finding supportive housing in health homes mohini venkatesh national council for community...
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www.TheNationalCouncil.org
Finding Supportive Housing in Health Homes
Mohini VenkateshNational Council for Community Behavioral Healthcare
www.TheNationalCouncil.org
The National Council: Serving and Leading• Represent over 1,950 community organizations that
provide safety net mental health and substance abuse treatment services to over six million adults, children and families
• National voice for legislation, regulations, policies, and practices that protect and expand access to effective mental health and addictions services
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Making the CaseBehavioral Health + Primary Care
Source: Druss & Walker. “Mental disorders and medical comorbidity.” The Robert Wood Johnson Foundation Synthesis Project, February 2011.
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New Paradigm: Treating The Whole Person
Accountable Care
Organizations(ACOs)
Coordinated Care
Organizations(CCOs)
NCQA Patient-Centered Medical Homes
(PCMH)
Health Homes(HHs)
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Medicaid Health Homes – Section 2703• Goal: enhanced integration and coordination of primary, acute, behavioral health (mental health and substance use), and long-term services and supports for persons across the lifespan with chronic illness
• Anticipated results– lowered rates of emergency room use
– reduced hospital admissions and re-admissions
– reduced health care costs
– less reliance on long-term care facilities
– improved experience quality for clients
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Eligibility Criteria
• To be eligible, individuals must have:– Two or more chronic conditions, OR– One condition and the risk of developing another, OR– At least one serious and persistent mental health condition
• The chronic conditions listed in statute include a mental health condition, a substance abuse disorder, asthma, diabetes, heart disease, and obesity (as evidenced by a BMI of > 25).
• States may add other conditions subject to approval by CMS
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States to Date….
• 6 States with approved State Plans:• Missouri (2) – Behavioral Health and Primary Care• Rhode Island (2) – adults and children with SMI• New York – chronic behavioral and physical health• North Carolina - chronic behavioral and physical health• Oregon - chronic behavioral and physical health• Iowa - chronic behavioral and physical health• Ohio – children and adults with SED and SMI
• 4 states have submitted State Plans and await approval:• Alabama, Wisconsin, New York*, Washington
• 12 states are in proposal drafting/review process:
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Supportive Housing in Health Homes: Social Determinants of Health
Adapted from Peggy Bailey, Senior Policy Analyst, Corporation for Supportive Housing
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Supportive Housing in Health Homes: Making the CaseHelps Achieve Goals of Health Homes •Triple AIM – Improve Service Delivery, Better Outcomes, Control Costs•Improve Discharge Planning•Reduces No-Show Rates, Preventive Care and Patient Adherence to Doctor Advice
Adapted from Peggy Bailey, Senior Policy Analyst, Corporation for Supportive Housing
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What’s in it for supportive housing providers?• Ability to develop partnerships/relationships with
health system partners – Access to Medicaid
– Better and more comprehensive services for residents
– Reassurance for developers