility requirements such as age, disability, financial resources, etc. Admissions: Mountain Regional Services, Inc. is a Rehabilitation Facility assisting individuals with Developmental Disabilities to reach their highest level of independence and quality of life. We welcome your application. Please take the time to fill out the application completely and thoroughly. When the completed application is received, our Intake Committee will meet to make a decision regarding whether MRSI will be able to provide the appropriate services you need/request. Someone will contact you after a decision has been made and you can choose your Case Manager and begin writing your Individualized Plan of Care. The admission process coincides with the funding process so when/if you are accepted into MRSI the funding is in place and you can begin receiving services. see also: More about Admission