PPT-Overview: Utilization Management for Fully Integrated Managed Care and Behavioral Health

Enrollees Clark amp Skamania Counties Presented By March 2 nd 2016 Welcome This session will provide you with information about referral and authorization processes The first portion of the discussion is jointly facilitated by Community Health Plan of Washington CHPW amp Molina Health Care and includes. June 2015. Agenda. Purpose of BH MC Transition. Behavioral Health Managed Care Timeline Update. Plan Designation Status. State Plan and HCBS Services. HCBS Designation Status. Provider Technical Assistance. Russ Curtis, PhD, LPC and . Mehgan. McNeil, M.S., LPCA. Western Carolina University. curtis@wcu.edu. 2.22.13. Table of Contents. Integrated Care Defined. Need for Integrated Care. Supporting Research. Care. NYS Care Management Coalition. 2015 Annual Training Conference. Andrew. Cleek, . PsyD. Dan Ferris, MPA. Learning Objectives. To Understand. :. The basic principles of Managed Care as a payment vehicle for health care services. New Jersey Stakeholder Group Meeting. January 20, 2012. Allison Hamblin, . CHCS. Behavioral Health System Reform: . Why Such a Hotbed of Activity?. It’s all in the numbers…. Top 5% drives 50% of Medicaid spending. Integration. State Examples. Susan Cahn, Dr.PH - Sr. Research Scientist, NORC. Diane Liu, MD - Assistant Professor of Pediatrics. Co-Director, Utah Pediatric Partnership to Improve Healthcare Quality. Iowa E1st Community of Practice. May 17, 2016. What Do You Think?. All services must be provided in integrated community settings.. Integrated community settings are places that:. Support access to the greater community. Paula Margolis, Ph.D., . MPH. Senior Health Policy . Analyst. Joint Commission on Health Care. Why the Integration of Behavioral and Physical Health Care is Needed. Behavioral health disorders, such as depression and substance use, often co-occur with other common chronic diseases such as diabetes and heart disease, and chronic physical diseases are frequently encountered in persons with more serious mental disorders such as schizophrenia. Next Generation Integrated Care Funding Models 3/17/2017 Dale Jarvis, CPA dale@djconsult.net Lynnea E. Lindsey, PhD, MSCP HealthThink Rev 9/15Health and Recovery Plans HARPsA new kind of Medicaid Managed Care plan called a Health and Recovery Plan HARPwill provide more services for people with serious mental health and substance use MEDICAL ASSOCIATES HEALTH PLANS2019AUTHORITYMedical Associates Health Plan Inc and Medical Associates Clinic Health Plan of Wisconsin collectively doing business as Medical Associates Health Plans and Presenting to: OHA’s Behavioral Health Committee. (8/1/22). Kim Hoover, CCBHC Program Coordinator. Katie Rosenthal, CCBHC Medicaid Specialist. How did we get here?. Many global indigenous cultures have philosophies, spiritualities, and/or medicinal practices (some dating thousands of years) which not only view health as whole person (mind, body, soul), but as an extension of the environment.. Robert Kent, Trisha Schell-Guy, Ilyana Meltzer, Pat Lincourt,. Trishia Allen. Agenda. Residential Redesign . LOCADTR Implementation . Behavioral Health & Managed Care . Insurance Law Reforms. Working Within . NORTHEAST/LEHIGH-CAPITAL/NORTHWEST . PROVIDER SUMMITS. May and June 2019. OFFICE OF MENTAL HEALTH . AND SUBSTANCE ABUSE SERVICES. OFFICE OF LONG-TERM LIVING. . AGENDA. Introductions. Behavioral Health (BH) Services under Community HealthChoices (CHC). Empower’s. Utilization Management encompasses the following program components for Medical, Behavioral Health, and CES Waiver:. Prior Authorization or Pre-Certification. Admission and Concurrent Review.