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Conceptual Framework and Strategic Considerations for Modernizing Behavioral Health Systems

NASHP

The framework is organized into general areas of intervention across the continuum of care (or “buckets”). A comprehensive data strategy underpins effective targeting of need, resources, and implementation and accountability approaches. This resource rests on that vision and reflects the evolving behavioral health landscape.

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Behavioral Health System Modernization: Comprehensive Approaches and Cross-Cutting Tools

NASHP

As major purchasers, administrators, and regulators of behavioral health treatment and supports, states play a critical role in system transformation. In addition, through its new 1115 demonstration extension and “Roadmap for Behavioral Health Reform,” the state is phasing in a new integrated primary care payment and reimbursement structure.

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State Community Health Worker Models

NASHP

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. NCQA National Committee for Quality Assurance. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. RAE Regional Accountable Entity. Acronym Guide. SPA State Plan Amendment.

Medicaid 121
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National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

NASHP

High-quality, integrated care requires strong system-level partnerships, information and data sharing, and family-centered practices. In spite of these barriers, and to help address them, states have implemented innovations to improve integrated care coordination for CYSHCN. Leveraging Data and Technology.

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Community Health Worker Models

NASHP

The Department of Health Care Policy and Financing (the Medicaid program administrator) does not specifically require the Regional Accountable Entities (RAEs), care coordinating entities contracted with Colorado’s Medicaid program, or other managed care entities to cover CHW services, nor does the Department pay for CHW services under FFS.

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Behavioral Health System Modernization along the Continuum

NASHP

Integrated Primary and Behavioral Health Care A modern behavioral health system of care is fully integrated into the continuum of health care services, including primary and specialty care settings, and extends into homes and communities to ensure holistic and coordinated support.

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COVID-19 Lessons: A Path to a Better Health Care System

Accountable Care Doctors

The COVID-19 pandemic has upended health care in America, and as of this writing, is still raging on. A quick snapshot reveals how decades-long investments by CAPP groups to better integrate their care delivery systems is paying off. Continue to encourage the migration of care from the health care campus to the home.