Thursday, November 21, 2024
11/21/2024
The 2023-2024 Ohio Certified Community Behavioral Health (CCBHC) Planning Grant effort will be led by the Ohio Department of Mental Health and Addiction Services (OhioMHAS) in collaboration with the Ohio Department of Medicaid (ODM), people with lived experience and family members, healthcare providers and payers, and with support from community and academic partners. This project will advance initiatives underway in Ohio, the 7th most populous state where 60 of its 88 counties are rural or rural Appalachian, to provide accessible, effective, person-centered integrated healthcare to Ohio residents with Behavioral Health (BH) conditions using approaches that are disparity- and trauma-informed. This project will benefit work currently underway by 23 SAMHSA CCBHC grantees that served 35,000 Ohioans in the past year in 41 of Ohio's 88 counties, and by the fact that ODM has existing state plan authority to accommodate all six CCBHC program requirements and cover all nine required services. This project will focus on a) building a CCBHC-certification system which fully encompasses SAMHSA's CCBHC criteria and incorporates existing state plan requirements aligned with the model; b) defining and refining a prospective payment system based on sound actuarial principles and valid empirical data; and c) selecting CCBHCs in rural and urban communities to participate in the demonstration. Ohio looks forward to achieving these objectives and working with SAMHSA and the national CCBHC evaluation team, with the goal of taking part in the national CCBHC demonstration project, for the benefit of all Ohioans who deserve access to high-quality integrated healthcare (IHC). Ohio has a strong history of supporting SAMHSA and CMS integrated care models (CCBHC, PBHCI, PIPBHC, Medicaid Health Homes) and engaging Ohio's colleges of medicine and public universities to improve healthcare provider capacity and workforce to deliver best practices. Ohio has several recent policy initiatives that strengthened the infrastructure for integrated care. For example, a BH benefit package established in 2018 expanded coverage for evidence-based treatment models (e.g., ACT, IHBT), enhanced care coordination and management, developed a system for peer-led services and primary healthcare (E&M services). Ohio's substance use disorder 1115 waiver led to system changes that improve access and coordination of all American Society for Addiction Medicine (ASAM) levels of care. Ohio's Next Generation of Medicaid Managed Care will enhance collaboration across multiple systems of care to achieve a seamless service delivery system for individuals, providers, and system partners. This project will have broad reach across Ohio. Past year prevalence estimates for Ohio based on the National Survey on Drug Use and Health (NSDUH) were 24.32% for any mental illness (AMI), 6.85% for serious mental illness (SMI) in 2019 and 2020 - higher than Midwest regional and national estimates. Past month estimates were 24.62% for binge drinking, 11.72% for marijuana, and 3.32% for illicit drug use, similar to regional and national estimates. Within Ohio's Medicaid population ages 19-64, 29% had a primary diagnosis of AMI; nearly 16% had a diagnosis indicating a severe mental illness (SMI); about 10% had a primary diagnosis of substance use disorder (SUD). Among youth with Medicaid coverage, ages 5 to 18, about 25% had a primary behavioral health diagnosis; about 12% had a diagnosis and utilization pattern consistent with serious emotional disturbance. The impact of social and economic factors, including employment, financial security, and loneliness is the most observable in the state's Appalachian region, yet opportunities to improve the quality of care and address workforce shortages are nearly a statewide concern. Finally, the opioid crisis continues to impact Ohio, currently 4th in drug overdose deaths. Grant funding will allow Ohio to provide access to high-quality integrated care.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
