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Behavioral Health Integration
The California Health Care Foundation is deeply committed to fostering behavioral health integration — the knitting together of mental health care and substance use disorder treatment with health care as a whole.
Sign up for CHCF updates on Behavioral Health
Publication

Voluntary Behavioral Health Integration in Medi-Cal: What Can Be Achieved Under Current Law

October 2019
Anil Shankar, Diane Ung
Behavioral Health, Medi-Cal
This paper was prepared by two attorneys with extensive experience in structuring Medicaid financing for safety-net providers. It explores different contracting structures through which a county could lead efforts to create opportunities for integration of physical and behavioral health care.
Publication

Behavioral Health Integration in Medi-Cal: A Blueprint for California

February 2019
Logan Kelly, Allison Hamblin, Stephen Kaplan
Behavioral Health
People in Medi-Cal with complex behavioral and physical health needs face a fragmented system that is challenging to navigate. This paper offers recommendations to build an integrated system of care in Medi-Cal, bringing together physical health, mental health, and substance use services to treat the whole person.
Publication

Integrated Physical and Behavioral Health in Medicaid Managed Care

July 2019
Logan Kelly, Michelle Conway, Michelle Herman Soper
Behavioral Health
This brief distills insights from providers in three states — Arizona, New York, and Washington — that have recently transitioned to integrated managed care for physical and behavioral health conditions. It was written by the Center for Health Care Strategies with support from the Blue Shield of California Foundation and CHCF.
Publication

Quantifying Integrated Physical and Behavioral Health Care in Medi-Cal

July 2019
Katrina Connolly, Len Finocchio, Matthew Newman
Behavioral Health
How well does the Medi-Cal program meet the needs of patients who require both physical and behavioral health care services? Blue Sky Consulting Group has identified measures that plans and providers can use to monitor health outcomes for people who access care across multiple systems.
Publication

Mental Health and Substance Use Disorder Parity Under the ACA

July 2019
Caroline Au Yeung, Colin Planalp
Behavioral Health
The ACA mandated mental health and addiction coverage parity to beneficiaries in the individual and small-group markets and to Medicaid expansion beneficiaries. This brief, prepared by SHADAC with CHCF support, details how the ACA applied these mandates and presents estimates of the number of people affected.
September 23, 2019

Briefing — An Introduction to California’s Public Mental Health System

Behavioral Health
September 23, 2019
At this CHCF briefing participants learned the fundamentals of the history and financing of the mental health system for people insured through Medi-Cal.
Publication

Medi-Cal Moves Addiction Treatment into the Mainstream

August 2018
Molly Brassil, Carol Backstrom, Erynne Jones
Behavioral Health, Medi-Cal, Opioid Safety
A fundamental shift is underway in California to expand, improve, and reorganize Medi-Cal’s system for treating people with substance use disorders. This report summarizes the experiences of the first counties to implement this new approach.
Publication

Whole Person Care Pilot Program: A Mid-Point Check-In

March 2019
Lucy Pagel, Carol Backstrom, Hilary Haycock
Behavioral Health
Across California, 25 pilot programs are working to closely coordinate physical and behavioral health care with social services to help Medi-Cal enrollees with high-cost, complex needs. This paper provides an update on their progress and outlines remaining challenges.
Project

Drug Medi-Cal Organized Delivery System

Behavioral Health, Medi-Cal, Opioid Safety
In Medi-Cal, treatment for patients with substance use disorder has long been run out of a separate program. Now California is implementing a broad move to modernize this system of care.
Publication

Overcoming Data-Sharing Challenges in the Opioid Epidemic

July 2018
Robert Belfort, Alex Dworkowitz
Behavioral Health, Opioid Safety
Federal confidentiality rules, such as the "Part 2" rules, can be a stumbling block for primary care practices seeking to integrate substance use disorder treatment. This paper summarizes the rules and outlines steps that practices can take to coordinate care and stay within the law.
CHCF Blog

