Feedback on Behavioral Health 2020 Goals/Topics Thank you for reviewing the proposed goals/topics for behavioral health transformation. This short survey is meant to capture your overall feedback on the goals, as well as your assessment of feasibility, importance, and general will for each. We would also like to capture any narrative feedback you would like to have considered Question Title * 1. Please provide the following information about yourself. Name * Organization/Agency * County Affiliation (if applicable) Email Phone Question Title * 2. For each of the goals listed below, discussed in the companion paper, please provide feedback regarding your overall support for the topic, as well as your assessment of its feasibility, importance, and the general will for the goal/topic. Overall Support Feasibility Importance Will 1. Integrated Managed Care Contracting: Establish county options to move to integrated managed care contracting for health and behavioral health care services, including multi-county arrangements High Medium Low 1. Integrated Managed Care Contracting: Establish county options to move to integrated managed care contracting for health and behavioral health care services, including multi-county arrangements Overall Support menu High Medium Low 1. Integrated Managed Care Contracting: Establish county options to move to integrated managed care contracting for health and behavioral health care services, including multi-county arrangements Feasibility menu High Medium Low 1. Integrated Managed Care Contracting: Establish county options to move to integrated managed care contracting for health and behavioral health care services, including multi-county arrangements Importance menu High Medium Low 1. Integrated Managed Care Contracting: Establish county options to move to integrated managed care contracting for health and behavioral health care services, including multi-county arrangements Will menu 1.1 Full Integration: Opt in to one-county or multi-county integrated health and behavioral health managed care plans. High Medium Low 1.1 Full Integration: Opt in to one-county or multi-county integrated health and behavioral health managed care plans. Overall Support menu High Medium Low 1.1 Full Integration: Opt in to one-county or multi-county integrated health and behavioral health managed care plans. Feasibility menu High Medium Low 1.1 Full Integration: Opt in to one-county or multi-county integrated health and behavioral health managed care plans. Importance menu High Medium Low 1.1 Full Integration: Opt in to one-county or multi-county integrated health and behavioral health managed care plans. Will menu 1.2 Behavioral Health Integration: Opt in to one-county or multi-county Behavioral Health Organization (BHO) with combined mental health and substance use disorder funding that is separate from health care funding to Managed Care Organizations. High Medium Low 1.2 Behavioral Health Integration: Opt in to one-county or multi-county Behavioral Health Organization (BHO) with combined mental health and substance use disorder funding that is separate from health care funding to Managed Care Organizations. Overall Support menu High Medium Low 1.2 Behavioral Health Integration: Opt in to one-county or multi-county Behavioral Health Organization (BHO) with combined mental health and substance use disorder funding that is separate from health care funding to Managed Care Organizations. Feasibility menu High Medium Low 1.2 Behavioral Health Integration: Opt in to one-county or multi-county Behavioral Health Organization (BHO) with combined mental health and substance use disorder funding that is separate from health care funding to Managed Care Organizations. Importance menu High Medium Low 1.2 Behavioral Health Integration: Opt in to one-county or multi-county Behavioral Health Organization (BHO) with combined mental health and substance use disorder funding that is separate from health care funding to Managed Care Organizations. Will menu 1.3 Expand Integration: Opt to maintain current progress on integrating and coordinating health and behavioral health care with more robust requirements for MCOs and counties to coordinate care and achieve outcomes. High Medium Low 1.3 Expand Integration: Opt to maintain current progress on integrating and coordinating health and behavioral health care with more robust requirements for MCOs and counties to coordinate care and achieve outcomes. Overall Support menu High Medium Low 1.3 Expand Integration: Opt to maintain current progress on integrating and coordinating health and behavioral health care with more robust requirements for MCOs and counties to coordinate care and achieve outcomes. Feasibility menu High Medium Low 1.3 Expand Integration: Opt to maintain current progress on integrating and coordinating health and behavioral health care with more robust requirements for MCOs and counties to coordinate care and achieve outcomes. Importance menu High Medium Low 1.3 Expand Integration: Opt to maintain current progress on integrating and coordinating health and behavioral health care with more robust requirements for MCOs and counties to coordinate care and achieve outcomes. Will menu Question Title * 3. For each of the goals listed below, discussed in the companion paper, please provide feedback regarding your overall support for the topic, as well as your assessment of its feasibility, importance, and the general will for the goal/topic. Overall Support Feasibility Importance Will 2.1 Case rates: A predetermined amount paid to a provider organization to cover the cost of all of the services required for a given episode of care