Michigan Association of COMMUNITY MENTAL HEALTH Boards

1. Michigan Association ofCOMMUNITY MENTAL HEALTHBoards Report Card and Advocacy Plan for Michigan’s Integrated Care for People who are Medicare-Medicaid Eligible MACMHB ~ www.macmhb.org ~ 517-374-6848

2. MACMHB’s Report Card MACMHB ~ www.macmhb.org ~ 517-374-6848 How consistent is the proposed plan with what MACMHB identified in January, 2012 as the Necessary Elements to ensure success for the State’s plan to improve integrated care for persons with dual eligibility?

3. Key Principles for Success of the Plan MACMHB ~ www.macmhb.org ~ 517-374-6848 1) Use existing PIHP/CMH system and staff who have experience and established relationships with people using services This is in the planfor Persons with BH disorders and DD 2) The organizations/providers who help plan the care should also control the resources This is in the planfor Persons with BH disorders and DD 3) Ensure that all services and providers currently available will be in the new plan This is in the plan.

4. Key Principles for Success of the Plan MACMHB ~ www.macmhb.org ~ 517-374-6848 4) Promote health homes for persons with chronic conditions The plan anticipates it will be part of service delivery model. 5) Use local and regional Health Information Technology solutions to enhance coordinated care This plan calls for supplemental incentive payments to achieve specific outcomes, which include integrating information technology with a focus on electronic medical records and sharing information between ICOs and PIHPs.

5. Key Principles for Success of the Plan MACMHB ~ www.macmhb.org ~ 517-374-6848 6) The plan should align contractual requirements while ensuring the rights of people served. a. Simplify and coordinate enrollment This is intended as described in the plan. b. Simplify and consolidate grievance and appeals – uniform, accessible, and credible This is intended as described in the plan. c. Align reporting requirements and outcome expectations This is intended as described in the plan.

6. Key Principles for Success of the Plan MACMHB ~ www.macmhb.org ~ 517-374-6848 7) The plan should be implemented as a demonstration project, with consideration for implementation by geographic region or sub-populations This is in the plan. 8) Ensure savings are reinvested into community-based services This is not addressed in the plan.

7. Advocacy Recommendations MACMHB ~ www.macmhb.org ~ 517-374-6848 1) Support the plan to state and federal officials as a very good start to improving integrated care outcomes and managing costs. 2) Encourage participation by the following on developing details of the plan: • Stakeholder organizations (including MHPs, PIHPs, AAAs, LTC, Providers) • Beneficiaries 3) Provide your own ideas and suggestions

8. Public Input Opportunities MACMHB ~ www.macmhb.org ~ 517-374-6848 • MACMHB Forums • MDCH Forums • March 20th, 1:30 – 4:00 p.m. • Best Western Hotel (Causeway Bay), Lansing • March 29th, 1:30 – 4:00 p.m. • Greater Grace Temple, Detroit • Legislative Hearings – not yet scheduled

9. Public Input Opportunities MACMHB ~ www.macmhb.org ~ 517-374-6848 Copy of Plan at: www.michigan.gov/mdch, click on Integrated Care for Persons Dually Eligible for Medicare and Medicaid Comments by email at: IntegratedCare@michigan.gov Regular mail at: Integrated Care Medical Services Administration PO Box 30479 Lansing, MI 48909 – 7979 Comments due no later than close of business April 4, 2012

10. Questions ? MACMHB ~ www.macmhb.org ~ 517-374-6848 Michigan Association of Community Mental Health Boards 426 S. Walnut St, Lansing, MI 48933 (517) 374-6848 Michael Vizena Alan Bolter Executive Director Associate Director mvizena@macmhb.orgabolter@macmhb.org