Capitalizing on the Changing

Environment ACA - Parity - MRT

Coalition of Behavioral Health Agencies

January 23, 2014

Patrick Kennedy

Changes and Challenges

Access to 1915(i) like Services

• Peer Support • Drop-in Centers • Residential Supports • Vocational Services

Outpatient Clinic Services in Community Settings – Clinic to Rehab

Invigorating the OASAS Residential Treatment System

A New Model for a Strengthened Continuum of Care

Three Phases of Residential Care

Stabilization – Rehabilitation - Community Reintegration

What We Have Already Achieved

• Addiction services are included in the Essential Benefits Package.

• The passage of the federal Parity Law.

• Creation of the MRT Behavioral Health Workgroup.

Moving Forward – The OASAS Vision

Patients will: • have their care coordinated,• have access to a peer to help bridge treatment and recovery,• have access to greater recovery supports, and • have more input into treatment that supports an improved

quality of life.

Protecting the Path Forward

Segregate and track behavioral health spending

Make sure BHOs are not pushed towards mental health rather than SUD

We will require managed care plans to:• Use APG pricing for two years • Reimburse for CASAC services• Include in plan networks providers in

treatment relationships with patients in those plans

• Use our level of care tool, the OASAS LOCATDR 3

LOCADTR 3.0Level of Care for Alcohol and Drug

Treatment Referral Tool

Mental Health Parity & Addiction Equity Act

“I am very proud that the law I sponsored with my father is helping tens of millions of Americans who struggle every day with mental illness and addictions and who for years

received unequal, inadequate care.”

Patrick Kennedy

Stronger Families – Making a Difference