Behavioral Health Transition to Managed Care
Update to RFQ Deadline
The deadline for submitting comments related to New York's Request for Qualifications (RFQ) for Behavioral Health Benefit Administration has been extended to Friday, January 17, 2014.
Behavioral Health Transition Timeline
The NYS Behavioral Health (BH) Transition Team for Medicaid, comprised of leads from OASAS, OMH, and DOH, is updating the target dates for implementing the transition of BH services.
Behavioral Health Managed Care Request for Information
This RFI is designed to solicit input concerning New York's draft proposal to manage Medicaid substance use and mental health benefits.
In October 2012, the Medicaid Redesign Team (MRT) and the MRT Behavioral Health Workgroup put forward a number of recommendations to support the careful and responsible transformation of the current fee-for-service system to Medicaid Managed Care for Medicaid enrolled individuals with Substance Use Disorder (SUD) and Mental Health (MH) treatment needs. These recommendations informed and guided the design and development of the attached draft RFQ.
In order to ensure that the transformation of the behavioral health system has a positive and lasting impact on the behavioral health population, New York seeks input from all stakeholders on the draft service design through this RFI. Stakeholder feedback will help inform any revisions to the final RFQ as well as guide NYS in the provision of Plan and Provider readiness assistance. Please be advised that the criteria described in the RFQ are draft and subject to change based on stakeholder feedback through this RFI and negotiations with the federal government.
If you have any comments, please submit them to email@example.com by January 10, 2014.
This package contains the following:
- New York State Behavioral Health Managed Care RFI Cover Letter (PDF, 153KB)
- Behavioral Health Managed Care RFI Questions (PDF, 236KB)
- Draft Behavioral Health Managed Care RFQ for Public Review (PDF, 506KB)
- Draft Data Book for Behavioral Health Carve-In and Health and Recovery Plans (HARPS) (PDF, 312KB)
Behavioral Health Transition RFI/RFQ Webinar
A webinar was held by the NYS Department of Health (DOH), Office of Mental Health (OMH), and Office of Alcoholism and Substance Abuse Services (OASAS): "RFI/RFQ for Managed Care Behavioral Health Services and HARP".
This presentation focused on the newly released Request for Information/ DRAFT Request for Qualification (RFI/RFQ) to NYS Medicaid Managed Care Plans. Plans will be submitting applications to New York State demonstrating that they have the organizational capacity to ensure the delivery of quality behavioral health care, managed by Health Plans, Health Plans in partnership with Behavioral Health Organizations, and/or Health and Recovery Plans (HARPs) These applications will be reviewed against new behavioral health specific administrative, clinical, program, and fiscal standards. The RFI is designed to solicit input concerning New York's draft proposal to manage behavioral health services.
The webinar took place on Tuesday, December 17, 2013 at 1:00 PM. Below you will find the slides presented in the webinar.
If you have any comments, please submit them to firstname.lastname@example.org by January 17, 2014.
- MRT Webinar on Behavioral Health Managed Care (PDF, 334KB)
Behavioral Health 1115 Waiver Amendment
The three documents below were sent to the federal Centers for Medicare and Medicaid Services (CMS) on December 30, 2013. The cover letter to CMS describes how the Behavioral Health 1115 Waiver Amendment allows NYS to provide behavioral health services to individuals with significant mental health and substance use disorder treatment needs under our Partnership Plan.
The 34 page BH waiver amendment describes how NYS will manage the formerly carved out State Plan BH services under Medicaid Mainstream Managed Care Plans and Behavioral Health Organizations and/or through new managed care lines of business called Health And Recovery Plans (HARPs). Attachment C in the waiver amendment describes new 1915i home and community based services that will be managed by the HARPs. The third document is in question and answer format, and is in response to preliminary questions from CMS.
- Cover letter to CMS (PDF, 76KB)
- NYS Partnership Plan Behavioral Health Amendment (PDF, 449KB)
- Response to CMS Preliminary Questions on Behavioral Health 1115 Amendment (PDF, 803KB)