maricopa smi integrated rbha transition progress to date
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Maricopa SMI Integrated RBHA Transition Progress to date. Coordination Activities – Network: Readiness/Contracts. - PowerPoint PPT PresentationTRANSCRIPT
“Reaching across Arizona to provide comprehensive quality health care for those in need”
Our first care is your health care Arizona Health Care Cost Containment System
Maricopa SMI Integrated RBHA Transition
Progress to date
“Reaching across Arizona to provide comprehensive quality health care for those in need”
Coordination Activities – Network: Readiness/Contracts
Mercy Maricopa Integrated Care provide an up to date list of the top Behavioral Health and Physical Health Providers with which they are obtaining contracts with to demonstrate network sufficiency. This list will also include single case agreements.
Staffing, on boarding and facilities, member care transition with care data (all source) installed and go live ready and PNO’s capability to manage member Health Electronic Records.
Network contract timing for Behavioral Health Providers and understanding/maintaining current provider payment patterns.
Our first care is your health care Arizona Health Care Cost Containment System
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“Reaching across Arizona to provide comprehensive quality health care for those in need”
Coordination Activities – Member Information
Eligibility and Enrollment information to facilitate care management assignments and pharmacy preparation.
Demographic Electronic File (DEF) scheduled to transfer member information from current Acute plans, BHS, and Magellan.
Acute Plan Responsibility – Update member handbooks and communicate with members/providers that MMIC will be the new BH provider in Maricopa county – note that phone number is expected to be the same on 4/1 so no change to Member ID card.
Our first care is your health care Arizona Health Care Cost Containment System
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“Reaching across Arizona to provide comprehensive quality health care for those in need”
Community Outreach and Engagement
CAC outreach with Mercy Maricopa Integrated Care to provide presentations to members with SMI at clinics, question tracking and answer on DBHS website. Members can email questions to [email protected]
Specific letters being sent to members with SMI notifying that they will be dis-enrolled from their current Acute plan on 2/21/14. SMI members will not have a choice to opt out unless they are no longer designated SMI.
Several different letters scheduled to go out from MMIC starting 2/28….focused on SMI and utilizers of GMH/SA/Children’s behavioral health services.
Our first care is your health care Arizona Health Care Cost Containment System
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“Reaching across Arizona to provide comprehensive quality health care for those in need”
Community Outreach and Engagement – Phone contact
Mercy Maricopa Integrated Care has identified a 1-800 that they will use for incoming calls to respond to member questions.
Mercy Maricopa Integrated Care to handle majority of calls – so routing will transpire there.
Scripts will be developed and shared among state agencies to establish consistent direction.
Our first care is your health care Arizona Health Care Cost Containment System
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“Reaching across Arizona to provide comprehensive quality health care for those in need”
Request For Information (RFI) for Greater AZ.
Our first care is your health care Arizona Health Care Cost Containment System
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ADHS website location of RFI www.azdhs.gov/procurement/rfi.htm It is the responsibility of the Respondent to routinely check the ADHS
Procurement website web site for any changes to the request. http://www.azdhs.gov/procurement/index.htm
The procurement specialist is Elena Beeman with ADHS. [email protected] (602) 542-2944
There are 15 questions regarding information input
The request due date and time for the RFI is January 22, 2013 no later than 5:00 pm
AHCCCS plans to request a waiver of choice for the Greater Arizona RBHA; this involves CMS approval
“Reaching across Arizona to provide comprehensive quality health care for those in need”
Discussion/Comments
Our first care is your health care Arizona Health Care Cost Containment System