History of Managed Behavioral Health Care in Arizona

							   History of Managed Behavioral
       Health Care in Arizona

• Late 70’s Medical Managed Care
• 80’s     State Funded Behavioral Health
• 1990     Medicaid Funded Title XIX
           Children Only
            Jason K. Lawsuit
• Filed early 90’s - Title XIX Children
• Signed Settlement -- June, 2001
     • Vision/12 Principles
     • System of Care

• Child and Family Teams/Wraparound
    Expanded Array of Covered
 Services Oct. 2001– 1115 Waiver
• Medicaid, Behavioral Health, Licensure (Rule
  Making)
       • Provider Types
       • Paraprofessional, BHT, Professional
       • Rate Setting
• 9 Domains:
  - Treatment Services           - Inpatient Services
  - Rehabilitation Services      - Residential Services
  - Support Services             - Medical Services
  - Crisis Intervention Services - Behavioral Health Day
                                             Programs
     Support and Rehabilitation
             Services
• Examples:
   Case Management; Personal Care Services;
   Home Care Training Family (Family Support);
   Self-Help/Peer Services (Peer Support);
   Therapeutic Foster Care; Respite Care;
   Supported Housing; Skills Training;
   Education/Medication Training; Ongoing
   Support to Maintain Employment
  Flex Funds (Non-Title XIX)
           Rate Setting and
              Capitation

• Rate Setting for Services


• Capitation Rate for Populations
    -     Adult/Child
    -     Child Welfare and all others
 Family Voice, Ownership, Access

• ValueOptions Parent/Professional
  Partnerships
• ValueOptions Funded: Family Involvement
  Center (FIC)
• Family Support Partners (55)
• MIKID/FIC Direct Services

• www.azdhs.gov – Behavioral Health