PRESENTED BY

Mr. John O'Brien, M.A., Senior Advisor on Health Financing

Welcome and Review of Meeting Purpose

PRESENTED BY

Mrs. Mary Pat Farkas, M.S., Health Insurance Specialist

Mr. John O'Brien, M.A., Senior Advisor on Health Financing

Dr. Kim Patton, Psy.D., Behavioral Health Liaison

Health Center Program: Partnership Opportunities (Patton)

Mental Health and SUD: Opportunities in Health Reform (Farkas)

Primary Care and Behavioral Health Integration (O'Brien)

PRESENTED BY

Ms. Kathleen Mary Reynolds, M.S.W., ACSW, Director

New and Emerging Services and Primary Care, Behavioral Health Initiative

PRESENTED BY

Mrs. Mary Pat Farkas, M.S., Health Insurance Specialist

State Option to Provide Health Homes for Enrollees with Chronic Conditions

1. Identification and Participation In a Health Home -How would individuals with mental and/or substance use disorders be identified to participate in the health homes? Who would have this responsibility? -How will individuals with mental and/or substance use disorders be informed regarding your health home services? -How will individuals be referred to health homes? How would you ensure that individuals who may not be connected to either the primary care or behavioral health care system be informed and referred to your State’s health home program? What is the most effective structure to continue this discussion? 2. Composition of a Health Home Team -What staff would comprise a health home team to address individuals with mental and/or substance use disorders? -What credentials or core competencies would you recommend for team members? -What are the functions of some of the team members? -What is the most effective structure to continue this discussion?

PRESENTED BY

Ms. Elizabeth Stranges, M.S., Research Leader

The Case for Physical-Behavioral Health Integration

1. What Outcome Data Do We Have/Need? -Have you identified an anticipated outcome for your State? -What information/data would constitute evidence for a successful intervention? -What information/data currently exist across the systems? -What common information/data can be shared across the systems? -What is the most effective structure to continue this discussion? 2. What is the Business Case? -Who is the business case for (e.g., providers, States, health plans)? -What utilization and expenditure patterns of health and behavioral health services have you identified for individuals with mental and/or substance use disorders? -What other chronic diseases have you identified that individuals with mental and/or substance use disorders typically have in your State? -Do most people with mental and/or substance use disorders access primary care services? Do you ask if patients have primary care provider or mental and/or substance use disorders? -Do you have a sense of the size of the population (number of potential individuals with mental and/or substance use disorders) that could benefit from a health home? How would you project the size? -What is the most effective structure to continue this discussion?

PRESENTED BY

Ms. Anne M. Herron, M.S., CAC, CRC, NCAC II, Director

PRESENTED BY

Mr. Robert J. Sorce, J.D., M.Ed., B.A., Assistant Deputy Director

Challenges and Innovation in Integrating Care

-What if any State- and Federal-level regulatory barriers stand in the way of effective integration strategies? -What is the impact of existing State and Federal privacy laws on your ability to integrate physical and behavioral health care? -What technical assistance or other supports would be helpful in your efforts to implement integration programs? -What Federal assistance is needed to support the inclusion of dual-eligibles in integration initiatives? -What, if any, workforce issues need to be addressed? -What is the most effective structure to continue this discussion?

PRESENTED BY

Mr. John O'Brien, M.A., Senior Advisor on Health Financing

Mr. Steven Randazzo, B.A., Advisor

2703 Consultation (O'Brien)