Please Attend June 1-July 6 Regional Consumer Forums on Medicaid Managed Care HARP Plans

NYSCMHD/NYS to Hold June 1-July 6 Regional Consumer Forums on

Medicaid Managed Care HARP Plans

Please open the PDF and there is a link to register for the forums.

Effective July 1, 2016, Medicaid Managed Care (MMC) plans in counties outside of New York City will begin covering expanded behavioral health services for adults (21 and over). Also effective July 1, 2016, Health and Recovery Plans (HARPs) will begin enrollment of eligible recipients with Serious Mental Illness (SMI) and Substance Use Disorders (SUD). Beginning October 1, 2016 HARPs outside NYC will offer members access to enhanced behavioral health home and community-based services (BH HCBS).

This transition is based on the work of the Medicaid Redesign Team (MRT) with the goal to promote better health, better care, greater access, and lower costs. Through a transformation of the system of care, all behavioral health services will be delivered in a way that is:

    • Person-centered
    • Recovery-oriented
    • Integrated
    • Data-driven
    • Evidence-based

Through the efforts of all involved stakeholders, New York State expects to build a system that effectively delivers fully integrated, community based behavioral health and physical health for consumers, and establish a better quality experience for Medicaid recipients in New York State.

To this end, the Conference of Local Mental Hygiene Directors (CLMHD), in concert with New York State, has developed a plan to address and monitor the behavioral health transition through Regional Planning Consortiums (RPCs). It is imperative that key stakeholders, including consumers, families, providers, local governments, and Managed Care Organizations, come together to ensure that these initiatives are a positive force for the residents of New York State. The RPCs are the vehicles that will provide the local voice to the statewide system transformation.

With these goals in mind, CLMHD is excited to partner with the New York State Department of Health (DOH), Office of Mental Health (OMH), and Office of Alcoholism and Substance Abuse Services (OASAS) to hold a series of kick-off events to begin Regional Planning Consortiums in counties outside of New York City.

We would like to invite you to participate in this inaugural meeting to begin the planning and work that establishes the RPC system. The agenda will include:

    • An overview of Behavioral Health Medicaid Managed Care changes in NYS
    • Lessons learned from the NYC implementation
    • Role and goals of the RPC
    • Information on available resources and next steps.