michigan association of community mental health boards report card and advocacy plan for...
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Michigan Association ofCOMMUNITY MENTAL HEALTH
BoardsReport Card and Advocacy Plan
for Michigan’sIntegrated Care for People who are Medicare-Medicaid Eligible
1MACMHB ~ www.macmhb.org ~ 517-374-6848
MACMHB ~ www.macmhb.org ~ 517-374-6848 2
How consistent is the proposed plan with what MACMHB identified in January, 2012 as the Necessary Elements to ensure success for the State’s plan to improve integrated care for persons with dual eligibility?
MACMHB’s Report Card
MACMHB ~ www.macmhb.org ~ 517-374-6848 3
Use existing PIHP/CMH system and staff who have experience and established relationships with people using services
This is in the plan for Persons with BH disorders and DD The organizations/providers who help plan the care should also control the resources
This is in the plan for Persons with BH disorders and DD Ensure that all services and providers currently available will be in the new plan
This is in the plan.
Key Principles for Success of the Plan
MACMHB ~ www.macmhb.org ~ 517-374-6848 4
Promote health homes for persons with chronic conditions The plan anticipates it will be part of service delivery model.
Use local and regional Health Information Technology solutions to enhance coordinated care
This plan calls for supplemental incentive payments to achieve specific outcomes, which include integrating information technology with a
focus on electronic medical records and sharing information between ICOs and PIHPs.
Key Principles for Success of the Plan
MACMHB ~ www.macmhb.org ~ 517-374-6848 5
The plan should align contractual requirements while ensuring the rights of people served
a. Simplify and coordinate enrollmentThis is intended as described in the plan.
b. Simplify and consolidate grievance and appeals – uniform, accessible, and credible
This is intended as described in the plan.c. Align reporting requirements and outcome expectations
This is intended as described in the plan.
Key Principles for Success of the Plan
MACMHB ~ www.macmhb.org ~ 517-374-6848 6
The plan should be implemented as a demonstration project, with consideration for implementation by geographic region or sub-populations
This is in the plan.
Ensure savings are reinvested into community-based servicesThis is not addressed in the plan.
Key Principles for Success of the Plan
MACMHB ~ www.macmhb.org ~ 517-374-6848 7
• Support the plan to state and federal officials as a very good start to improving integrated care outcomes and managing costs.
• Encourage participation by the following on developing details of the plan:• Stakeholder organizations (including MHPs, PIHPs, AAAs, LTC,
Providers)• Beneficiaries
• Provide your own ideas and suggestions
Advocacy Recommendations
MACMHB ~ www.macmhb.org ~ 517-374-6848 8
• MACMHB Forums • MDCH Forums • March 20th, 1:30 – 4:00 p.m.• Best Western Hotel (Causeway Bay), Lansing
• March 29th, 1:30 – 4:00 p.m.• Greater Grace Temple, Detroit
• Legislative Hearings – not yet scheduled
Public Input Opportunities
MACMHB ~ www.macmhb.org ~ 517-374-6848 9
Copy of Plan at: www.michigan.gov/mdch, click on Integrated Care for Persons Dually Eligible for Medicare and MedicaidComments by email at: [email protected] mail at:
Integrated CareMedical Services Administration
PO Box 30479Lansing, MI 48909 – 7979
Comments due no later than close of business April 4, 2012
Public Input Opportunities
MACMHB ~ www.macmhb.org ~ 517-374-6848 10
MACMHB ~ www.macmhb.org ~ 517-374-6848 11
Michigan Association of Community Mental Health Boards426 S. Walnut St, Lansing, MI 48933(517) 374-6848
Michael Vizena Alan BolterExecutive Director Associate [email protected] [email protected]
Questions ?