1. Healthcare Opportunities Workgroup
Report to the
Executive Directors Consortium I

2. Guiding Principles for System Transformation
Texas Council
Guiding Principles for System Transformation
We serve a greater cause. Our primary responsibility is to ensure that specialized mental health/intellectual disability services and supports are available to those who need them. This is more important than any institution, tradition, or legacy role.
We welcome change. The changes underway provide an unprecedented opportunity to expand and improve care. We can play a key role in this transformation.
We build on success. If Community Centers are to be viable, we must deliver results within the resources available. We have a proven record of doing that in ways that meet local needs.
We enter a new arena. We must understand the larger healthcare environment and become valued partners within it.

3. Today’s Topics Senate Bill 58 Implementation Meadows Mental Health
Policy Institute
Technology, Informatics and Accelerated Innovation
1115 Transformation Waiver
UT /Meadows Database
Category 3 Update

4. HHSC SB 58 Decisions to Date
Behavioral Health Integration Advisory Committee
Targeted Case Management is a provider service
Rehabilitation providers will be credentialed as the agency not as individuals
TRR will be the authorization tool for Year 1 and a review will determine future years
ANSA/CANS will be done by the provider, shared with MCO and creates a minimum 90 day authorization
Providers must deliver or subcontract for all services in the package

5. HHSC Policy and Contract Requirements
Texas Council
Behavioral Health Integration Advisory Committee
Managed Care Organizations
Discussions and Decisions Continue
Revenue Management
Managed Care Workgroup
HOW

6. Technology, Informatics and Accelerated Innovation
Behavioral Health Data Workgroup Members
Roddy Atkins
Helen Farabee Centers
Evan Roberson
Tri-County Services
Carl Carpenter
Hill Country MHDD Centers
Veronica Sanchez
Camino Real Community Services
Garrett Craver
Spindletop Center
Paul Sisler
Bluebonnet Trails Community Services
Scott Hickey
MHMR Authority of Harris County
David Weden
Bren Manaugh
Center for Health Care Services
Grace White
MHMR of Tarrant County
Glenn Pitchford
Permian Basin Community Center
David Bergman
HCI Partners
Maria Richardson
Topaz Software Authority
Melissa Rowan
Texas Council

7. Meadows Mental Health Policy Institute

9. Category 3
New Developments

10. January 17
HHSC anticipates releasing the final revised Category 3 Menu and Implementation Guidance
Late January
HHSC will hold a webinar and technical assistance workshop for Community Centers
February 21
Select Category 3 measures for DY4-5
April and October
Category 3 reporting for DY 3 remains consistent
50% of Cat 3 payment for a status update (April) and 50% of Cat 3 payment for establishing baseline performance for the measures selected (April and October)
DATE S

11. Select One P4P Measure Per Project from Category 3 Menu
50% Pay for Reporting
50% Pay for Performance
Performance improvement from baseline to target
Paid in 25% increments

12. Select One Population-Focused Measure
50% Pay for Performance
Performance improvement from baseline to target
Paid in 25% increments
50% Pay for Reporting
Must select a second measure

13. Select One Pay for Reporting Measure from Category 3 Menu
50% Pay for Stretch Activities

14. Melissa Rowan
Healthcare Policy Director
Texas Council of Community Centers
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