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News & Press: Advocacy Alerts

Ask legislators to delay behavioral health services moving to managed care.

Friday, June 1, 2018   (0 Comments)
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From The Ohio Council of Behavioral Health & Family Services Providers

The House and Senate are considering the BH Redesign issues and future of the BH carve-in to managed care currently permitted on July 1, 2018. The Administration reports all systems are preforming and ready for the BH carve-in and remains unwavering in their intent to move forward on July 1st with transition BH services to managed care. Legislators, however, remain concerned as they are responsible for the investments made in BH services and do not wish to see any disruption of treatment capacity in their communities as they combat the unrelenting public health crisis of suicides and overdose deaths.

As Senators and House members deliberate, we must continue to create significant legislative pressure on the Governor and ODM to respond and address the issues with managed care readiness, timely payment, and overall BH claims and payment issues providers are experiencing. To support this effort, the Ohio Council is seeking a legislative amendment that would affirmatively delay the managed care transition to January 31, 2019.

Take Action

Call and e-mail your Senator(s) and House members! They need to hear from you, your staff, your Board of Directors, and the individuals and families you support in treatment and recovery. If you've already contacted them - do it again!

The Ask: Support an amendment when offered that will delay the behavioral health services moving to managed care until January 31, 2019.

Message: The BH system is still working through the complex billing and coding changes associated with BH Redesign. It is simply not ready to support a successful transition to managed care particularly in light of the new information that CareSource, the state's largest provider of managed care coverage, has not been making timely payments to providers. The state, providers, and plans need more time to resolve the complex billing issues and stabilize business operations, complete IT testing with the MCOs and complete the contracting process so that individuals and families are able to maintain uninterrupted access to addiction and mental health treatment services. We ask that you support an amendment when offered that will delay the BH carve-in to managed care until January 31, 2019.

Personalize the message: If you've experienced delayed payments on existing managed care contracts or MyCare Ohio claims, your legislators need to know that. Describe the actions your organization has taken to implement BH redesign and contract with the MCOs while also maintaining access to treatment for the individuals and families receiving care.

If you are unsure of who your Senator(s) or House Member(s) are, you can use the Find My Legislator Link to contact them.

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