STAKEHOLDER GROUP Center for Health Care Strategies and the NJ Department of Human Services Friday, January 20, 2012

Agenda Welcome, Introductions and Purpose of this Meeting 1:30 Welcome, Introductions and Purpose of this Meeting S. Somers, CHCS; V. Harr, DMAHS; L. Kovich, DMHAS 1:45 State Models of Medicaid/Mental Health Collaboration A. Hamblin, CHCS 2:15 Guided Discussion of NJ’s Core Values and Principles S. Somers, V. Harr, L. Kovich 3:15 The Steering Group and Work Group Process S. Somers Val to start then introduce Stephen then Lynn K. Val to do slides 3-5 Lynn to do slides 6-7 3:30 Adjourn

Purpose of the Steering Committee Meeting Inform the Department of Human Service’s values and vision regarding the design and implementation of the Administrative Services Organization/Managed Behavioral Health Organization (ASO/MBHO) Elicit broad stakeholder input regarding the design and development of the various components of the ASO/ MBHO assuring that the voices of consumers, providers, advocates and payers are heard. Initiate a small group process to inform at a more detailed level components of the ASO/MBHO including clinical practice; access; financing; and, performance standards. Identify and leveraging opportunities under Health Care Reform to support a transformed system. Val Inform the Department of Human Service’s values and vision regarding an improved future of behavioral health and physical health care in NJ. That system should be focused on integrating the care of the whole person in one user friendly, seamless, data drive and evidenced based comprehensive system of health care services promoting wellness and recovery in every aspect. (

Estimated Timeline of the ASO/MBHO July 2012 – ASO/MBHO RFP Posted January 2013 – RFP Awarded January –April 2013- ASO/MBHO Readiness Review July 2013 – ASO/MBHO implementation Val

Guiding Principles The Comprehensive Waiver is a collection of reform initiatives designed to: sustain the program long-term as a safety-net for eligible populations rebalance resources to reflect the changing healthcare landscape prepare the state to implement provisions of the federal Affordable Care Act in 2014 The DMHAS merger: Integration of mental health and addictions Integration of behavioral health and primary care Val The CW is part of the Governor’s reform initiatives to more efficiently and effectively manage healthcare in NJ.

Mission New Jersey is committed to promoting the wellness and recovery of consumers with behavioral health conditions by providing access to quality services at a reasonable cost that result in improved consumer outcomes and satisfaction. Lynn

Goals of the ASO/MBHO To improve access to appropriate physical and behavioral health care services for individuals with mental illness or substance use disorders To better manage total medical costs for individuals with co-occurring BH-PH conditions To improve health outcomes and consumer satisfaction. Reduction in frequency, severity and duration of acute episodes Reduction in institutional care and increased use of community-based services and supports Lynn This is taken from Page 98 of the Waiver.

The Steering Group and Work Group Process

The Steering Committee and Workgroup Process Key Stakeholders charged with providing workgroup leadership co-chair workgroups with DMAHS/DMHAS staff Facilitate development of recommendations in response to specific questions regarding four core domains of the MBHO design and implementation Access Clinical Fiscal Outcomes

A Consumer-Centered Approach to Wellness and Recovery Client choices are informed and input is valued Multiple pathways to recovery are honored Mental illness and substance use disorders are treated as a primary chronic disease Client-centered care refers to care that is respectful of and responsive to individual patient preferences, needs, and values and ensures that patient values guide all clinical decisions (Crossing the Quality Chasm: IOM, 2001)

Critical Considerations Across Workgroups Consumer Level Consumer and family-centered Primacy of psychosocial needs Promotion of wellness and recovery Consumer choice Ease of use Empowerment, self-management and self-advocacy Eligibility maintenance Peer supports Incentives Leveraging technology The needs of special populations i.e. I/DD, Emerging Adults, Justice Involved

Critical Considerations Across Workgroups Systems Level Integration (services, data, finances) Alignment of incentives Performance measurement and accountability Stratification and triage Team-based care and provider engagement Real-time information exchange Care transitions Leveraging technology Contracting FFS Network requirements by each service

Workgroup Summary Recommendations Format Each Workgroup should use the following bulleted format to summarize each area in their recommendations to the Steering Group: Key Issues for Consideration Challenges and Opportunities Recommendations for the Steering Group

Access Workgroup Describe ways the behavioral health system will provide better access to services that are client centered within an ASO/MBHO Provide recommendations about using technology to improve access to behavioral health services Provide recommendations about ways the behavioral health system can ensure consumer choice and a “no wrong door” approach within an ASO/MBHO Proved examples of a client walking through your recommended system design.

Clinical Workgroup Describe how the behavioral health system will ensure a uniform and consistent approach to screening, assessment, placement and continuing care functions while focusing on patient centered care with an ASO/MBHO Prioritize strategies that the behavioral health system could use to increase system capacity to provide integrated care for consumers with co-occurring MH/SUDs and BH/PH needs.

Clinical Workgroup Describe ways the behavioral health system can utilize the ASO/MBHO to reduce use of acute, high-cost services and increase the use of community-based services, including supportive housing and peer supports Describe the specialized services that are need for special populations within the behavioral health system and an ASO/MBHO: Criminal Justice Aging in Youth I/DD

Fiscal Workgroup Describe the critical components of a seamless, user-friendly service authorization and claims processing system Prioritize the services in the behavioral health system to target for rate rebalancing Describe reasonable options for a transition from cost reimbursement to fee for service provider contracts Suggest payment strategies that will incentivize provision of good care for reasonable cost

Outcomes Workgroup Identify the most effective and meaningful approach to monitoring/measuring outcomes that will also comply with national quality standards (national BH quality strategy) Provide recommendations for outcomes measures that will demonstrate quality, value, appropriate level of care and consumer satisfaction Prioritize performance outcomes and quality measures that should be used when looking to incentivize providers and the ASO/MBHO.

Timeline for the Steering Group and Workgroup Process Workgroups Meet and provide feedback to this Steering Group by March 2, 2012 Steering Group provides their final recommendations to DHS in early April, 2012. Steering Group meetings continue as needed