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

Preventive Behavioral
Health Services
Clinical Evaluation and
Treatment Records
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Areas that might be added to the NCQA standards include the need
for regular training of plan providers and staff concerning confidentiality
issues, especially as new technologies and systems come on line, and
the special confidentiality questions that arise when dealing with publicsector
issues, such as in instances of abuse investigations.
a) Preventive Programs (PH I to PH 4)
The NCQA emphasis on preventive services provides a base on which
public payors could build more substantial requirements. For example,
payors could require identification of known risk factors (such as young
children whose parents have a mental illness or addiction disorder) and
require effective screening programs (see Btszelon Center issuepaper in re-
source list) and development of specific interventions for these high-risk
populations. Appropriate integration of behavioral health issues in pri-
mary care for very young children might also be addressed.
NCQA allows the organization to select at least two preventive
screening and educational interventions for monitoring and evaluating.
Public payors may wish to be specific on what is required under this
standard and may also wish to require that more than two interventions
be monitored (PH 4)
a) Accesl to Records
Public agencies typically give individuals appropriate access to their
records and the opportunity to correct errors in the record. Standards re-
garding access should be added to the NCQA requirements on treat-
ment records.
NCQA Accreditation Standards for <strong>Managed</strong> Behavioral Healthcare Organizations
POLICY ANALYSIS BY THE BAZELON CENTER FOR MENTAL HEALTH LAW 12