Tips for States on Working with Dual Eligible Special Needs Plans to Improve Coordination of Physical and Behavioral Health Services for Dually Eligible Individuals
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Associated Project
Supporting States in Improving Care for Dually Eligible Individuals through the Integrated Care Resource Center
Prepared for:
U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Medicare - Medicaid Coordination Office
Key Findings
In this Integrated Care Resource Center tip sheet, we summarize several contracting strategies that states can use to promote improved coordination of physical and behavioral health services for D-SNP enrollees:
- Strategy 1: Behavioral Health Training Requirements for D-SNP Care Coordinators, Peer Support Staff, and Other Providers
- Strategy 2: Behavioral Health-Specific Interdisciplinary Care Team Requirements
- Strategy 3: Early Intervention Through D-SNP Health Risk Assessments
- Strategy 4: Care Coordination During Crisis Response and Transitions of Care
- Strategy 5: Inclusion of Medicaid Behavioral Health Providers in Provider Directories and Alignment of Behavioral Health Provider Networks
- Strategy 6: Collaborative Data-Sharing Platforms and Procedures
This Integrated Care Resource Center tip sheet details strategies states can use in their State Medicaid Agency Contracts (SMACs) with Dual Eligible Special Needs Plans (D-SNPs) to promote integration and coordination of behavioral health benefits among enrolled dually eligible individuals. This tip sheet also highlights how a few D-SNPs have gone beyond the SMAC requirements to further promote behavioral health integration.
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