SLIDE 1
Welcome
- Agenda Review
- Housekeeping
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Bi-Directional BHI Quarterly Meeting July 13, 2018 Welcome Agenda - - PowerPoint PPT Presentation
Bi-Directional BHI Quarterly Meeting July 13, 2018 Welcome Agenda - - PowerPoint PPT Presentation
Bi-Directional BHI Quarterly Meeting July 13, 2018 Welcome Agenda Review Housekeeping 2 Update on Codes for Matrix 1 & 2 Review of Codes Matrix 1: https://www.hca.wa.gov/assets/billers-and-
SLIDE 2
SLIDE 3
Update on Codes for Matrix 1 & 2
- Review of Codes
Matrix 1: https://www.hca.wa.gov/assets/billers-and- providers/ssb5779-health-behavior-codes.pdf Matrix 2: https://www.hca.wa.gov/assets/program/ssb5779-health- behavior-codes-phase2.pdf
- Status of removing current limits: anticipated effective
date January 1, 2019
- Next steps with the rate increase decision package.
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SLIDE 4
Update on Collaborative Care Code Model Implementation
- Status on applications
- Implementation update
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SLIDE 5
Screening Tool Update
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SLIDE 6
Organizational Update
- DBHR Merger
- FIMC’s
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SLIDE 7
Better Health, Better Care, Lower Costs
Update on Integration Status
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2018 2019 2019 w/ transition 2020 North Central Pierce North Sound Salish Spokane King Thurston/ Mason Greater Columbia Great Rivers Okanogan (shifting regions) Klickitat (shifting regions)
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Key Acronyms RSA – Regional Service Areas MCO – Managed Care Organization BHO – Behavioral Health Organization AH – Apple Health (medical managed care) ACH – Accountable Community of Health BH-ASO – Behavioral Health Administrative Services Organization FIMC – Fully-Integrated Managed Care HCA – Health Care Authority NC – North Central Mid-Adopter Regions: Regions pursuing fully-integrated managed care before 2020
May
- Announce Apparently
Successful MCO Bidders
2018
June June - Au Aug
- Medical and
BH networks due 6/1/2019
- Knowledge
Transfer Begins
- Transition
readiness between providers & MCOs Begins
- HCA conducts
Readiness Review Sep Sep – De Dec
- HCA/MCO &
ASO Sign Contracts
- Client
Notifications for 2020
- Continuing
provider readiness and knowledge transfer
- Client
enrollment processes
Jan Jan 2020 2020
Integrated coverage begins
2019
June - Aug
- Knowledge
Transfer Begins
- Transition
readiness between providers & MCOs Begins
- HCA conducts
Readiness Review
Medicaid Integration Timeline
8 Jan Jan - May
- Enrollment in
mid-adopter regions begins
- 2020 Regions
final decision to become BH-ASO due to HCA 5/1
- Establish
Leadership Team/ Advisory Committee Sep ep - Dec Dec
- HCA/MCO &
ASO Sign Contracts
- Client
Notifications for 2019
- Continuing
provider readiness and knowledge transfer
- Client
enrollment processes
SLIDE 9
Final Questions/Comments
Email box: HCABHIMatrices@hca.wa.gov
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