Opportunities Arising from Collaborations Between CHC and CMHC Presentation by:

1. Opportunities Arising from Collaborations Between CHC and CMHC Presentation by: Mario E. Jardon, L.C.S.W., President and C.E.O. MarioJ@citrushealth.com

2. For FQHC/CHC: 1. Enhanced behavioral clinical capacity; enhanced productivity per patients served. 2. Increased capacity to serve chronic populations. E.g., availability of Targeted Case Management and Psychosocial Rehabilitation Services. 3. Increase in Medipass population. 4. Improved care coordination provides competitive advantage in present and foreseeable health environment. For CMHC: 1. Enhanced clinical services through access to primary care and CHC’s panel of specialists. 2. Access to 340 B Pharmacy and availability of primary care staff enhance capacity to serve chronic populations. 3. Placing client population under CHC’s Medipass during transition to Reform. 4. Improved care coordination provides competitive advantage in present and foreseeable health environment. A. Opportunities Arising from Collaborations Between CHC and CMHC:

3. B. Models of Collaboration: 1. Co-location Models: Pilot models developed under RWJ’s Foundation Project. 2. Use of shared staff models. 3. Affiliations: Key considerations.

4. B. 1 Co-location Models Pilot Models developed under the sponsorship of the Robert Wood Johnson Foundation Project: a) The Oregon “ownership” model: behavioral health specialists are employed by FQHC. b) The Oregon “borrowed” model: CMHC staff are placed at FQHC at CMHC cost. CMHC bills for services. Both models are utilized in Missouri’s Integration Initiative.

5. B. 2 Shared Staff Models a) The FQHC pays CMHC for CMHC staff leased to FQHC. Services are provided at FQHC site and billed by FQHC. b) The FQHC brings primary care to CMHC site and creates a new Point of Service. CMHC staff assigned to the point of service is paid by FQHC for assigned hours spent with FQHC patients. CMHC staff are paid by CMHC for non FQHC services.

6. B. 3 Affiliations: a) Define mutual goals/benefits to be obtained. b) Define boundaries. c) Integrate triage and assessment functions. d) Work towards integrated Master Visit Registry and Electronic Health Record. e) Have CMHC patients move under FQHC Medipass. f) Provide psychiatric and clinical psychotherapy services under FQHC umbrella and traditional psychosocial Medicaid CMHC services such as Case Management or Community Support Services under CMHC provider number.