OACBHA REGIONAL MEETINGS

1. Treatment Works…People Recover OACBHA REGIONAL MEETINGS NOVEMBER 2012

2. Treatment Works…People Recover Forces Impacting Local Boards

3. Forces Impacting Local Boards Today • 14-15 Biennial Budget • Medicaid Reform • MACSIS/MITS Transition • Quick-Hit Team Work • ODMH/ODADAS Consolidation • Healthcare Reform • Telemedicine • Electronic Meetings • RSC Treatment Works…People Recover

4. Treatment Works…People Recover $ 14-15 biennial budget

5. 14-15 Biennial Budget ODADAS and ODMH believe the SFY14/15 Biennium Budget submission, that combines historical ODADAS and ODMH line items, will present an appropriation budget developed to encompass the combined agency vision ensuring maximization of funds. Treatment Works…People Recover

6. 14-15 Biennial Budget Cont. NEW DEPARTMENT GRF PROGRAM LINES GRF 333403 Pre-Admission Screening Expenses GRF 333416 Research/Program Evaluation GRF 334412 Hospital Services GRF 334506 Court Costs GRF 335405 Family & Children First GRF 335506 Residential State Supplement GRF 335421 Continuum of Care Services GRF 335406 Prevention & Wellness GRF 335422 Criminal Justice Services GRF 335504 Community Innovations GRF 652507 Medicaid Support (Concept of targeting funds) Treatment Works…People Recover

7. 14-15 Biennial Budget Cont. Federal Line Items that may Impact Boards FED 3A70 333612 Social Services Block Grant FED 3A80 335613 MH Block Grant – Comm. BD Subsidy FED 3FR0 335638 RTTT - Early Learning Challenge Grant FED 3G40 335618 Substance Abuse Block Grant FED 3H80 335606 Demonstration Grants Treatment Works…People Recover

8. 14-15 Biennial Budget Cont. Other Line Items that may Impact Boards GSF 4P90 335604 Community MH Projects GSF 5T90 335641 Problem Gambling Services RDF 7049 335900 Indigent Drivers Alcohol Treatment RDF 5JL0 335629 Problem Gambling Casino SSR 2320 333621 Family & Children First SSR 4750 335623 Statewide Treatment & Prevention SSR 5AU0 335615 Behavioral Healthcare SSR 5CH0 335622 Residential Support Services Treatment Works…People Recover

9. OACBHA 14-15 Biennial Budget Platform • Expand alcohol, drug addiction and mental health funding for treatment and support services for non-Medicaid eligible individuals, and to provide recovery supports to Medicaid eligible individuals. • Expand Medicaid as allowed by the Affordable Care Act. (See Draft Platform) Treatment Works…People Recover

10. OACBHA 14-15 Biennial Budget Work • Business Case (see business case) • Legislative Dinners • We have had 3 all with a different theme • Education of New Legislators • This is a local Board and OACBHA joint effort • Legislative Reception (hold Jan. 29, 2013) • We encourage you to bring different folks with you, a chamber or business leader, a sheriff or judge, and/or a hospital CEO or ER Doc. • The Champion Magazine (see directions for articles) Treatment Works…People Recover

11. Treatment Works…People Recover Medicaid Reform

12. MEDICAID REFORM 1. Statewide Plans 2. Medicaid Health Homes (see handout) 3. Dual Eligible Program (ICDS) (see handout) 4. Meetings with the plans A. The plans want to work with us B. Potential pilot with Buckeye C. Looking at regional meetings Treatment Works…People Recover

13. MACSIS/MITS TRANSITION Board Access to Data • Departments sent out a letter on Friday October 26 ,2012 with process for getting all MH Medicaid data, and all AoD Medicaid data for individuals who also receive non-Medicaid services. • Boards will also have access to Medicare and third party data. Future of MACSIS • Department is Committed to continuing MACSIS for at least the next couple of years • Local Data/Systems Development impact • Committee to determine timeline and data to be collected statewide • Department to look at cost of giving MACSIS to Boards Treatment Works…People Recover

14. Treatment Works…People Recover Recommendations from the Quick Hit Teams

15. Chamber Quick Hit Team Recommendations • OACBHA will develop a primer on the ADAMH system and what we have to offer the local business community by January 15, 2013 • OACBHA will work with ODMH/ODJFS and the Ohio Chamber to develop a PR Campaign and educational tools we can share with communities for adolescents and young adults on: • What a drug-free workplace is and means • The realities of drug testing • Options available if you think you have a problem • For the PR campaign look at how we can incorporate “above the influence” • Utilization of electronic media Treatment Works…People Recover

