OACBHA REGIONAL MEETINGS

OACBHA REGIONAL MEETINGS

Treatment Works…People Recover

NOVEMBER 2012

FORCES IMPACTING

LOCAL BOARDS


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

14-15 BIENNIAL BUDGET


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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.

14-15 BIENNIAL BUDGET


NEW DEPARTMENT GRF PROGRAM LINES

GRF 333403 Pre-Admission Screening ExpensesGRF 333416 Research/Program EvaluationGRF 334412 Hospital ServicesGRF 334506 Court CostsGRF 335405 Family & Children FirstGRF 335506 Residential State SupplementGRF 335421 Continuum of Care ServicesGRF 335406 Prevention & WellnessGRF 335422 Criminal Justice ServicesGRF 335504 Community InnovationsGRF 652507 Medicaid Support

(Concept of targeting funds)

14-15 BIENNIAL BUDGET CONT.


Federal Line Items that may Impact Boards

FED 3A70 333612 Social Services Block GrantFED 3A80 335613 MH Block Grant – Comm. BD SubsidyFED 3FR0 335638 RTTT - Early Learning Challenge GrantFED 3G40 335618 Substance Abuse Block GrantFED 3H80 335606 Demonstration Grants



Other Line Items that may Impact Boards

GSF 4P90 335604 Community MH ProjectsGSF 5T90 335641 Problem Gambling ServicesRDF 7049 335900 Indigent Drivers Alcohol TreatmentRDF 5JL0 335629 Problem Gambling CasinoSSR 2320 333621 Family & Children FirstSSR 4750 335623 Statewide Treatment & PreventionSSR 5AU0 335615 Behavioral HealthcareSSR 5CH0 335622 Residential Support Services



1. 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.

2. Expand Medicaid as allowed by the Affordable Care Act.

(See Draft Platform)

OACBHA 14-15 BIENNIAL BUDGET PLATFORM


OACBHA 14-15 BIENNIAL BUDGET WORK


1. Business Case (see business case)2. Legislative Dinners

a) We have had 3 all with a different theme

3. Education of New Legislatorsa) This is a local Board and OACBHA joint effort

4. Legislative Reception (hold Jan. 29, 2013)a) 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.

5. The Champion Magazine (see directions for articles)

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 usB. Potential pilot with Buckeye

C. Looking at regional meetings

MEDICAID REFORM


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

MACSIS/MITS TRANSITION


RECOMMENDATIONS FROM THE QUICK HIT

TEAMS


1. OACBHA will develop a primer on the ADAMH system and what we have to offer the local business community by January 15, 2013

2. 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:

A. What a drug-free workplace is and meansB. The realities of drug testingC. Options available if you think you have a problemD. For the PR campaign look at how we can incorporate “above the

influence”– Utilization of electronic media

CHAMBER QUICK HIT TEAMRECOMMENDATIONS


3. 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

4. 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)

CHAMBER QUICK HIT TEAMRECOMMENDATIONS CONT.


1. 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.A. “Core” services- the essential set of services available at

minimum to all residents regardless of their ability to pay.

B. Fully funded with State resources, if no other payor source (i.e., insurance, Medicaid) is available.

CORE SERVICES QUICK HIT TEAM

RECOMMENDATIONS


2. 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)

CORE SERVICES QUICK HIT TEAM

RECOMMENDATIONS CONT.


AssessmentCounseling- Group & IndividualCPST/ Case ManagementCrisis Intervention Hotline

Medication

Partial Hospitalization/ Intensive Outpatient Prevention/ Education

MH (only)Inpatient Psychiatric CarePharmacologic Management/ Med Somatic

AoD (only)Detoxification

1. Advance the statewide implementation of ACE Screening (Adverse Childhood Experiences) in order to address issues related to trauma;

2. Advance the statewide implementation of SBIRT (Screening, Brief Intervention and Referral to Treatment);

3. Advance the statewide implementation Mental Health First Aid.

INTEGRATION QUICK HIT TEAM

RECOMMENDATIONS


1. 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.

2. The Committee recommends the establishment of a joint ODADAS/ODMH/DRC/DYS/Community Corrections Association/OACBHA working committee.

3. 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)

CJ QUICK HIT TEAMRECOMMENDATIONS


OTHER MAJOR INITIATIVES UNDERWAY


NEW NAME - The Ohio Department of Mental Health and Addiction Services

Back offices already consolidatedOffice of Health IntegrationOffice of Legal and Regulatory ServicesOffice of Fiscal ServicesOffice of Information Services (OIS)Office of Public Affairs

ODMH / ODADAS CONSOLIDATION


ODMH/ODADAS CONSOLIDATION CONT.


1. The State and Local Relations Committee is still meeting a) The Budget Committee is looking at line items and

allocations including factors to be utilized.

2. Statutory language for the new department a) The Department is still working on a first draft, we have been

promised that we will have an opportunity to review prior to submission.

3. Consolidation website – www.adamh.ohio.gov

1. Implications of Presidential Election2. Medicaid Expansion

a) State and Federal decisions

3. Insurance Exchangea) State-operated; hybrid; or federally-run

4. Essential Health Benefits5. SIM – State Innovation Model Design Grant

HEALTHCARE REFORM


1. Statewide Telemedicine CommitteeA. Technology Work Group

i. Mike Schoenhofer

B. Licensure/Rules/Reimbursement Work Groupi. Joe Trolian

C. Protocols/Education/Training Work Groupi. Cheri/Fonda

2. Telemedicine PilotA. AG Funding

TELEMEDICINE


1. OACBHA has invested in a monitor to allow for video conferencing, we are also going to pay for the subscription to Go-to-Meeting.

2. Boards will need a camera and microphone, you can get a combo camera with microphone from Logitech for about $85.

3. We will utilize go to meeting for the video portion, and teleconferencing for the sound.

ELECTRONIC MEETINGS


RSCUPDATE


1. With the new Contract All Administrative billings, budget changes, quarterly reports, and questions will start with Liz.

2. We are working with RSC to speed up the VR decisions (Kaizen process).

3. We are also working with RSC to speed up the payments.

RSC UPDATE


GENERAL DISCUSSION


Documents

OACBHA REGIONAL MEETINGS