| Designing
Managed Care Models for Persons with Mental Illness and Substance AbuseA Concept
Paper
In the fall of 1995, DHSS Deputy Secretary Lorang
assigned the Bureaus of Community Mental Health, Substance Abuse Services, and Health Care
Financing, to form a work group to explore managed care for persons with mental illness
and substance abuse. The Division of Care and Treatment Facilities was later added to the
group and assisted in the review of this paper before it was presented to the Deputy
Secretary. The specific assignment to the work group was to identify a process to develop
model(s) for managed care service delivery and funding to be piloted and evaluated in the
97-99 budget period or sooner for persons with mental health/substance abuse treatment
needs with the intent of statewide implementation by 2001. The paper is also intended to
articulate the shared values, principles, and goals the three Bureaus want to present to
the stakeholders to review, edit, and eventually guide the project to develop managed
care. This paper is the product of the work group (see membership in the Appendix 3). The
paper was shared with 38 individuals representing mental health, HMOs, consumers,
families, counties, etc. (see Appendix 1). Their feedback and comments have been
incorporated into this document.
This paper was not intended to address the myriad of details and implementation issues
that will accompany a project of this scope, nor would it have been appropriate for the
Department to do so in the absence of the stakeholders that we have identified. Rather,
this paper discusses the vision, broad guidelines, and objectives that DHSS desires to
achieve with this initiative.
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Designing Managed Care Models for Persons with Mental Illness
and Substance AbuseA Concept Paper. (paper is dated 5/16/96, published on web
8/12/98) (pdf 40kb)
Last Revised: June 20, 2000 |