Network Adequacy of Specialized Behavioral Health Providers, Office of Behavioral Health, Louisiana Department of Health

Network Adequacy of Specialized Behavioral Health Providers, Office of Behavioral Health, Louisiana Department of Health PDF Author:
Publisher:
ISBN:
Category : BUSINESS & ECONOMICS
Languages : en
Pages : 0

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Book Description
"We evaluated the Office of Behavioral Health’s (OBH) process for ensuring that the five1 Healthy Louisiana Managed Care Organizations (MCOs) provide Medicaid recipients with access to an adequate network of qualified specialized behavioral health2 (SBH) providers. In contrast to basic behavioral health services, SBH includes services, such as psychosocial rehabilitation, therapy, or crisis intervention, designed to treat mental health and substance abuse issues.3 We conducted this audit because a 2015 survey4 found that Louisiana ranked 47th among states in people having access to behavioral health services. OBH, within the Louisiana Department of Health (LDH), is responsible for ensuring access to behavioral health services in the state. During fiscal year 2017, OBH’s state office staff5 consisted of approximately 82 employees and a budget of $58.6 million. In 2012, LDH contracted with Magellan Health, an MCO, for the administration of SBH services for Medicaid recipients, a shift from the fee-for-service model that directly reimbursed providers. In December of 2015, LDH integrated physical and SBH services into the five existing MCOs. The goal of integrating these services, as recommended by best practices, is to achieve holistic care by coordinating members’ health, prevention, and treatment. Although SBH services are now provided by the MCOs, LDH is still responsible for administering the Medicaid program and monitoring the MCOs to ensure they comply with their contracts."--Introduction.

Network Adequacy of Specialized Behavioral Health Providers, Office of Behavioral Health, Louisiana Department of Health

Network Adequacy of Specialized Behavioral Health Providers, Office of Behavioral Health, Louisiana Department of Health PDF Author:
Publisher:
ISBN:
Category : BUSINESS & ECONOMICS
Languages : en
Pages : 0

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Book Description
"We evaluated the Office of Behavioral Health’s (OBH) process for ensuring that the five1 Healthy Louisiana Managed Care Organizations (MCOs) provide Medicaid recipients with access to an adequate network of qualified specialized behavioral health2 (SBH) providers. In contrast to basic behavioral health services, SBH includes services, such as psychosocial rehabilitation, therapy, or crisis intervention, designed to treat mental health and substance abuse issues.3 We conducted this audit because a 2015 survey4 found that Louisiana ranked 47th among states in people having access to behavioral health services. OBH, within the Louisiana Department of Health (LDH), is responsible for ensuring access to behavioral health services in the state. During fiscal year 2017, OBH’s state office staff5 consisted of approximately 82 employees and a budget of $58.6 million. In 2012, LDH contracted with Magellan Health, an MCO, for the administration of SBH services for Medicaid recipients, a shift from the fee-for-service model that directly reimbursed providers. In December of 2015, LDH integrated physical and SBH services into the five existing MCOs. The goal of integrating these services, as recommended by best practices, is to achieve holistic care by coordinating members’ health, prevention, and treatment. Although SBH services are now provided by the MCOs, LDH is still responsible for administering the Medicaid program and monitoring the MCOs to ensure they comply with their contracts."--Introduction.

Performance Report for the Renewal of Contract QD1A9, Central Florida Behavioral Health Network, Inc

Performance Report for the Renewal of Contract QD1A9, Central Florida Behavioral Health Network, Inc PDF Author: Florida. Department of Children and Families. Substance Abuse and Mental Health Program Office
Publisher:
ISBN:
Category : Mental health services
Languages : en
Pages : 39

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Book Description
State agencies are required to submit a written report concerning contract performance 90 days before renewing a contract for the outsourcing of a service or activity that has an original term value exceeding the sum of $10 million. Accordingly, the Department of Children and Families Substance Abuse and Mental Health (SAMH) Program submits this report prior to the renewal of Contract QD1A9 between the Department and Central Florida Behavioral Health Network, Inc. (CFBHN). Under contract QD1A9, the provider subcontracts with a network of Service Providers to provide mental health and substance abuse services to clients in the counties of Charlotte, Collier, DeSoto, Glades, Hardee, Hendry, Highlands, Hillsborough, Lee, Manatee, Pasco, Pinellas, Polk and Sarasota Florida.

