FY 2016

Healthcare Opportunities WorkgroupFocus Areas for FY 2016

Performance Contracting and

OutcomeMeasures

SUD Program and Policy

LIDDA Service Coordination in a Managed CareEnvironment

CMBHS CCBHC Managed Care

AGILITY

Outcome Measures as a

Compliance Strategy

Outcome Measures as a

Quality Improvement Strategy

SPEED

Why a focus on Substance Use Disorder

Services?

50% Comorbid SMI and SUD

50% Severe Mental Illness Only

Dual diagnosis associated with higher

rates of relapse, hospitalization,

violence, incarceration, homelessness

and infectious disease

Untreated individuals have double the

healthcare costs as those without a

SUD

2009 Medicaid benefit added

2015 LBB Report shows 2.2% of

individuals with SUD diagnosis

received SUD treatment

OSAR function moved to LMHA

24

Community

Centers

provide

SUD Treatment

ENDURANCE

Defining LIDDA Service Coordination in a Managed Care Environment

If it looks like a duck and swims like a duck, then it must be a duck.

Duck is the common name for a large number of

species in the Anatidae family of waterfowl which

also includes swans and geese. The ducks are

divided among several subfamilies in the family of

Antadiae; they do not represent a monophyletic

group (the group of all descendants of a single

common ancestral species) but a form taxon, since

swans and gees are not considered ducks. Ducks

are mostly aquatic birds, mostely smaller than swans

and geese. Ducks are mostly aquatic birds, mostly

smaller than the swans and geese, and may be

found in both fresh water and sea water. Ducks are

sometimes confused with several types of unrelated

water birds with similar forms, such as loons or

divers, grebes, gallinules, and coots.

This is a loon. This is a duck.

And this is why it matters…

HOW Project Elements

Create a one-page briefing document

clearly outlining the differences

between LIDDA and MCO “service

coordination”

Create a 8-10 page policy document

with greater detail and consumer

stories

Collect data

• face-to-face and phone calls with

consumers and the community

• actual caseload size

• number of facility transfer, closed

providers, transistion out of SLCC

Targeted Case

Management