837 Batch Samples
/837 Batch Sample files from each of the managed care organizations (MCOs) in our region can be found here.
Read MoreCompanion Guides
/For easy reference BHT is collecting Companion Guides from each of the managed care organizations (MCOs) in our region onto this page. Stay tuned for more updates.
Read MoreNon-Encounter Data Guide
/The HCA has created a guidance document to help with question around the submission of demographic data (or what they call non-encounter data or native transactions.)
Read MoreNew tool! Compare prices of medical procedures.
/
Washington state’s new HealthCareCompare website, is an online tool that launched today that allows patients to compare prices for medical procedures.
Read MoreKey Takeaways from IMC Panel
/North Central ACH hosted a panel discussion to share their region's knowledge and experiences regarding IMC transitioning. Below are the key takeaways BHT staff noted from the discussion.
Read MoreMedicaid Transformation Update
/
BHT and our Partners have been busy this spring and summer. Read on to find out what’s happening at our ACH!
Read More
Request For Proposals
/
BHT released the RFP for Program Evaluation of the Pathways Community Hub. Responses are due July 20, 2018.
Read MoreWhat are Domain 1 strategies?
/
The Medicaid Transformation Project requires all Washington ACHs to focus on three strategy areas that address the core health system capacities; value based payments, workforce, and population health management.
Read MoreAssessment Results
/Thank you to all the organizations who took the time to fill out the MTP Capacity Assessment!
Read MoreVBP and IMC Training Opportunity
/
A two part learning event for behavioral health agencies, as Washington State prepare for value based payment (VBP) and integrated managed care (IMC).
Read MoreIMC Workgroups
/Three workgroups have been established to help move the work forward.
Early Warning System: Develop recommendations for an Early Warning System that allows a feedback loop and triage process to identify and resolve system issues as they arise.
IT/EHR: Identify and resolve IT/EHR issues including but not limited to MCO/ASO billing capacity, EHR compatibility, provider data reporting requirements, technical assistance needed by providers.
Communications: Provide recommendations and work to engage the consumer sector in system change efforts related in integrated managed care. Ensure that consumers maintain confidence and continuity in the care they are receiving. Ensure smooth transition to IMC through the development of clear communication materials, client notifications, and transparent transition processes.
Composition: Open to any Spokane, Pend Oreille, Stevens, Ferry, Lincoln, and Adams stakeholders who are interested in participating. Representation from the following organizations will be strongly encouraged.
Authority: These are not a decision-making bodies, but will provide recommendations that will ensure concerns surrounding IMC are addressed and resolved in the Spokane region.
Meetings: Held no less than monthly through January 2019. All meetings will have an option to participate via teleconference for those unable to attend in person. BHT staff, in collaboration with workgroup members, HCA and the SCRBHO, shall be responsible for establishing the agenda. Notes for all meetings will be provided by BHT staff within two weeks of each meeting.
Standard Indicators for Early Warning System
/This list is provided by the Health Care Authority (HCA). You can view the entire presentation here.
Provider Payments (Provided by MCO’s)
- BH claims received by MCO’s
- BH claims rejected by MCO’s
- Reasons for rejections
EDIE Data (Provided by HCA/AIM team)
- ED Utilization
- ED Utilization for client with past BH diagnosis
- Portion of ED visits with BH diagnosis
State Hospitals- WSH and ESH (Provided by HCA)
- Average Daily census
- Discharges
- Forensic flips
Crisis System (Provided by BH-ASO )
- Crisis Hotline Calls
- # of incoming calls
- # calls answered
- # call answer timeliness (within 30 seconds)
- Average speed of answer
- Abandonment rate
- DHMP response time
- # ITA investigations and outcome
- Detention
- Discharge with referral
- Voluntary admit
- # of no bed reports
- # of single bed certifications
HCA names "apparently successful bidders" for Medicaid plans
/The Health Care Authority (HCA) has announced the selection of Managed Care Organization (MCO) plans from its recent round of Medicaid procurement.
Read MoreRequest For Proposals
/
BHT released the RFP for Health Billing and Information Technology Technical Assistance on April 30, 2018.
Read MoreBetter Health through Equity Series Part 1: BHT and Health Equity
/
It is important that while we stay focused on meeting the outcomes of transformation, we don’t miss the opportunity to influence a much needed culture shift towards health equity.
Read MoreHow Do I Get Paid?
/We know there is a lot of information coming your way right now and things could get a little muddled up. One place we don't want you to struggle is knowing how to get paid!
Read MoreLessons Learned & Best Practices
/As many of the regions around the state prepare for the transition to integrated managed care, our friends at the HCA thought it would be helpful to compile lessons learned and best practices from the first two regions.
Read More
Partner Spotlight: Waiver Finance Workgroup
/
The Waiver Finance Workgroup is one of this ACH's longest-running councils and carries a critical workload in moving the Medicaid Transformation forwar
Read More