April 10, 2013 - AHCCCS

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Mercy Maricopa Integrated Care - - Facts • Offeror will utilize the majority of the existing provider network • By October 1 st bidder would have eight (8) SMI clinics that offer integrated care – (4 are currently used as co-location sites in the existing contract) • SMI clinics offering integrated services will be increased to 20 sites over the course of the contract • Management Team (CEO, CMO, CFO, COO) all come from behavioral health • Mercy Care Experience Serving Populations with Complex Care Needs – 2400 SMI in the ALTCS program – (Fully integrated BH services) – 6200 SMI in the Acute program – 9300 in the DDD program • Have held community outreach and development planning with 51 different stakeholders including providers, peer runs and community organizations • Have shaped a Community Proposal versus a single organization approach Health and Wellness for all Arizonans azdhs.gov
What Does MMIC Bring Recognition of what needs to improve the system – • Utilizes the existing network and enhances access to care • Member and family focused • Recovery and resiliency throughout the system • Already serving nearly half of the SMI population in acute plans • Extensive experience serving individuals with very complicated care needs (Operate integrated BH models in Illinois, Florida, Delaware, Missouri, Texas) • Two years of outreach to the community stakeholders with identified opportunities • Builds on the existing crisis system and enhances through specialty crisis and ACT teams Crisis Children & Youth School Based DDD ACT Homeless ACT Forensic ACT Peer Support ACT Health and Wellness for all Arizonans azdhs.gov
Page 1 and 2: State Medicaid Advisory Committee (
Page 3 and 4: Janice K. Brewer, Governor Thomas J
Page 5 and 6: DISCUSSION X. Call to the Public Di
Page 7 and 8: CMS Update
Page 9 and 10: 2013 Amendments *SPA 13-004 Drug Co
Page 11 and 12: SPA 12-003A- Encounter/visit limit
Page 13 and 14: SPA 11-009C Rate Reductions Updates
Page 15 and 16: RFP Announcements
Page 17 and 18: • Statewide CRS Contract - United
Page 19 and 20: To access RFP award information, cl
Page 21: Mercy Maricopa Integrated Care RBHA
Page 25 and 26: To address the concern that physica
Page 27 and 28: How the System Operates Today - Som
Page 29 and 30: MMIC Integrated Care Sites • Memb
Page 31 and 32: So what is Care Coordination Commun
Page 33 and 34: Member Transition Members • Over
Page 35 and 36: Health and Wellness for all Arizona
Page 37 and 38: Recovery through Whole Health: the
Page 39 and 40: AHCCCS Update
Page 41 and 42: AHCCCS Population as of July 1 1,40
Page 43 and 44: AHCCCS Growth of GF Since 2007 M
Page 45 and 46: 10% 8% 6% 4% 2% 0% -2% 15% Medicaid
Page 47 and 48: Regardless of ACA Decisions- Unsust
Page 49 and 50: Triple Crown Procurements October 1
Page 51 and 52: Acute Bids (S = submitted - * = inc
Page 53 and 54: AHCCCS Program Integrity Agency cr
Page 55 and 56: Health Information Technology What
Page 57 and 58: Jurassic Park Coverage Issue - Res

April 10, 2013 - AHCCCS

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