OACBHA REGIONAL MEETINGS

1. Treatment Works…People Recover OACBHA REGIONAL MEETINGS August 2012

2. Treatment Works…People Recover Forces Impacting Our World

3. Treatment Works…People Recover ODMH – ODADAS Consolidation

4. ODMH – ODADAS Consolidation • In early May, the Governor’s Office of Health Transformation announced the decision to consolidate ODMH and ODADAS. • Over the next year, the back-office functions will be consolidated. • The State will then seek statutory authority to create a new, combined agency for mental health and addiction services in the 14-15 biennial budget. Treatment Works…People Recover

5. State Department Consolidation Committees Prevention General policy approach; external partnerships & technical assistance/sharing of best practices; areas of improvement; child/youth specific approach; workforce development External Relations/Client Involvement Advocacy; how to support and engage; opportunities for improvement; consumer issues/stigma; communicating with the field; change management Treatment Works…People Recover

6. State Department Consolidation Committees Treatment & Community Supports Policy objectives; opportunities to augment support of integrated dual diagnosis services; criminal justice re-entry & diversion; MAT; child/youth specific approach; peer/recovery support services; housing; employment; use of technology in service delivery; emergency preparedness; external partnerships & technical assistance/ sharing of best practices including separate models & those for dual diagnosis; women’s gender specific treatment; problem gambling Treatment Works…People Recover

7. State Department Consolidation Committees Provider Regulation Licensure & certification; standards; monitoring tools (IT, communication mechanism w/ providers, etc.); opportunities for improvement; provider support; confidentiality; service definitions for BH; policy interface w/ Medicaid; documentation requirements; key for a better business environment Fiscal Operations Funding; payment methods; grants management; incentivizing performance Treatment Works…People Recover

8. State Department Consolidation Committees State-Local Board Relationships Statutory reform & requirements; contracts; community plan; board appointments; block grant assurances; AoD standing committees Workforce Development Create a central structure contact in new agency; address workforce development with 1. External/field workers, 2. Recipients of ADA/MH services, and 3. Employees Treatment Works…People Recover

9. State Department Consolidation Committees Evaluation Information agencies must collect (outcomes & common data sets); federal NOMs; federal relationship; how to relate information back to the field; operationalizing models/principles of ethics of scarcity Parking Lot & Implementation Teams Operationalizing the drafts of the above groups Treatment Works…People Recover

10. OACBHA Consolidation Consultation Committee Working Purpose Statement Boards are responsible for the development and implementation of an integrated continuum of a local behavioral health system of care without regard to payer source.  Special emphasis shall be placed on the development of coordinated community services and supports directed to the SPMI/SMI/SED and addicted populations.  Treatment Works…People Recover

11. OACBHA Consolidation Consultation Committee Work Plan • The agreed upon guiding principle be referenced in current and future advocacy efforts in terms of the role of the Boards. • The Consolidation Consultative Committee (CCC) will support the state’s stated goal of consolidating ODMH and ODADAS in the most effective and efficient manner possible, so that considerable focused energy can be expended on developing a budget that advocates for additional resources. • Any suggested statutory changes be prioritized as listed below (from highest to lowest): • Changes necessary to support a single integrated behavioral health department • Changes necessary to reflect the elevation of Medicaid • Outdated language • Any non-controversial preference changes • An appropriate OACHBA committee (to be determined) work closely with appropriate community partners to accurately determine future steps, including potential statutory changes, to fully participate in the developing health care arena. Treatment Works…People Recover

12. Treatment Works…People Recover 14-15 biennial budget

13. ODADAS Budget History Treatment Works…People Recover

14. ODMH Budget History Treatment Works…People Recover

15. SFY 2013 MBR ODMH • $3 million additional in 505 Treatment Services • $2 million additional the department was allowed to allocate to Boards to reduce hospital bed days • $10 million in capitol funding ODADAS • $3 million towards filling a $5.8 million reduction resulting in an overall $2.8 million cut Treatment Works…People Recover

16. Biennial Budget Timeline State Department Budget guidelines came out in June • Departments were given baseline numbers • Department Budgets will be due to OBM the first week of October State Departments to work with constituents throughout the summer • The Administration must submit its budget to the House by Mid-February Treatment Works…People Recover

