September 27, 2018

Behavioral Health IMC Update (September)

Diane Halo

HCA sent out a 90-day letter towards the end of September letting consumers know that as of January 1, 2019, Apple Health is shifting to whole-person care. This transition will support coordinated care, ensuring patients receive help from physical and behavioral health providers. Plans affected include Molina, Community Health Plan of Washington (CHPW), Coordinated Care, and Amerigroup. The change will be automatic so that no one loses coverage. United Healthcare will no longer be available in this area as of January 1, 2019. Clients enrolled in United Healthcare will be switched to one of the four available plans and a notification will be sent out on November 20, 2018 informing members of this change. Members will have the option to change their plan to one that is provided in our area.  If they don’t select a plan they will be automatically enrolled into a plan, and have the opportunity to change if desired. 
The Integrated Managed Care (IMC) Communications Workgroup finalized the following documents to help with the transition for the changes coming January 1, 2019: Apple Health Outreach Card, Apple Health Changes Coming document, and Greater Columbia Changes Coming document. The next IMC Communications Workgroup will be October 9, 2018.

The next Early Warning System Workgroup will be October 9, 2018.  At this meeting we will discuss the indicators for the Greater Columbia Region when IMC is implemented. 

The Provider Readiness Workgroup meeting on October 4th is cancelled because HCA is having a Webinar about the SERI Guide on October 5th from 1-2:30 pm.   The next Provider Readiness Meeting will be October 18, 2018. 

Amerigroup, Community Health Plan of Washington, Coordinated Care and Molina Healthcare are hosting a symposium for Behavioral Health providers.  The purpose of the Symposium is to provide detailed instruction on the clinical and operational requirements and processes for providers in Greater Columbia in making the change to Integrated Managed Care, which has a go live date of January 1, 2019.  It is very important that the individuals that perform the operational and clinical work for your organization attend the symposium. The dates are October 22nd (Yakima), October 23rd  (Tri-Cities), October 24th  (Walla Walla).