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BHO MH Continuity of Care: 2010-2014
The Behavioral Health Organization (BHO) initiative oversees the transition to managed care for Medicaid recipients who receive mental health (MH) and substance use disorder (SUD) services in New York State. The metrics emphasize improving rates of timely follow-up treatment post discharge, timely filling of appropriate medication prescriptions post discharge, and reducing rates of readmission.The BHO Continuity of Care dataset is designed to assess the frequency with which individuals receive outpatient mental health treatment for a mental health or substance use disorder within 7 or 30 days of discharge from a mental health inpatient hospitalization. The year 2015 saw the conclusion of the first phase of the Behavioral Health Organization initiative (BHO). A new Behavioral Health Managed Care Transition phase II is underway. The data contained in the BHO metrics span 2010 to 2014, using the 2010 calendar year for a baseline. Earlier in the program (2011‐2012) the metrics were calculated quarterly and on a year‐to‐date basis, later in (2013‐2014), New York State Office of Mental Health opted for semi‐annual and year‐to‐date aggregations.
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Substance Use Disorder Continuity of Medication
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New York State is moving Medicaid behavioral health services from a fee-for-service system into Managed Care. OMH/OASAS Medicaid Behavioral Health Measures were developed to help monitor the transition of mental health and substance use disorder services from a fee-for-service to behavioral managed care. The SUD Continuity of Medication dataset displays percentages of Medicaid discharges for members 6-64 years of age who were hospitalized in a SUD inpatient detoxification or SUD inpatient rehabilitation setting that were filled prescription for anti-addiction medication within a period of discharge.
Substance Use Disorder Ambulatory Follow-up
공공데이터포털
New York State is moving Medicaid behavioral health services from a fee-for-service system into Managed Care. OMH/OASAS Medicaid Behavioral Health Measures were developed to help monitor the transition of mental health and substance use disorder services from a fee-for-service to behavioral managed care. The SUD Ambulatory Follow-up dataset displays percentages of Medicaid discharges for members 6-64 years of age who were hospitalized in a SUD inpatient setting that were followed by a lower level SUD service within 14 days of discharge.
Behavioral Health Services Provided to the Medicaid and CHIP Population
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This data set includes monthly counts and rates (per 1,000 beneficiaries) of behavioral health services, including emergency department services, inpatient services, intensive outpatient/partial hospitalizations, outpatient services, or services delivered through telehealth, provided to Medicaid and CHIP beneficiaries, by state. Users can filter by either mental health disorder or substance use disorder. These metrics are based on data in the T-MSIS Analytic Files (TAF). Some states have serious data quality issues for one or more months, making the data unusable for calculating behavioral health services measures. To assess data quality, analysts adapted measures featured in the DQ Atlas. Data for a state and month are considered unusable if at least one of the following topics meets the DQ Atlas threshold for unusable: Total Medicaid and CHIP Enrollment, Claims Volume - IP, Claims Volume - OT, Diagnosis Code - IP, Diagnosis Code - OT. Please refer to the DQ Atlas at http://medicaid.gov/dq-atlas for more information about data quality assessment methods. Cells with a value of “DQ” indicate that data were suppressed due to unusable data. Some cells have a value of “DS”. This indicates that data were suppressed for confidentiality reasons because the group included fewer than 11 beneficiaries.
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