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- 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. 3

Update on Collaborative Care Code Model Implementation • Status on applications • Implementation update 4

Screening Tool Update 5

Organizational Update • DBHR Merger • FIMC’s 6

Update on Integration Status 2018 2019 2019 w/ transition 2020 North Central Pierce North Sound Salish Spokane King Thurston/ Mason Greater Columbia Great Rivers Okanogan (shifting regions) Better Health, Better Care, Lower Costs 7 Klickitat (shifting regions)

Medicaid Integration Timeline 2018 2019 June - Au June Aug Sep Sep – De Dec Jan - May Jan June - Aug Sep ep - Dec Dec May • Medical and • HCA/MCO & • Enrollment in • Knowledge • HCA/MCO & • Announce Apparently BH networks ASO Sign mid-adopter Transfer Begins ASO Sign Successful MCO due 6/1/2019 Contracts regions Contracts Bidders • Transition begins Jan Jan • Knowledge • Client • Client 2020 2020 readiness Transfer Notifications • 2020 Regions between Notifications Begins for 2020 final decision providers & MCOs for 2019 Integrated to become Begins • Transition • Continuing coverage • Continuing BH-ASO due begins readiness provider • HCA conducts to HCA 5/1 provider between readiness and Readiness Review readiness and providers & knowledge • Establish knowledge MCOs Begins transfer Leadership transfer Team/ • HCA conducts • Client • Client Advisory Readiness enrollment Committee enrollment Review processes processes Key Acronyms BH-ASO – Behavioral Health Administrative Services Organization RSA – Regional Service Areas FIMC – Fully-Integrated Managed Care MCO – Managed Care Organization HCA – Health Care Authority BHO – Behavioral Health Organization NC – North Central AH – Apple Health (medical managed care) Mid-Adopter Regions: Regions pursuing fully-integrated managed care before ACH – Accountable Community of Health 2020 8

Final Questions/Comments Email box: HCABHIMatrices@hca.wa.gov 9