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Connecting community partners to improve transitions of care

HMA’s webinar series, 1115 Medicaid Justice Demonstration Waivers: Bridging Healthcare, will focus on helping stakeholders optimize the continuity of care for persons in carceral settings and during their transition back to the community.

Part 3 will focus on optimizing key partnerships before, during and after transition from a carceral setting into the community to ensure the best outcomes for individuals eligible for 1115 approved waiver services.

Learning Objectives:

Health Assessments and Transition Planning: Understand the health and resource needs of returning citizens (health, behavioral health and social issues).
Collaboration with Community Providers: Identify key partners and formalize collaborations to strengthen the quality of transitions care and support provided to individuals transitioning to the community.
Insurance Enrollment Strategies: Develop Medicaid enrollment strategies that apply to your state and local framework.

Other webinars in this series:

Watch a replay of Part 1: Medicaid Authority and Opportunity to Build New Programs for Justice-Involved Individuals
Watch a replay of Part 2: 1115 Justice Waivers to Improve Carceral Healthcare Delivery Information
Part 4: 1115 Justice Waivers and Medication Assisted Treatment (MAT) – July 13 at 2pm ET
Part 5: 1115 Justice Waivers and Special Populations: Meeting the Needs of Justice-Impacted

Youth mental health access: school-based intervention strategies

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The youth behavioral health crisis has resulted in a cascade of federal funding, advisories, and overall opportunities to improve resources to help kids. This webinar will present the Dialectical Behavioral Therapy (DBT) STEPS for Adolescents model, which is a low cost, high impact approach that empowers schools to intervene and support well-being and resiliency before students are in crisis, self-harming, or suicidal. Attendees will learn how to fund and implement this approach to promoting mental wellness as a strategy to reduce the burden on clinical resources designed to treat mental illness.

Whether you are a plan looking to develop value added services, a provider looking to better integrate with schools, or a school team looking for new approaches, this discussion will offer information about available funding, highlight research demonstrating evidence for the model, and offer Q&A with one of the developers of the DBT model. Attendees will receive links to a training calendar and overview of DBT.

Learning Objectives

Credentialing Not Required – Why DBT is a preferred model to address the youth BH crisis.
Ease of Implementation – How DBT has been adapted for current school personnel to deliver.
Financing Options – How to finance implementation of DBT.

Featured Speakers

James J. Mazza, Ph.D., Co-Developer for DBT Steps-A and Professor School Psychology Program, University of Washington

Opportunities for state payers to improve & align incentives for treatment of substance use disorder

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Health Management Associates (HMA) is proud to offer a 3-part series of webinars looking at the effect of proposed regulations on delivery of opioid treatment services to the population facing addiction issues. In this second webinar, HMA consultants will highlight Opportunities for State Payers to Improve & Align Incentives so that providers can expand access to treatment enabled by new federal regulations that encourage patient-centered care.

Patients seeking SUD treatment stand to truly benefit from the changes presented in the forthcoming SAMHSA regulations. However, payers need to restructure the reimbursement model to incentivize person-centered care and allow opioid treatment providers to remain fiscally viable without putting undue burden on patients. The change in regulations present a unique opportunity to advance value-based payment models in the SUD treatment system and expand access to treatment that meets patients where they are.

Learning Objectives:

How Payers Can Benefit – Understanding the opportunity for payers to close important gaps in current approaches to SUD treatment.
Innovation Inspiration – Learning from other programs to better deliver whole person care.
Tackling Challenges – Identifying the likely obstacles and how they can be overcome.

Featured Speaker:

Chris Regal, Director, Clinical Innovation, America’s Health Insurance Plans

Watch the replay of Part 1 of our Opioid Treatment Providers webinar series.

Stayed tuned for information on part 3 of our Opioid Treatment Providers series: Opportunities for State Regulators to Shape Policy and Regulation of Treatment for Substance Abuse Disorder

Webinar replay: opportunities for opioid treatment providers to improve patient outcomes

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This webinar was held on May 23, 2023.

