Medicaid Managed Care - U.S. Senate Special Committee on Aging

181
Outline of Presentation for Deputy Secretary Barbara Shipnuck - DHMH
Panel on the State of the States
July 22, 1997
1. Introduction & General Overview of HealthChoice
* June 2, 1997 official start day
* 330,000 recipients over 5 month phase in
* As of July 17, .53,020 recipients have been voluntarily enrolled into HealthChoice
* Guiding principles and "Medical Home" concept
* Inclusion of <strong>Special</strong> Needs Populations
11. Structure of DHMH
A. One Department - Public Health and <strong>Medicaid</strong> under one Department (DHMH)
(Tie in to Local Health Departments)
B. Linkage -This structure has greatly contributed to the development of
HealthChoice and helped to link managed care organizations (MCOs) with traditional
public health/local health dept.
III. Process of HealthChoice - Open and Inclusive
A. Legislative Background
* 1995 - General Assembly directed DHMH to investigate use of managed care for
<strong>Medicaid</strong>
(Very public process)
* 1996 - General Assembly passed SB 750, directing DHMH to implement an I1 15
waiver from HCFA
(Very specific requirements in the laws including separate mental health systems)