High Medium Low 2.1 Case rates: A predetermined amount paid to a provider organization to cover the cost of all of the services required for a given episode of care Overall Support menu High Medium Low 2.1 Case rates: A predetermined amount paid to a provider organization to cover the cost of all of the services required for a given episode of care Feasibility menu High Medium Low 2.1 Case rates: A predetermined amount paid to a provider organization to cover the cost of all of the services required for a given episode of care Importance menu High Medium Low 2.1 Case rates: A predetermined amount paid to a provider organization to cover the cost of all of the services required for a given episode of care Will menu 2.2 Support BH in FQHC global budgets High Medium Low 2.2 Support BH in FQHC global budgets Overall Support menu High Medium Low 2.2 Support BH in FQHC global budgets Feasibility menu High Medium Low 2.2 Support BH in FQHC global budgets Importance menu High Medium Low 2.2 Support BH in FQHC global budgets Will menu 2.3 Allowing same-day reimbursement for primary care and behavioral health visits in health centers High Medium Low 2.3 Allowing same-day reimbursement for primary care and behavioral health visits in health centers Overall Support menu High Medium Low 2.3 Allowing same-day reimbursement for primary care and behavioral health visits in health centers Feasibility menu High Medium Low 2.3 Allowing same-day reimbursement for primary care and behavioral health visits in health centers Importance menu High Medium Low 2.3 Allowing same-day reimbursement for primary care and behavioral health visits in health centers Will menu 2.4 Development of a prospective-payment system for behavioral health High Medium Low 2.4 Development of a prospective-payment system for behavioral health Overall Support menu High Medium Low 2.4 Development of a prospective-payment system for behavioral health Feasibility menu High Medium Low 2.4 Development of a prospective-payment system for behavioral health Importance menu High Medium Low 2.4 Development of a prospective-payment system for behavioral health Will menu Question Title * 4. For each of the goals listed below, discussed in the companion paper, please provide feedback regarding your overall support for the topic, as well as your assessment of its feasibility, importance, and the general will for the goal/topic. Overall Support Feasibility Importance Will 3. Infrastructure for Behavioral Health Promotion: Establish the infrastructure to promote behavioral health to address the financial and human costs of under-reporting and undertreatment of illness High Medium Low 3. Infrastructure for Behavioral Health Promotion: Establish the infrastructure to promote behavioral health to address the financial and human costs of under-reporting and undertreatment of illness Overall Support menu High Medium Low 3. Infrastructure for Behavioral Health Promotion: Establish the infrastructure to promote behavioral health to address the financial and human costs of under-reporting and undertreatment of illness Feasibility menu High Medium Low 3. Infrastructure for Behavioral Health Promotion: Establish the infrastructure to promote behavioral health to address the financial and human costs of under-reporting and undertreatment of illness Importance menu High Medium Low 3. Infrastructure for Behavioral Health Promotion: Establish the infrastructure to promote behavioral health to address the financial and human costs of under-reporting and undertreatment of illness Will menu 4. Peers/Non-Licensed Providers: Establish statewide certification and billing standards for peers and other non-licensed providers in health and behavioral health service settings, and require that these providers be part of any waiver-funded services High Medium Low 4. Peers/Non-Licensed Providers: Establish statewide certification and billing standards for peers and other non-licensed providers in health and behavioral health service settings, and require that these providers be part of any waiver-funded services Overall Support menu High Medium Low 4. Peers/Non-Licensed Providers: Establish statewide certification and billing standards for peers and other non-licensed providers in health and behavioral health service settings, and require that these providers be part of any waiver-funded services Feasibility menu High Medium Low 4. Peers/Non-Licensed Providers: Establish statewide certification and billing standards for peers and other non-licensed providers in health and behavioral health service settings, and require that these providers be part of any waiver-funded services Importance menu High Medium Low 4. Peers/Non-Licensed Providers: Establish statewide certification and billing standards for peers and other non-licensed providers in health and behavioral health service settings, and require that these providers be part of any waiver-funded services Will menu 5. Workforce Retention: Establish statewide workforce retention reporting standards and require waiver-funded projects to explicitly include retention efforts High Medium Low 5. Workforce Retention: Establish statewide workforce retention reporting standards and require waiver-funded projects to explicitly include retention efforts Overall Support menu High Medium Low 5. Workforce Retention: Establish statewide workforce retention reporting standards and require waiver-funded projects to explicitly include retention efforts Feasibility menu High Medium Low 5. Workforce Retention: Establish statewide workforce retention reporting standards and require waiver-funded projects to explicitly include retention