1. Annual Program Directors Meeting Association of Substance Abuse Providers Mike Maples, Assistant Commissioner

2. Page 2 MHSA Initiatives Treatment RFP Medicaid Substance Abuse Benefit Development DDRAC Recommendations Related to Border Violence Clinical Management Behavioral Health System (CMBHS)

3. Page 3 Treatment RFP: Completed Milestones MilestoneCompleted Target Date Post 1st RFI documentJanuary 9, 2009 Conduct stakeholder public meetingJanuary 27, 2009 Gather feedback from stakeholdersFebruary 9, 2009 Review stakeholder questions, comments, and feedback February 24, 2009 Identify workgroups and Lead SMEs to address topics and issues regarding scopes of work March 26, 2009 Finalize Performance & Activity Measures and Outcomes for review and approval May 26, 2009 Post 2nd RFI/RFP documentSeptember 4, 2009

4. Page 4 Treatment RFP: DRAFT Future Milestones MilestoneTarget Date* RFI/RFP Steering Committee review stakeholder questions, comments, and feedback October 2, 2009 Finalize RFP with stakeholder input for RFI/RFP Steering Committee review/approval October 16, 2009 CSCU receives and reviews DRAFT RFP then facilitates OGC and HUB review and approval (needs at least 10 days) October 30, 2009 Submit CATRAD form and RFP to Contract Advisory Team (CAT) for review and approval (at least 45 days prior to RFP posting date) November 6, 2009 *DSHS reserves the right to change the dates as needed and at the sole direction of DSHS.

5. Page 5 Treatment RFP: Future Milestones Con’t MilestoneTarget Date Post RFP on ESBDNovember 20, 2009 Post Pre-Proposal Conference Announcement on ESBD November 20, 2009 Hold Pre-Proposal ConferenceDecember 4, 2009 RFP Due Dates/Closing dateDecember 18, 2009

6. Page 6 Medicaid Substance Abuse Benefit Benefit will be an overlay on the current Medicaid system: STAR and STAR Plus in those applicable service areas (most urban areas); fee for service in non managed acre areas (rural areas). Project Workgroup continues to work through clinical policies. Once policies are developed and reviewed internally, there will be an effort to share them with stakeholders. Concurrent work on Medicaid state plan amendment is happening.

7. Page 7 Medicaid Substance Abuse Benefit Workgroups need to be developed to review rules. Rate setting needs to occur. Outreach and education plans are ongoing. Timeline for implementation is still tentatively 6/1/2010.

8. Page 8 DDRAC Border Recommendations Request Emergency SAMSHA Funding Security cameras for border providers Employee Assistance Program for staff Staff training for working with gang members Shoring up treatment programs Continuation and expansion of drug courts Pilot program using Recovery Abuse Coaches as a cost effective alternative to treatment

9. Page 9 DDRAC Border Recommendations Conduct an impact analysis on the effects of drug decriminalization in Mexico Invite ONDCP Director Gil Kerlikowske to tour the border areas Request that unused Access to Recovery Funds be redirected to border areas Request that unused TANF funds be redirected to treatment for TANF recipients

10. Page 10 CMBHS: Update Migration of BHIPS data into CMBHS, through July 31, 2009, is complete. Incremental data load (data after July 31st) will be complete during the second week of October. Connection of Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW) reports to CMBHS will delay IT delivery by several weeks.

11. Page 11 CMBHS: Substance Abuse Deployment Approx. 200 staff from Regions 6 and 7 have been trained. Service providers and OSARS were included. Feedback from the trainees about CMBHS and CMBHS training has been very positive. The need for refresher training will be evaluated and Webinar refreshers will be scheduled if needed.

12. Page 12 CMBHS: NorthSTAR Deployment for providers and ValueOptions is scheduled for 2010. Will include only SA service providers. Small user acceptance testing of NorthSTAR- related CMBHS functions will be conducted. Training will be provided for providers and ValueOptions.

13. Page 13 CMBHS: Mental Health Services Phase 1 - Data from CARE and MBOW will be regularly imported into CMBHS, keeping the current data submission process for LMHAs unchanged. Phase 2 - LMHAs will submit data directly to CMBHS using data-sharing standards developed by Nationwide Health Information Network (NHIN), a federal HHS initiative to provide a secure, nationwide, interoperable information infrastructure to connect providers, consumers, and others involved in healthcare. Panel of DSHS staff, providers, and vendors is being assembled to develop data-sharing standards for elements not covered by the national standards.