17. Message Given 1. Most Departments can expect additional funding reductions 2. Some Departments may receive a small increase 3. A very few Departments may need a larger infusion of funding Treatment Works…People Recover

18. 14-15 Biennial Budget Priorities Administration • Tax Cuts • Job Creation • Rightsizing Government/Downsizing Bureaucracy and creating efficiencies Speaker Batchelder • Workforce Development/Job Creation • Tax Cuts Senate President/New and Unknown Treatment Works…People Recover

19. Working With The Administration • The Administration has very specific ideas as to who they want you to work with • The House, Senate and Administration seem to be working more in concert than ever • The Administration has very specific ideas on how you should work with them Treatment Works…People Recover

20. What Works With The Administration? Efficiencies • Consolidation • Collaboration • Coordination Positive Messaging • What are we doing that is working • How does an investment in our system benefit OHIO Treatment Works…People Recover

21. Working With ODMH & ODADAS Program areas the Department is looking at in regards to funding. • Prevention • Treatment and Community Recovery Supports • Hospitals • Program Management • OSS Treatment Works…People Recover

22. Working With ODMH & ODADAS cont. Themes Director Plouck is looking at: • Kids • Recovery supports, housing, peer supports, etc. • Opiates • Hospital capacity • Criminal justice and Re-entry In each area there needs to be a multi-pronged approach. • Funding -- infrastructure • Policy changes • Cost containment Treatment Works…People Recover

23. What Works With The Legislature? • They want solutions • If you want additional funding tell them where to get it • They want coordination and to know how we can insert ourselves in a meaningful way • Personal stories from constituents / not tales from lobbyists Treatment Works…People Recover

24. Hurdles to Overcome • We have not made the case that funding our system will benefit the State as much as funding other priorities. • Like it or not, we still face stigma related to addiction and mental illness. • The State believes that Medicaid should cover most peoples needs. • We have not convinced people they can -- pay a little more now or pay A LOT MORE later • For the most part we serve a silent population Treatment Works…People Recover

25. What Does All of This Mean? • We have to start working on the 14-15 biennial budget NOW • We need to have our budget platform finalized by the end of September, as being first out of the gate is more important than ever • It is going to take the entire behavioral health community coming together to make an impact • Not one of us can afford to stay on the sidelines Treatment Works…People Recover

26. OACBHA 14-15 Biennial Budget Platform • Expand Non-Medicaid Funding • Create Parity/Stability Across Communities • Expand Medicaid as Allowable by the ACA • Expand 419 • Fund all Boards for MAT • Increase MH Pharmaceutical funding • Work with the federal Government to repeal the IMD exclusion • State Hospitals • AoD Residential Treatment Works…People Recover

27. OACBHA COMMITTEES WORKING ON THE BIENNIAL BUDGET OACBHA FINANCE COMMITTEE Identify what funding is going to each Board area from each Department Determine how much funding would be needed in order to truly bring about parity; -Committee Discussing Defining Core Services Treatment Works…People Recover

28. OACBHA COMMITTEES WORKING ON THE BIENNIAL BUDGET Cont. OACBHA BUDGET ADVOCACY COMMITTEE Will work to have a plan for lobbying the legislature on the budget OACBHA HOSPITAL COMMITTEE Is working with ODMH to identify budget strategies specific for hospitals Treatment Works…People Recover

29. Treatment Works…People Recover OTHER MAJOR Initiatives

30. HEALTHCARE / MEDICAID REFORM 1. Role of the Boards 2. Medicaid Expansion 3. Medicaid Health Homes 4. Dual Eligible Pilot Program (ICDS) Treatment Works…People Recover

31. MACSIS / MITS TRANSITION • Board Access to Data • Future of MACSIS • Departments Commitment to continue MACSIS • Local Data/Systems Development Treatment Works…People Recover

32. Treatment Works…People Recover NOW LET’S HEAR FROM YOU

33. THEMES FOR QUICK HIT MEETINGS • Boards as providers • Program evaluation/outcomes • CCOE/Demonstration Projects • Criminal Justice –Reentry—Jail Diversion • Working with chambers on jobs and workforce readiness • Future Roles and responsibilities of Boards Treatment Works…People Recover