Behavioral Health Provider Networks and Value-Based Payment Initiatives
Value Based Payment contracts link provider payments to improved quality of care. Benefits of these programs include:
- Better care for individuals
- Better health for populations
- Lower costs
To help providers take part in value-based payments, OMH and OASAS created Behavioral Health Care Collaboratives (BHCCs).
BHCCs, and the newer Behavioral Health Independent Practice Associations (BH IPAs), are provider networks that work together, using data to improve value and quality care. Networks can use this data to engage in value-based payment arrangements.
Hospital Discharge Planning Initiative
(Pending CMS approval) Funding is for improving hospital discharge planning for high-risk individuals with mental health or addiction needs. The goal is to ensure they receive immediate access to outpatient care and services.
- Hospital Discharge Planning Initiative - Program Guidance
- Hospital Discharge Planning Initiative - Application
- Hospital Discharge Planning Initiative - Frequently Asked Questions
eFMAP Initiative
In 2021, New York State allocated $20 million in American Rescue Plan Act enhanced Federal Medical Assistance Percentage (eFMAP) funding to BHCCs.
- Spending Plan for Implementation of American Rescue Plan Act of 2021, Section 9817, page 45
- Enhanced FMAP Funding Program Guidance for NYS BHCCs and BH IPAs
- BHCC BH IPA eFMAP Funding Initiative Overview
The eFMAP funding supports the BHCCs and BH IPAs to:
- Increase access to behavioral health rehabilitation services
- Increase integration of behavioral health and physical health
- Increase implementation of value-based reimbursement strategies
Behavioral Health Value-Based Payment Readiness Program
In 2017, BH VBP program funds were awarded to selected networks of Behavioral Health Care Collaboratives. The main goals of the Readiness Program were to:
- Prepare BH Providers to take part in VBP arrangements
- Improve the integration of physical and behavioral health
The selected BHCCs used funds to enhance quality care and improve outcomes. This included clinical and financial integration and the use of community-based recovery support services.
Lead, Network and Affiliate Agencies
- BHCC Workplan Template
- BHCC Budget Template
- BH VBP Readiness Overview
- BHCC Deliverables
- BHCC VBP Readiness FAQs (updated January 2021)
- BH VBP Readiness Funding Methodology
- DSRIP Region and County Health Planning Data
Program Documents
- Applicants Webinar PowerPoint
- Eligible Lead Agencies
- Notification of Interest Form
- BHCC Member Submission Template
- NYS Counties by RPC Region - List | Map
- Draft Policy Paper
- Clarification on BHCC Submission Template and Snapshot Calculation
Please contact VBP Readiness with questions or to provide feedback on the program.
Behavioral Health Independent Practice Association Websites
Advanced Health Network / Recovery Health Solutions IPA
BHNYC IPA, LLC (Behavioral Health NYC)
CBHN IPA, LLC (Capital Behavioral Health Network)
CBC IPA (Coordinated Behavioral Care)
CBHS IPA (Coordinated Behavioral Health Services)
Finger Lakes-Southern Tier Network
Integrity Partners for Behavioral Health IPA, Inc