HMA’s 3-part New Rules in Treatment of Opioid Addiction webinar series is aimed at helping stakeholders prepare for new federal rules that will change how medications are delivered to persons with opioid use disorders. Reducing daily visits will allow persons served to engage in work, family and community activities that sustain recovery, but programs have historically relied on daily visits for revenue. With the new rules, opioid treatment centers (OTPs) have a unique opportunity to advance person-centered care. In part 1 of this series, we addressed changes in clinical and business practices, as well as payment structures that will enable OTPs to implement new treatment programs and other flexibilities to improve patient outcomes. Other parts of the webinar series examine policy and incentives in the new system.

Learning Objectives

OTP Regulatory Changes – Understand expected changes from the point of view of clinicians and providers.

Critical Action Steps – Identify what OTPs will need to do next to comply.

State Variation – Consider how to navigate new rules across states with different approaches to treatment.

Featured Speaker

Nick Stavros, CEO, Community Medical Services

Mark your calendars for other webinars in this series:

Opportunities for State Payers to Improve and Align Incentives – June 6, 2023 at 3 p.m. ET

Opportunities for State Regulators to Shape Policy and Regulation – June 20, 2023 at 3 p.m. ET

Webinar replay: using 1115 justice waivers to improve carceral healthcare delivery information

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This webinar was held on May 18, 2023.

HMA’s five-part 1115 Justice Waivers: Building Bridges of Health for Persons Leaving Carceral Settings webinar series is designed to help plans and other stakeholders improve the long-term health outcomes of individuals leaving carceral settings. This webinar focused on the carceral settings operational healthcare practices, including intake screenings to aid in risk assignment and facilitate community re-entry. The 1115 justice waivers allow Medicaid programs to support in-carceral care, but to optimize resources, systems need information to translate transition in care best practices to carceral places of service.

HMA consultants with lived leadership experience working inside and outside jails and prisons provided plans and state agencies with a unique perspective on opportunities for transformation.

Learning Objectives:

Establishing Health Care Transitions Across Providers: Methods to improve transitions in care through recognizing carceral facilities as a place of service in the continuum of care.
Health Risk Assessments to Improve Continuity of Care: Utilizing health screening and risk assessments done at intake and throughout incarceration so Medicaid can improve healthcare transitions from jail into the community.

Other webinars in the “1115 Justice Waivers: Building Bridges of Health for Persons Leaving Carceral Settings” series:

Part 1 – Webinar replay: Medicaid authority and opportunity to build new programs for justice-involved individuals
Register now for Part 3 – June 15, 2pm ET – Transitions of care: identifying and connecting the key partners
July 13 2 p.m. ET – Part 4 – 1115 justice waivers and medication assisted therapy (MAT)
Upcoming Part 5 – 1115 justice waivers and special populations: meeting the needs of justice-impacted youth

Webinar replay: Medicaid authority and opportunity to build new programs for justice-involved individuals

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This webinar was held on April 6, 2023.

This webinar was designed to help states and other stakeholders understand the section 1115 parameters and that will provide insight to states, local government, carceral care settings and providers on how to best plan for implementing such services.

Why this is important:

On January 26, the Centers for Medicare & Medicaid Services (CMS) approved California’s (CA) section 1115 request to cover targeted healthcare services for incarcerated individuals 90 days before release. This historical partial rollback of the Medicaid Inmate Exclusion Policy empowers the CA Department of Health Care Services (DHCS) to collaborate with state agencies, counties, and community-based organizations to create coordinated community reentry services focused on persons transitioning from incarceration to community that provide physical and behavioral healthcare services.

Fourteen states have pending section 1115 demonstration requests:

These requests include specific healthcare services for justice-involved individuals. CMS has indicated it will be issuing guidance on the coverage parameters for healthcare services for individuals transitioning from carceral settings. These efforts allow states, counties, and cities to build coordinated systems of healthcare care to support reentry. Building such systems requires infrastructure development and enhancement, stakeholder engagement, strategic planning, and project and change management across justice partners, health plans, and community-based organizations.

Additional resources:

Webinar replay: rural health equity for dually eligible individuals: improving access to services and integrated care programs

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This webinar was held on February 2, 2023.

