Transcript coalitionremarks1211.. - The Coalition of Behavioral Health

Capitalizing on the
Changing Environment
ACA - Parity - MRT
Coalition of Behavioral Health
Agencies
January 23, 2014
Patrick Kennedy
Changes and Challenges
Access to 1915(i) like Services
• Peer Support
• Drop-in Centers
• Residential Supports
• Vocational Services
Outpatient Clinic Services in Community
Settings – Clinic to Rehab
Invigorating the OASAS Residential Treatment
System
A New Model for a Strengthened Continuum of Care
Three Phases of Residential Care
Stabilization – Rehabilitation - Community Reintegration
What We Have Already Achieved
• Addiction services are
included in the Essential
Benefits Package.
• The passage of the
federal Parity Law.
• Creation of the MRT
Behavioral Health
Workgroup.
Moving Forward – The OASAS
Vision
Patients will:
• have their care coordinated,
• have access to a peer to help bridge treatment and recovery,
• have access to greater recovery supports, and
• have more input into treatment that supports an improved
quality of life.
Protecting the Path Forward
Segregate and track behavioral health spending
Make sure BHOs are not pushed towards mental
health rather than SUD
We will require managed care plans to:
Use APG pricing for two years
Reimburse for CASAC services
Include in plan networks providers in
treatment relationships with patients in those
plans
Use our level of care tool, the OASAS
LOCATDR 3
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Level of Care for Alcohol and Drug
Treatment Referral Tool
Mental Health Parity & Addiction Equity Act
“I am very proud that the law I sponsored with my father is
helping tens of millions of Americans who struggle every
day with mental illness and addictions and who for years
received unequal, inadequate care.”
Patrick Kennedy
Stronger Families – Making a
Difference