Medicaid Transformation Update
BHT and our Partners have been busy this spring and summer. Read on to find out what’s happening at our ACH!
Integrated Care
IMC Workgroups
Three workgroups have been established to help move the work forward. Early Warning System: Develop recommendations for an Early Warning System that allows a feedback loop and triage process to identify and resolve system issues as they arise. IT/EHR: Identify and resolve IT/EHR issues including but not limited to MCO/ASO billing capacity, EHR compatibility, provider …
Standard Indicators for Early Warning System
This list is provided by the Health Care Authority (HCA). You can view the entire presentation here. Provider Payments (Provided by MCO’s) BH claims received by MCO’s BH claims rejected by MCO’s Reasons for rejections EDIE Data (Provided by HCA/AIM team) ED Utilization ED Utilization for client with past BH diagnosis Portion of ED visits …
HCA names “apparently successful bidders” for Medicaid plans
The Health Care Authority (HCA) has announced the selection of Managed Care Organization (MCO) plans from its recent round of Medicaid procurement.
Lessons Learned & Best Practices
As many of the regions around the state prepare for the transition to integrated managed care, our friends at the HCA thought it would be helpful to compile lessons learned and best practices from the first two regions.
BHT Board supports mid-adoption of FIMC
In 2014 the Washington state legislature passed 2SSB 6312 that requires integration of behavioral health benefits into the Apple Health managed care program by 2020. Additionally, this provided a road map for integration, that included the transition from a Regional Service Network to Behavioral Health Organizations. Spokane County serves as our region’s Behavioral Health Organization …
Integrated Care Community Strategy Team meetings delayed
We have decided to hold off on starting out Integrated Care work group until September. Our Social Determinants and Population Health work groups are identifying strategies that address health upstream, and our ACH Project Team is exploring the Pathways HUB model to see if it fits for our regional project. We feel the decisions made …
Integrated Care Community Strategy Team meetings delayed Read More »
Strategy Map – Integrated Care
Integrated Care