Dually eligible individuals covered under Medicare and Medicaid living in rural areas struggle to access the services, care coordination, and integrated care programs they need. To address these needs, HMA conducted multi-state roundtable discussions with diverse stakeholders to create The Health Equity & Access for Rural Dually Eligible Individuals (HEARD) Toolkit. During this webinar, our experts summarized and discussed the toolkit’s actionable solutions for improving health and social outcomes for rural dually eligible individuals.

Learning Objectives:

Understand why the voices of rural dually eligible individuals must drive planning efforts to generate innovations and prioritize investments to advance independent living and recovery goals.
Learn how experiences shared from New Mexico, North Dakota, and Tennessee can offer lessons.
Explore eight actionable solutions for improving health and social outcomes among rural dually eligible individuals as outlined in the HEARD toolkit.
Understand why community engagement and investment in rural capacity are essential to improving access to services and integrated care programs for rural dually eligible individuals.

Speakers

Arielle Mir, Vice President, Health Care, Arnold Ventures

HMA Team

Ellen Breslin, Principal
Samantha Di Paola, Consultant
Susan McGeehan, Senior Consultant

Expert Panelists

Dr. Kevin Bennett, Professor of Family Medicine, University of South Carolina School of Medicine, Director of the Research Center for Transforming Health, and Director of the South Carolina Center for Rural and Primary Care
Dennis Heaphy, Health Justice Advocate and Researcher, Massachusetts Disability Policy Consortium, Co-Chair, One Care Implementation Council, a One Care member, and MACPAC Commissioner
Pamela J. Parker, Medicare-Medicaid Integration Consultant, SNP Alliance
Tallie Tolen, Long-Term Services and Supports Bureau Chief, Medicaid, New Mexico Human Services Department

Webinar replay: state strategies for the certified community behavioral health clinic demonstration planning grant opportunity

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This webinar was held on November 7, 2022.

The Bipartisan Safer Communities Act offers new funding for states to develop a Certified Community Behavioral Health Clinic (CCBHC) Demonstration program. A new CCBHC Planning Grant Notice of Funding Opportunity (NOFO) for states has just been released with a deadline of Monday December 19, 2022. During this webinar – a follow up to our October 6 webinar – experts from HMA and the National Council for Mental Wellbeing provided an overview of the CCBHC Demonstration program NOFO, offered strategies for using CCBHC as a strategic transformational opportunity for systems improvement, reviewed the NOFO requirements and key changes from previous opportunities, and outline strategies for developing a successful response.

Learning Objectives

Review requirements of the new CCBHC Demonstration Planning NOFO for states and how it varies from previous efforts.
Understand the importance of aligning the CCBHC model within a larger state behavioral health and integrated care strategy.
Learn key considerations for states in responding to the opportunity and steps to improve the quality of a response.

Speakers

Kristan McIntosh, Principal, HMA

Heidi Arthur, Principal, HMA

Josh Rubin, Principal, HMA

Rebecca Farley-David, Senior Advisor, Public Policy and Special Initiatives, National Council for Mental Wellbeing

Did You Miss Part 1 of our CCBHC Planning Grant Webinar Series?

In case you missed it, experts from HMA and the National Council for Mental Wellbeing were joined by state leaders from New York and Michigan (two current CCBHC Demonstration states) for a pre-NOFO release discussion on October 6, 2022. During this prior webinar, we shared lessons learned and strategies states have used to successfully plan for the CCBHC Demonstration Program and leverage the CCBHC initiative as a transformation opportunity that can help behavioral health care systems achieve their broader health quality and access goals. The recording, slide deck, and an associated Q&A document from that previous session can be found here.

Webinar replay: equity-centered approaches to supporting community prevention and treatment

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This webinar was held on November 15, 2022.

Deeply rooted structures, systems, and beliefs have perpetuated racial inequities within substance use and mental health treatment and recovery settings. Racism and associated traumas add to these injustices and may influence how people of color experience and seek help for behavioral health needs. During this webinar, hear from community-based practitioners, who are leveraging evidence-based practices centered in equity, to provide support to our most vulnerable through harm reduction, overdose prevention and linkage to community treatment services.

