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Office of Mental Health

Behavioral Health Managed Care

New York State is moving Medicaid behavioral health services from a fee-for-service system into Managed Care. Medicaid Managed Care plans and Medicaid providers will work together with Medicaid enrollees to create a person-centered service system focused on recovery and on integrating physical and behavioral health to improve health outcomes.

Person-centered means that providers listen to the person receiving care, that they help the person understand their choices, and that people can be in control of their own lives and recovery.

Principles and recommendations for moving behavioral health services into managed care:

  • Coordinated Care
  • Integration of physical and behavioral health services
  • Recovery oriented services
  • Patient/consumer choice
  • Protection of continuity of care
  • Ensure adequate and comprehensive networks
  • Tying payment to outcomes
  • Track physical and behavioral health spending separately (firewall)
  • Reinvest savings to improve services for behavioral health populations
  • Address the unique needs of children, families and older adults

All questions or complaints regarding Behavioral Health Medicaid Managed Care should be submitted to the OMH Division of Managed Care using the OMH MC Question/Complaint Form. This ensures all questions or complaints submitted can be reviewed and responded to by appropriate staff within OMH and/or the Department of Health.