In LA, Exciting Era Dawns for Addiction Treatment

December 11, 2018
Randy Dotinga
Medi-Cal, Behavioral Health, Opioid Safety
A groundbreaking Medi-Cal program is enabling substance use disorder treatment facilities to say yes to more patients seeking care, yes to more flexibility regarding treatment plans, and yes to hiring more workers to treat people in need.
Publication

2018 Edition — Substance Use in California

October 2018
Wendy Holt
Behavioral Health
About 8% of Californians met criteria for substance use disorder, but only 10% of people with a substance use disorder received any type of treatment. CHCF's first Almanac publication to address this topic provides an overview of substance use and addiction in the state.
December 6, 2018

Briefing — How Medi-Cal Is Modernizing Addiction Treatment

Behavioral Health
December 6, 2018
Expert speakers discussed the Drug Medi-Cal Organized Delivery System, the central tool in California's effort to expand and improve its system for treating people with addiction.
Publication

2018 Edition — Mental Health in California

March 2018
Wendy Holt
Behavioral Health, Providers
Mental Health in California: For Too Many, Care Not There provides an overview of mental health in California: disease prevalence, suicide rates, supply and use of treatment providers, and mental health in the correctional system. This Almanac report also includes available data on spending and quality of care.
Publication

California’s Current and Future Behavioral Health Workforce

February 2018
Janet Coffman, Timothy Bates, Igor Geyn, Joanne Spetz
Behavioral Health, Opioid Safety, Workforce
This report synthesizes data about California’s behavioral health workforce. California needs to make substantial investments to meet future demand for behavioral health professionals.
Publication

California’s Public Substance Use Disorder Treatment System for Youth: An Overview

September 2017
Harbage Consulting
Behavioral Health, Medi-Cal, Payment & Financing
Adolescents and young adults often find it difficult to access substance use disorder treatment in California. This paper provides considerations for expanding public programs for youth.
Publication

2018 Edition — Mental Health and Substance Use: A Crisis for California’s Youth

December 2018
Behavioral Health
For adolescents, mental illnesses and substance use disorders often occur together. This report paints a picture of California youth and the behavioral health conditions they face.
Publication

Infographic: Substance Use and Mental Illness Among California’s Youth

December 2018
Behavioral Health
Adolescence is when mental illness and often first presents and when drug and alcohol use typically start. Risk of developing a substance use disorder is greater for people who start using during adolescence. For adolescents, mental illness and substance use disorder often occur together. This infographic shows how these issues are intertwined and the big impact they are having on our youth.
Publication

The Circle Expands: Understanding Medi-Cal Coverage of Mild-to-Moderate Mental Health Conditions

August 2016
Don Kingdon, Molly Brassil, Erynne Jones
Medi-Cal, Behavioral Health
As of 2014, Medi-Cal enrollees with mild-to-moderate mental health conditions are entitled to receive mental health services through their managed care plans.
CHCF Blog

California Survey Finds Strong Support for Behavioral Health Benefits

June 21, 2017
Catherine Teare
Behavioral Health, ACA/Health Reform
Meaningful insurance coverage of mental health and substance use disorder is a reality for millions more people under the ACA, and Californians recognize its value.
CHCF Blog

Guidelines for Sharing Behavioral Health Data Show Power of Collaboration

July 6, 2017
Catherine Teare
Behavioral Health, Data Exchange
Uncertainty about the legalities of behavioral health data sharing — what's permissible and what's required — slows efforts to achieve coordinated and integrated care that could benefit patients and providers. Read the full blog article.
April 28, 2010

Accountable Care Organizations: What’s Next? Challenges and Opportunities for Primary Care

Patient-Centered Care
April 28, 2010
The Affordable Care Act of 2010 (ACA) invests in programs that improve the quality and efficiency of health care, such as Accountable Care Organizations (ACOs).
Publication

Fine Print: Rules for Exchanging Behavioral Health Information in California

July 2015
Deven McGraw, Robert Belfort, Alex Dworkowitz
Behavioral Health, Data Exchange
The exchange of behavioral health information is constrained by operational challenges and legal concerns. Manatt Health describes the regulatory framework for sharing such data in California.
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