Leveraging Managed Care Approaches to

Promote Children's Behavioral Health

(“Managed Care”)

Facilitators:  Sheila Pires, Human Service Collaborative; Suzanne Fields, The Institute for Innovation & Implementation

Location:  Baltimore, Maryland

Date: July 20-21, 2015

Duration: 2 Days

Participants: Applicants are encouraged to think strategically about whom to include on their teams, given their particular population(s) of focus and objectives. Teams should not exceed 8 members. Teams may include leadership or key staff from the state Medicaid agency, as well as from Medicaid managed care organizations, child welfare, juvenile justice, mental health, substance use, and/or education, as well as family or youth leaders who have been closely involved in financing discussions related to the system of care and to the development/sustainability of family-and youth-run organizations. Team members should be designated decision-makers for the entities they represent. We encourage the inclusion of Medicaid managed care vendors on the Team but recognize some Teams may select to focus on procurement goals in which inclusion of those Medicaid vendors in all sessions may not be appropriate. If necessary, we can work with states to structure certain discussions to address any procurement-related concerns.

Description: This two-day meeting will address managed care strategies to promote children’s behavioral health.  Through a highly interactive process, participating states will work with experts and peers to produce action plans based on research and practice knowledge to promote children’s behavioral health through managed care strategies.   

Teams will explore a range of managed care strategies and how to customize those strategies to address the needs of children with behavioral health challenges and children in child welfare.      

Sessions will address in-depth such topics as what to include within Medicaid managed care RFPs and contracts to ensure appropriate customization for children; rate setting and risk adjustment; benefit design, including evidence-informed benefits; provider network requirements; customized care coordination and health integration approaches, including intensive care coordination using Wraparound; data dashboards and data sharing; quality and measurement; and youth and family engagement in practice.