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DHHS Expectations

DHHS Expectations. Beth Melcher, Ph.D. Department of Health and Human Services Tara Larson Division of Medical Assistance. Congratulations!. Meeting CABHA requirements substantial achievement State and LME collaboration to support successful process

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DHHS Expectations

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  1. DHHS Expectations Beth Melcher, Ph.D. Department of Health and Human Services Tara Larson Division of Medical Assistance LME and CABHA Regional Kick-Off Meeting

  2. Congratulations! • Meeting CABHA requirements substantial achievement • State and LME collaboration to support successful process • DHHS and the Secretary committed to supporting this model as foundation to promote • Evidence based and best practices • Responsive to needs and goals of service recipients • Clinical accountability • Comprehensive and coordinated services LME and CABHA Regional Kick-Off Meeting

  3. What do we hope to accomplish? • Opportunity to communicate directly with CABHAs, LMEs, and CFACs • Facilitate regional relationships between state agencies, CABHAs, LMEs, CFACs • Foster dialog and create learning communities around: • Best and evidence based practices • Service planning • Outcome and quality measures • Identify system barriers and solutions LME and CABHA Regional Kick-Off Meeting

  4. “Reform is over…” Sect. Lanier Cansler • Focus on building the system of services • Solution and problem-solving orientation • Recognize we are creating and learning together • Value clinical leadership of CABHAs and LMEs • Value and incorporate the experiences of our service recipients LME and CABHA Regional Kick-Off Meeting

  5. CABHA and Primary Care • Health Care Reform: Affordable Care Act (ACA) • Health Information Exchange (HIE) • Working with CCNC (Medical/Health Home) • Integrated Care LME and CABHA Regional Kick-Off Meeting

  6. CABHAs and HIE • Electronic Health Records • Data sharing—CCNC/LME • Informatics Center • Coordinate with your LME • (HIT) Incentive payments for: • Data Capturing & Sharing • Measurement-based care”—outcomes • Reporting on Quality Measures • “Meaningful Use” • Psychiatrists LME and CABHA Regional Kick-Off Meeting

  7. CABHAs and CCNC • All consumers linked to PCP • “Care Team” model with bundled payments • Provides all health care or makes referrals • Coordinates Care/Care Management • Enhanced Access • CCNC = NC Medicaid Medical/Health Home LME and CABHA Regional Kick-Off Meeting

  8. CABHAs and Integrated Care • How should CABHAs work with primary care? • CCNC collaboration/partnership & linkage • Co-location/embedded primary care • Adults with moderate to high BH Risk & Complexity • Talk to DMA, DMHDDSAS, CCNC LME and CABHA Regional Kick-Off Meeting

  9. COLLABORATION LME and CABHA Regional Kick-Off Meeting

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