To say that the Managed Care carve in of Community Behavioral Health Medicaid services has been fraught with challenges may be a bit of an understatement. I know that each stakeholder (Ohio Department of Medicaid, Medicaid Managed Care Organizations (MCOs), Community Behavioral Health Centers) is working hard to make sure that MCO clients are seen and that Community Behavioral Health Centers (CBHCs) are paid in an accurate and timely manner.
But as the administrative “fog” lifts from this initial phase of implementation, it is important that CBHCs recognize who their customers are and what they want. One of those customers will be the Medicaid MCOs. Organizations must understand MCOs’ “hot buttons”. In short, they need to understand how they think and what is important to them.
- How quickly do clients get seen at your agency?
- How quickly do clients engage in treatment?
- Do you have data to support how effective your clinical programs have performed?
- Do you have all of this information segmented by payer?