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Specialty Integrated Plans

  • 1.  Specialty Integrated Plans

    National Council Staff
    Posted 12-09-2019 08:35
    Edited by Neal Comstock 12-09-2019 08:34
      |   view attached

    Dear Association Executives – National Council Board member Ed Woods brought to my attention an announcement from Michigan HHS regarding Specialty Integrated Plans (see links below). 

    Michigan is seeking to integrate their behavioral health care and their physical health care plans which are currently separate, under one entity to manage and pay for care. 

    The state is currently considering multiple delivery options including public-led, plan-led, provider-led, and private/public partnership models. 

    We wanted to see if any of you had experience with this approach to integrating care, and if you could share red flags or opportunities to ensure such a model improves access and provides the best quality services. 

    Thank you for your help with this – Chuck

    https://www.michigan.gov/documents/mdhhs/Future_of_Behavioral_Health_Fact_Sheet_and_FAQs_672946_7.pdf

    https://www.michigan.gov/mdhhs/0,5885,7-339--513879--,00.html

      

    Chuck Ingoglia

    President & CEO

    National Council for Behavioral Health

    Direct: (202) 684-3749

    ChuckI@TheNationalCouncil.org



    ------------------------------
    Neal Comstock
    Director of Membership
    National Council
    NealC@TheNationalCouncil.org
    202 748-8793
    ------------------------------


  • 2.  RE: Specialty Integrated Plans

    Posted 12-09-2019 11:13
    Hello,

    NC has been in a multi-year process to transition from a fee for service model in medicaid to a managed care model that integrates behavioral health with physical health for some time. This turned into a circus during the recent session. DHHS is under fire for the tremendous investment to build the scaffolding for this- and then not manage to get it launched. It got caught up in state budget issues and used as a political tool. 

    I am happy to talk and give more information to Michigan to help identify some land mines and opportunities for Associations if that is helpful. There are a couple of links below. There has been a lot of information leading up to this. Happy to help identify specific resources/information items from NC if that is helpful.




    Sarah


    --
    Sarah Potter, M.P.A
    Executive Director
    Addiction Professionals of North Carolina
    3733 National Drive, Suite 225
    Raleigh, NC 27612


    APNC.org

    https://medicaid.ncdhhs.gov/health-plans