Behavioral Health Managed Care
Medicaid Managed Care plans and Medicaid providers work with Medicaid enrollees to create a person-centered service system focused on recovery. The goal is to integrate physical and behavioral health to improve health outcomes.
Person-centered means providers listen to the person receiving care, helping them understand their choices. With person-centered care you can be in control of your own life and recovery.
Principles and Recommendations for Moving to 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
Learn More About
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.