efforts Importance menu High Medium Low 5. Workforce Retention: Establish statewide workforce retention reporting standards and require waiver-funded projects to explicitly include retention efforts Will menu 6. Supported Employment: Establish opportunities for providing evidence-based supported employment services as behavioral health services High Medium Low 6. Supported Employment: Establish opportunities for providing evidence-based supported employment services as behavioral health services Overall Support menu High Medium Low 6. Supported Employment: Establish opportunities for providing evidence-based supported employment services as behavioral health services Feasibility menu High Medium Low 6. Supported Employment: Establish opportunities for providing evidence-based supported employment services as behavioral health services Importance menu High Medium Low 6. Supported Employment: Establish opportunities for providing evidence-based supported employment services as behavioral health services Will menu 7. IMD Exclusion: Establish budget-neutral opportunities for a waiver of the IMD payment exclusion for mental health services High Medium Low 7. IMD Exclusion: Establish budget-neutral opportunities for a waiver of the IMD payment exclusion for mental health services Overall Support menu High Medium Low 7. IMD Exclusion: Establish budget-neutral opportunities for a waiver of the IMD payment exclusion for mental health services Feasibility menu High Medium Low 7. IMD Exclusion: Establish budget-neutral opportunities for a waiver of the IMD payment exclusion for mental health services Importance menu High Medium Low 7. IMD Exclusion: Establish budget-neutral opportunities for a waiver of the IMD payment exclusion for mental health services Will menu 8. Reporting and Documentation Burden: Establish contracting and payment models that align provider payment and incentives with reporting and documenting the delivery of better care, better health, better costs, and better provider satisfaction High Medium Low 8. Reporting and Documentation Burden: Establish contracting and payment models that align provider payment and incentives with reporting and documenting the delivery of better care, better health, better costs, and better provider satisfaction Overall Support menu High Medium Low 8. Reporting and Documentation Burden: Establish contracting and payment models that align provider payment and incentives with reporting and documenting the delivery of better care, better health, better costs, and better provider satisfaction Feasibility menu High Medium Low 8. Reporting and Documentation Burden: Establish contracting and payment models that align provider payment and incentives with reporting and documenting the delivery of better care, better health, better costs, and better provider satisfaction Importance menu High Medium Low 8. Reporting and Documentation Burden: Establish contracting and payment models that align provider payment and incentives with reporting and documenting the delivery of better care, better health, better costs, and better provider satisfaction Will menu Question Title * 5. For each of the goals listed below, please provide any narrative feedback you would like to have considered. 1. Integrated Managed Care Contracting: Establish county options to move to integrated managed care contracting for health and behavioral health care services, including multi-county arrangements 1.1 Full Integration: Opt in to one-county or multi-county integrated health and behavioral health managed care plans. 1.2 Behavioral Health Integration: Opt in to one-county or multi-county Behavioral Health Organization (BHO) with combined mental health and substance use disorder funding that is separate from health care funding to Managed Care Organizations. 1.3 Expand Integration: Opt to maintain current progress on integrating and coordinating health and behavioral health care with more robust requirements for MCOs and counties to coordinate care and achieve outcomes. 2. Value-Based Purchasing: Establish and support behavioral health payment models, such as case rates, that support provider excellence and payment for value 2.1 Case rates: A predetermined amount paid to a provider organization to cover the cost of all of the services required for a given episode of care 2.2 Support BH in FQHC global budgets 2.3 Allowing same-day reimbursement for primary care and behavioral health visits in health centers 2.4 Development of a prospective-payment system for behavioral health 3. Infrastructure for Behavioral Health Promotion: Establish the infrastructure to promote behavioral health to address the financial and human costs of under-reporting and undertreatment of illness 4. Peers/Non-Licensed Providers: Establish statewide certification and billing standards for peers and other non-licensed providers in health and behavioral health service settings, and require that these providers be part of any waiver-funded services 5. Workforce Retention: Establish statewide workforce retention reporting standards and require waiver-funded projects to explicitly include retention efforts 6. Supported Employment: Establish opportunities for providing evidence-based supported employment services as behavioral health services 7. IMD Exclusion: Establish budget-neutral opportunities for a waiver of the IMD payment exclusion for mental health services 8. Reporting and Documentation Burden: Establish contracting and payment models that align provider payment and incentives with reporting and documenting the delivery of better care, better health, better costs, and better provider satisfaction Done