Funding Will Further Support New York’s Medicaid Transformation Towards
Integrated Healthcare

Governor Andrew M. Cuomo today announced New York will issue $60 million in
awards over three years to mental health and addiction services
providers as part of the transformation of the State’s Medicaid system. The
awards will aid behavioral health providers transform to a business model
of Value-Based Payment, which rewards quality of care and better health
outcomes, rather than the volume of services they provide.

“This funding will help ensure New Yorkers in need receive access to vital
mental health services, while continuing our work to make Medicaid both
more effective and more affordable,” Governor Cuomo said. “This is one
more step towards a stronger, healthier New York for all.”

Governor Cuomo initiated the State’s Medicaid Redesign Team in 2011 to
fundamentally restructure New York’s Medicaid program to improve health,
enhance quality, and lower healthcare costs. Unlike other states’
strategies to redesign Medicaid which have relied on taking away benefits
from low-income people or by cutting provider payment rates as ways to cut
Medicaid costs, New York has successfully controlled costs while improving
the quality of care.

The funds will be awarded to 19 selected networks of behavioral healthcare
providers, called Behavioral Health Care Collaboratives helping them to
integrate care across the entire spectrum of physical and behavioral health
services.

OMH Commissioner Dr. Ann Sullivan said, “Governor Cuomo and I are
pleased to provide this financial assistance to mental health and substance
use treatment providers as they transition to a system which pays on
outcomes and not on volume. This funding will help to improve the
integration of behavioral health and physical health care and better serve
people with mental health conditions. It will allow behavioral health
providers to develop the tools needed to demonstrate the quality of their
services and succeed in a value based reimbursement system.”

OASAS Commissioner Arlene González-Sánchez said, “Under Governor Cuomo’s
leadership, New York State’s Medicaid system is evolving to provide higher
quality healthcare more efficiently. These awards will advance those
efforts and further strengthen the collaboration of physical and behavioral
health services, which is critical to successfully treating people with
substance use disorders who may also be struggling with other emotional or
behavioral problems.”

DOH Commissioner Dr. Howard Zucker said, “Integrating behavioral health
into the primary care setting is a key goal in the Department’s efforts to
make high-quality mental health and substance use treatment more accessible
to those who need it. Thanks to Governor Cuomo’s support, these funds will
advance our efforts to transform New York’s healthcare industry to one that
prioritizes value and quality. Under this new model of healthcare, people
suffering from behavioral health and substance use disorders will get the
support they need more efficiently and effectively.”

*Senator George Amedore, Chair of the Senate Alcoholism and Substance
Abuse Committee, said, “There is no question that we have to come up with
better solutions for our healthcare system. As a state, we must continue to
lead the way when it comes to mental health and addiction services. This
funding is a step in the right direction to provide quality care for individuals
with mental health conditions. It will strengthen our approach to behavioral
health services by giving providers the tools necessary to efficiently treat
patients and produce better outcomes.”

Senator Robert G. Ortt, Chair of the Senate Mental Health Committee, said,
“Ensuring that New Yorkers in need of mental health and addiction services
receive the highest quality treatment available is just as important as
access to treatment itself. As a state, we must encourage health providers
to improve the situation of each individual they treat, and reward them for
going above and beyond with their services. These funds that have been laid
aside will change the way health providers operate, and help push mental
healthcare into a new and improved era.”

Assemblymember Aileen Gunther, Chair of the Assembly Committee on Mental
Health, said, “The transition of the behavioral health system to
value-based payments is a monumental change for the providers who care for
people with mental illness. I would like to thank Governor Cuomo for
helping to ensure that resources are available to make this change a
successful one.”

Assemblymember Linda B. Rosenthal, Chair of the Assembly Committee on
Alcoholism & Drug Abuse, said, “Substance use and mental health problems
are often co-occurring disorders. While additional resources will remain
necessary to fully tackle this epidemic, Governor Cuomo recognizes the
wisdom of allocating providers with funding to help people struggling with
these dual demons.”

The awards are being funded through the NYS Office of Mental Health,
the NYS Office of Alcoholism and Substance Abuse Services, and the
NYS Department of Health.

Funding has been awarded regionally to ensure statewide coverage to the
following BHCCs over the next three years:

Behavioral Health Care Collaborative (BHCC)
Region Award

Coordinated Behavioral Care (CBC)

New York City

$ 5,000,000

Institute for Community Living (ICL)

New York City

$ 5,000,000

Recovery Health Solutions IPA

New York City, Long Island

$ 5,000,000

Mental Health Providers of Western Queens

New York City

$ 4,901,000

Value Network

Western New York

$ 4,611,000

Advanced Health Network (AHN)

New York City, Long Island

$ 4,082,000

Genesee County

Finger Lakes, Southern Tier, Western New York

$ 3,300,000

Lower East Side Service Center

New York City

$ 3,001,000

Bailey House

New York City

$ 2,583,000

Access Supports for Living

Mid-Hudson

$ 2,571, 000

The Guidance Center of Westchester

Mid-Hudson

$ 2,421,000

Syracuse Brick House

Central New York

$ 2,418,000

Equinox

Capital Region, Mohawk Valley, North Country

$ 2,316,000

Finger Lakes Area Counseling and Recovery Agency (FLACRA)

Finger Lakes, Southern Tier, Western New York

$ 1,767,000

Citizens Advocates

North Country

$ 1,725,000

FCS of Cortland

Central New York, Southern Tier

$ 1,641,000

The Neighborhood Center

Central New York, Mohawk Valley, Southern Tier

$ 1,785,000

Hillside Children’s Center

Finger Lakes, Southern Tier, Western New York

$ 1,521,000

Children’s Home of Jefferson County

North Country

$ 750,000

Funding will assist the selected BHCCs to enhance the quality of the care
patients receive to improve behavioral and physical health outcomes.
Awards will be used for a wide variety of healthcare improvements,
including:

· Identifying gaps in the continuum of care, to better connect the patient
to the next level of integrated healthcare;

· Ensuring ongoing monitoring of care planning, to avoid unnecessary costs
and avoidable complications;

· Identifying opportunities for performance improvement and cost reduction;

· Improving IT capabilities to more efficiently share data with other
providers and partners;

· Developing a quality improvement process for responding when issues are
not being addressed or quality indicators are not being met.

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