16. Chamber Quick Hit Team Recommendations Cont. • The OACBHA Chamber Quick Hit Team will work with the Ohio Chamber, ODMH, ODJF and the BWC on a more in-depth Phase II plan to encourage more businesses to become a Drug Free Workplace Including: • Utilization of SBIRT by EAP and wellness coaches Etc. • Second chance program for pre-hires that test positive • Second chance program for employees that test positive • OACBHA is conducting a survey of all ADAMH Boards to produce an inventory of how Boards are working with local chambers/businesses, and will look at further recommendations based on the results of the survey (Review Results) Treatment Works…People Recover

17. Core services Quick Hit Team Recommendations • Establish as a guiding principle that all persons in Ohio should have access to a core level of behavioral health services no matter where they live or their ability to pay. • “Core” services- the essential set of services available at minimum to all residents regardless of their ability to pay. • Fully funded with State resources, if no other payor source (i.e., insurance, Medicaid) is available. Treatment Works…People Recover

18. Core services Quick Hit Team Recommendations Cont. • OACBHA will recommend to the new combined Department a set of services that should be available to all Ohioans that are fully funded with State Resources, if no other payor source (i.e., insurance, Medicaid) is available, including: MH and AoD (both) • Assessment • Counseling- Group & Individual • CPST/ Case Management • Crisis Intervention • Hotline • Medication • Partial Hospitalization/ Intensive Outpatient • Prevention/ Education • MH (only) • Inpatient Psychiatric Care • Pharmacologic Management/ Med Somatic • AoD (only) • Detoxification Treatment Works…People Recover

19. Integration Quick Hit Team Recommendations • Advance the statewide implementation of ACE Screening (Adverse Childhood Experiences) in order to address issues related to trauma; • Advance the statewide implementation of SBIRT (Screening, Brief Intervention and Referral to Treatment); • Advance the statewide implementation Mental Health First Aid.  Treatment Works…People Recover

20. CJ Quick Hit Team Recommendations • OACBHA will develop a primer on the ADAMH system and what we have to offer the local Criminal Justice / Juvenile Justice community by January 15, 2013. • The Committee recommends the establishment of a joint ODADAS/ODMH/DRC/DYS/Community Corrections Association/OACBHA working committee. • OACBHA is conducting a survey of all ADAMH Boards to produce an inventory of how Boards are working with their local criminal/juvenile justice systems, and will look at further recommendations based on the results of the survey. (Review Results) Treatment Works…People Recover

21. Treatment Works…People Recover OTHER MAJOR Initiatives Underway

22. ODMH / ODADAS Consolidation NEW NAME - The Ohio Department of Mental Health and Addiction Services Back offices already consolidated Office of Health Integration Office of Legal and Regulatory Services Office of Fiscal Services Office of Information Services (OIS) Office of Public Affairs Treatment Works…People Recover

23. ODMH/ODADAS Consolidation Cont. • The State and Local Relations Committee is still meeting • The Budget Committee is looking at line items and allocations including factors to be utilized. • Statutory language for the new department • The Department is still working on a first draft, we have been promised that we will have an opportunity to review prior to submission. • Consolidation website – www.adamh.ohio.gov Treatment Works…People Recover

24. HEALTHCARE REFORM • Implications of Presidential Election • Medicaid Expansion • State and Federal decisions • Insurance Exchange • State-operated; hybrid; or federally-run • Essential Health Benefits • SIM – State Innovation Model Design Grant Treatment Works…People Recover

25. Telemedicine • Statewide Telemedicine Committee • Technology Work Group • Mike Schoenhofer • Licensure/Rules/Reimbursement Work Group • Joe Trolian • Protocols/Education/Training Work Group • Cheri/Fonda • Telemedicine Pilot • AG Funding Treatment Works…People Recover

26. Electronic Meetings • OACBHA has invested in a monitor to allow for video conferencing, we are also going to pay for the subscription to Go-to-Meeting. • Boards will need a camera and microphone, you can get a combo camera with microphone from Logitech for about $85. • We will utilize go to meeting for the video portion, and teleconferencing for the sound. Treatment Works…People Recover

27. Treatment Works…People Recover RSC UPDATE

28. RSC UPDATE • With the new Contract All Administrative billings, budget changes, quarterly reports, and questions will start with Liz. • We are working with RSC to speed up the VR decisions (Kaizen process). • We are also working with RSC to speed up the payments. Treatment Works…People Recover

29. Treatment Works…People Recover General Discussion