The only true constant is change, particularly when you are part of a team committed to
continuously improving the health and wellness of all Arizonans. October 1 was an important day for the behavioral health system in Arizona with four significant system transformations occurring simultaneously. The Division of Behavioral Health Services, with a
lot of support from other team members throughout ADHS, went live with two new regional behavioral health authority (RBHA) contracts, Health Choice Integrated Care in the north and Cenpatico Integrated Care in the south. These two new contracted RBHAs both offer integrated physical and behavioral health services to individuals with a serious mental illness while dual eligible members (members with both Medicare and Medicaid) who do not have a serious mental illness transitioned from the RBHAs to integrated care through AHCCCS contracted Acute Care Plans statewide. On the same day, DBHS transitioned the serious mental illness determination process to a single, centralized, third party contractor in Crisis Response Network. Lastly, the ICD-10 coding process for both claim and demographic submissions went live on October 1, marking a major change that has required months of design and programming support from the ADHS IT team and the DBHS Business Information Systems team.
All of these transitions represent critical system transformation efforts to improve health outcomes for individuals who experience behavioral health and substance use challenges in Arizona. To prepare for these transitions, staff from the RBHAs, Acute Care Plans, AHCCCS, CRN, providers, and DBHS spent countless hours over the past nine months preparing to meet expectations in areas such as network development, member services, staffing, quality management, medical management, information systems, infrastructure development and member transition. Those preparation efforts were well worth it; resulting in a nearly seamless transition. DBHS and AHCCCS will continue to closely monitor implementation activities and key quality indicators to ensure continued performance. Well done all and thank you for your dedication to the health and wellness of Arizonans!
Not enough time to put comments in. Had to reenter.
Several studies suggest that housing first and similar community based efforts are still not having significant impacts on behavioral health symptom improvement (no apparent improvement with one study and only 27% in another (references below. Are the Arizona based efforts doing better and how is effectiveness measured? Do the Arizona efforts include nutrition, vitamins and supplements which are know through deficiencies to impact normal brain functions? Have well-studied supplements such as Lecithin and Amino Acids which have well established paths toward formation of neurotransmitters been considered as part of treatment and/or rapid assessment of potential treatment effectiveness?
Effectiveness of interventions to improve the health and housing status of homeless people: a rapid systematic review
BMC Public Health201111:638 DOI: 10.1186/1471-2458-11-638 © Fitzpatrick-Lewis et al; licensee BioMed Central Ltd. 2011
and
Effectiveness of Assertive Community Treatment for Homeless Mental Illness
Craig M Coldwell, MD, White River Junction VAMC
Thank you,
Thomas Albrigo