Learning Objectives

Learn about the importance of centering your approaches in equity.
Obtain concrete examples of specific equity practices for harm reduction and overdose prevention.
Develop an understanding of national efforts that can support prevention in communities, driven by communities.

Speakers

Juleigh Nowinski Konchak, MD, Attending Physician, Behavioral Health, Department of Family and Community Medicine and Center for Health Equity and Innovation, Cook County Health
Rashad Saafir, PhD, President, CEO, Bobby E Wright Comprehensive Behavioral Health Center

Moderators

Michelle Ford, Principal, HMA
Leticia Reyes-Nash, Principal, HMA

Webinar replay: collaborating with faith-based organizations on reducing overdose deaths and addressing stigma

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This webinar was held on November 8, 2022.

Substance and opioid use disorders (S/OUD) affect people from all walks of life, including those active in faith communities. Yet many faith leaders do not know how to effectively support members of their congregations and their families who are struggling with these diseases. Faith groups and faith leaders from all denominations can be critical allies in addressing the stigma of S/OUD and building safe, compassionate spaces for individuals to get spiritual support along with the physical, mental, and emotional help they need to recover from S/OUD.

Presenters led participants through the myths and facts about S/OUD most relevant to faith communities and how to create faith-based prevention initiatives that can work in collaboration with other state S/OUD prevention and harm reduction strategies.

Learning Objectives

Find out how Faith-based Organizations (FBOs) can play an important role in helping individuals and families affected by S/OUD.
Learn how to encourage collaboration between faith communities and systems of care.
Understand key myths and facts related to S/OUD to share with FBOs.
Learn how to help FBO start prevention and harm reduction strategies in their communities.
Find out how to leverage FBOs to expand education about SUD and reduce stigma.

Speakers

Amy Bechtol, West Tennessee Faith-Based Community Coordinator with the Tennessee Department of Mental Health & Substance Abuse Services
Ana Bueno, Senior Associate, HMA
Stephanie Denning, Principal, HMA

Webinar replay: industry-specific outreach and education for reducing overdose deaths

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This webinar was held on October 25, 2022.

Industry stakeholders are non-traditional partners who can be effective in supporting and expanding opioid overdose prevention efforts. During this webinar, attendees heard about one state’s experience using data to identify and target stakeholders in high-risk industries, including construction and food services. We shared a framework for industry-specific prevention efforts—including use of data; identification of key partners; engagement strategies, and education; stigma reduction, and harm reduction activities—that other locales can adapt and integrate into their overall opioid prevention and response strategies. In addition, we identified possible funding opportunities to support this type of effort.

Learning Objectives

Learn about effective ways to build non-traditional, industry-specific partnerships to support communities to reduce overdose deaths.
Understand how data can help target and engage stakeholders in outreach, education, stigma reduction, and harm reduction.
Obtain concrete examples of industry-specific engagement and education activities that have been impactful in the restaurant and construction industries.

Speakers

Kate Brookins, Director, Office of Health Crisis Response, Delaware Department of Health and Social Services Division of Public Health
Mayur Chandriani, Associate, HMA
Kristan McIntosh, Principal, HMA

Webinar replay: community response teams- reducing overdose deaths and addressing stigma

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This webinar was held on October 18, 2022.

Community Response Teams are vital cross-sector, data driven, community-based collective action initiatives that address the local opioid crisis through harm reduction education, Naloxone distribution, and data. During this webinar, HMA speakers addressed the rationale, framework, funding, and implementation of successful initiatives that serve as models for other states, including case studies from California and Delaware.

Learning Objectives

Create local community collaborations focused on opioid education, Naloxone distribution, and reducing stigma.
Understand the four critical concepts of the Community Response Team framework: prepare, use data, prevent, and co-design with community.
Understand how counties in California and Delaware implemented the framework.

Speakers

Nayely Chavez, Senior Associate
Liddy Garcia-Bunuel, Principal
John O’Connor, Managing Director

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Don’t miss other webinars in this series, which will address:

Industry-Specific Outreach and Education (October 25)
Faith-Forward Collaborative (November 8)
Equity-Centered Approaches to Supporting Community Prevention and Treatment (November 15)

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