1. Department of Health and Social Services Division of Substance Abuse and Mental Health Challenges and Initiatives

2. Delaware Health and Social Services USDOJ July 2011 Settlement Agreement Terms of the Agreement –Institutional and community balance –Challenges Funding Program development Infrastructure issues – staffing, statute, funding

3. Delaware Health and Social Services Funding Strategies Parity SPA and the MCOs Medicaid Options –1915i or 1115 demonstration waiver or BOTH

4. Delaware Health and Social Services Substance Use Services Funding Strategies – SPA/Parity/ASAM MCO Contracts 1/1/15 Withdrawal Management –Residential –Ambulatory –IOP Residential Services Comprehensive Outpatient Services –Co-occurring, OP/IOP/OTP/OBOT Other SUD Issues: Oxford House –59 houses, more to come –Over 425 beds Narcan Trainings – on top of everything else……. –Legal challenges, needle exchange, cost factors 4

5. Delaware Health and Social Services Funding Strategies Medicaid Options –1915i or 1115 demonstration waiver or BOTH Promise –Supported Employment - IESS (EBP) and Follow Along –Benefits Counseling –Peer Support Services –Residential Tiers –Non-medical transportation –Nursing Services –ADL/IADL 5

6. Delaware Health and Social Services Contact Steven Dettwyler, Ph.D. –Steven.dettwyler@state.de.usSteven.dettwyler@state.de.us –302-255-9432 6