NACHC Payment Reform resources
Payment and Delivery Reform webpage
NACHC Payment Reform Readiness Assessment Tool
AMA Steps Forward – Preparing your practice for value-based care
https://www.stepsforward.org/modules/value-based-care#section-references
Rural Health Value Team’s comprehensive Value-Based Care Strategic Planning Tool:
http://cph.uiowa.edu/ruralhealthvalue/TnR/VBC/VBCTool.php
Over the last few months, the Early Warning System (EWS) workgroup has been working to develop recommendations for a feedback loop and triage process to identify and resolve system issues as they arise during the IMC transition in 2019. The group approved their final Early Warning System Indicators list at the October 31 meeting.
Based on the progress made, the group decided not to meet in November and will re-convene in December to finalize preparations for the monitoring calls that will begin in January.
What to expect in 2019
Through the month of January, the HCA will host “Rapid Response” calls to respond to emerging systemic issues and questions needing immediate attention. See the schedule below.
Beginning in February, we will move to monthly webinars, which will focus on review and response of the indicator data. More details on those to come. If it is determined that we still need more frequent calls, we can do so.
For more details on the Rapid Response calls, including standing agenda, see the HCA’s Rapid Response Calls document.
Email sarah@betterhealthtogether.org with questions.
On October 8 and 9, Amerigroup, Community Health Plan of Washington, Coordinated Care and Molina Healthcare are hosted a symposium for Behavioral Health providers that were previously contracted with the Spokane BHO. The purpose of this event was to provide detailed instructions on the clinical and operational requirements and processes for providers in the Spokane region in making the change to Integrated Managed Care, which has a go live date of January 1, 2019.
Available materials from the symposium are below.
Amerigroup, Community Health Plan of Washington, Coordinated Care and Molina Healthcare are hosting a symposium, offered on two days, for Behavioral Health providers that were previously contracted with the Spokane BHO. The purpose of this event is to provide detailed instructions on the clinical and operational requirements and processes for providers in the Spokane region in making the change to Integrated Managed Care which has a go live date of January 1, 2019.
These are the same sessions, repeated on two days.
Monday, October 8
8:30-9:00 am Registration/Breakfast
9:00 am-12:00 pm Morning Session: OPERATIONS
12:00-1:00 pm Transition/Lunch
1:00-4:00 pm Afternoon Session: CLINICAL
Tuesday, October 9
8:30-9:00 am Registration/Breakfast
9:00 am-12:00 pm Morning Session: CLINICAL
12:00-1:00 pm Transition/Lunch
1:00-4:00 pm Afternoon Session: OPERATIONS
Location
Spokane Valley Event Center
10514 East Sprague Ave.
Spokane Valley, WA 99206
Note: Venue entrance is on E. Appleway Blvd. Free parking is available.
For more details on location, content, and who should attend, follow the registration link below!
https://www.eventbrite.com/e/spokane-imc-bh-provider-symposiums-registration-50626045866
NOTE: Please register each staff attendee INDIVIDUALLY!
Who should attend?
It is very important that the individuals that perform the operational and clinical work for your organization attend the symposium. We recognize that many people hold multiple responsibilities and we are dedicated to making this a good use of time
For the Operational Component:
· Billing staff
· Front Office Staff
· Back Office Staff
· Compliance Staff
· Operations Staff
For the Clinical Component:
· Clinical Leads/Managers or Program Managers
· Office Managers/Staff (if they complete Prior Authorizations)
· Any clinicians or other direct service providers interested in connecting with MCO Case Management and Utilization Management Departments
Main topics that will be covered in each session:
Operational Component
· Credentialing
· Access to Care & Appointment Standards
· Websites, Portals, & Directories
· Claims and Billing
· Prior Authorizations
· Resources
· Questions and Answers
Clinical Component
· Utilization Management Overview
· Common Prior Authorization Standards
· Case Management Overview
· Questions and Answers
Last updated: 10.3.2018
The first round of FIMC funding goes to BHO contracted Medicaid Providers and Tribal BH Providers.
To help Medicaid providers and Tribal BH providers who are currently contracted with the BHT prepare for financial integration by January, 1 2019. Read more about this decision here.
Because our region opted to be mid-adopter, we received an $8.7M investment to accelerate the effort to move to whole-person care.
$25,000 for signed Letter of Commitment to participate in the transition to FIMC
$20,000 for completion of the Qualis FIMC Readiness Assessment
$30,000 for completion of behavioral health Partnering Provider Transformation Plan
$5,000 for readiness to contract for FIMC on January 1, 2019