Rules and Regulations for the Licensure of Facilities and Providers of Mental Health, Mental Retardation and Substance Abuse Services

Rules and Regulations for the Licensure of Facilities and Providers of Mental Health, Mental Retardation and Substance Abuse Services PDF Author: Virginia. Department of Mental Health, Mental Retardation, and Substance Abuse Services. Office of Licensure
Publisher:
ISBN:
Category : Alcoholism counseling
Languages : en
Pages : 68

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Book Description


Behavioral Health Barometer (United States) - Volume 5

Behavioral Health Barometer (United States) - Volume 5 PDF Author: U.S. Department of Health and Human Services
Publisher: Lulu.com
ISBN: 1794755365
Category : Reference
Languages : en
Pages : 74

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Book Description
The Behavioral Health Barometer: United States, Volume 5: Indicators as measured through the 2017 National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services, is one of a series of national, regional, and state reports that provide a snapshot of behavioral health in the United States. The reports present a set of substance use and mental health indicators as measured through the National Survey on Drug Use and Health (NSDUH) and the National Survey of Substance Abuse Treatment Services (N-SSATS), sponsored by SAMHSA.

Healthy, Resilient, and Sustainable Communities After Disasters

Healthy, Resilient, and Sustainable Communities After Disasters PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309316227
Category : Medical
Languages : en
Pages : 535

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Book Description
In the devastation that follows a major disaster, there is a need for multiple sectors to unite and devote new resources to support the rebuilding of infrastructure, the provision of health and social services, the restoration of care delivery systems, and other critical recovery needs. In some cases, billions of dollars from public, private and charitable sources are invested to help communities recover. National rhetoric often characterizes these efforts as a "return to normal." But for many American communities, pre-disaster conditions are far from optimal. Large segments of the U.S. population suffer from preventable health problems, experience inequitable access to services, and rely on overburdened health systems. A return to pre-event conditions in such cases may be short-sighted given the high costs - both economic and social - of poor health. Instead, it is important to understand that the disaster recovery process offers a series of unique and valuable opportunities to improve on the status quo. Capitalizing on these opportunities can advance the long-term health, resilience, and sustainability of communities - thereby better preparing them for future challenges. Healthy, Resilient, and Sustainable Communities After Disasters identifies and recommends recovery practices and novel programs most likely to impact overall community public health and contribute to resiliency for future incidents. This book makes the case that disaster recovery should be guided by a healthy community vision, where health considerations are integrated into all aspects of recovery planning before and after a disaster, and funding streams are leveraged in a coordinated manner and applied to health improvement priorities in order to meet human recovery needs and create healthy built and natural environments. The conceptual framework presented in Healthy, Resilient, and Sustainable Communities After Disasters lays the groundwork to achieve this goal and provides operational guidance for multiple sectors involved in community planning and disaster recovery. Healthy, Resilient, and Sustainable Communities After Disasters calls for actions at multiple levels to facilitate recovery strategies that optimize community health. With a shared healthy community vision, strategic planning that prioritizes health, and coordinated implementation, disaster recovery can result in a communities that are healthier, more livable places for current and future generations to grow and thrive - communities that are better prepared for future adversities.

Evaluation of the Department of Veterans Affairs Mental Health Services

Evaluation of the Department of Veterans Affairs Mental Health Services PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309466601
Category : Medical
Languages : en
Pages : 467

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Book Description
Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.

Improving the Quality of Health Care for Mental and Substance-Use Conditions

Improving the Quality of Health Care for Mental and Substance-Use Conditions PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133661
Category : Medical
Languages : en
Pages : 528

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Book Description
Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

The CMS Hospital Conditions of Participation and Interpretive Guidelines

The CMS Hospital Conditions of Participation and Interpretive Guidelines PDF Author:
Publisher:
ISBN: 9781683086857
Category :
Languages : en
Pages : 546

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Book Description
In addition to reprinting the PDF of the CMS CoPs and Interpretive Guidelines, we include key Survey and Certification memos that CMS has issued to announced changes to the emergency preparedness final rule, fire and smoke door annual testing requirements, survey team composition and investigation of complaints, infection control screenings, and legionella risk reduction.

Sanitary Code, State of Louisiana

Sanitary Code, State of Louisiana PDF Author: Louisiana
Publisher:
ISBN:
Category : Public health
Languages : en
Pages : 202

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Book Description


Health Services for American Indians

Health Services for American Indians PDF Author: United States. Public Health Service. Office of the Surgeon General
Publisher:
ISBN:
Category : Health Services
Languages : en
Pages : 364

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Book Description