1. Northwest Portland Area Indian Health Board Meeting
Washington Medicaid Integration of Physical and Behavioral Health Services and Administration
Northwest Portland Area Indian Health Board Meeting
Jessie Dean Libby Watanabe
Administrator, Tribal Affairs & Analysis Healthier Washington Tribal Liaison
April 17, 2017

2. Today: Three Levels of Breakdown
Health Care Authority
Department of Social & Health Services
Policy &
Administration
Medicaid Managed Care Organizations
Behavioral Health Organizations
Coordination
& Payment
Tribal Protocol is used in many different ways-one way is when different tribes arrive on another tribe’s land. Before the tribe sets foot on another tribe’s land, they wait for permission to do so. In Alaska, this protocol is called the “warming of the hands”, similar to a Western hand shake or greeting.
Physical Health Care Providers
Behavioral Health Care Providers
Care

3. Integration of State Agencies
Today
Mid-2018
Health Care Authority
Health Care Authority
Physical Health
Behavioral Health
Dental
Transportation
Department of Health & Social Services
Tribal Protocol is used in many different ways-one way is when different tribes arrive on another tribe’s land. Before the tribe sets foot on another tribe’s land, they wait for permission to do so. In Alaska, this protocol is called the “warming of the hands”, similar to a Western hand shake or greeting.
Department of Health & Social Services
Division of Behavioral Health & Recovery

4. Integration of Managed Care
Today
By January 1, 2020
Medicaid Managed Care Organization
Medicaid Managed Care Organization
Physical Health
Mental Health
Substance Use Disorder
Tribal Protocol is used in many different ways-one way is when different tribes arrive on another tribe’s land. Before the tribe sets foot on another tribe’s land, they wait for permission to do so. In Alaska, this protocol is called the “warming of the hands”, similar to a Western hand shake or greeting.
Behavioral Health Organization

5. Integration of Care Today Goals
Co-located Physical and Behavioral Health Care
Physical Health Care OR
Physical Health Care
Behavioral Health Care
Tribal Protocol is used in many different ways-one way is when different tribes arrive on another tribe’s land. Before the tribe sets foot on another tribe’s land, they wait for permission to do so. In Alaska, this protocol is called the “warming of the hands”, similar to a Western hand shake or greeting.
Collaborative Care
Behavioral Health Care

6. Medicaid Transformation 1115 Waiver
Delivery System Reform Incentive Payment Program
Through Accountable Communities of Health
Directly from State for Tribal/Urban Indian Health Projects
Project Plans
Over Five Years with Milestones
Achieve Milestones to Receive Payment
Focus on Care Delivery Reform and System Reform
One of Eight Project Categories: Bidirectional Integration of Physical and Behavioral Health Care
Tribal Protocol is used in many different ways-one way is when different tribes arrive on another tribe’s land. Before the tribe sets foot on another tribe’s land, they wait for permission to do so. In Alaska, this protocol is called the “warming of the hands”, similar to a Western hand shake or greeting.

7. Medicaid Transformation 1115 Waiver
Tribal Protocol is used in many different ways-one way is when different tribes arrive on another tribe’s land. Before the tribe sets foot on another tribe’s land, they wait for permission to do so. In Alaska, this protocol is called the “warming of the hands”, similar to a Western hand shake or greeting.
Collaborative Care

8. Questions?
HCA Tribal Affairs Contact Information:
Jessie Dean
Administrator, Tribal Affairs & Analysis
Libby Watanabe
Healthier Washington Tribal Liaison