1. Capitalizing on the Changing Environment ACA - Parity - MRT Coalition of Behavioral Health Agencies January 23, 2014

2. Patrick Kennedy

3. Changes and Challenges

4. Access to 1915(i) like Services P eer Support Drop-in Centers Residential Supports Vocational Services

5. Outpatient Clinic Services in Community Settings – Clinic to Rehab

6. Invigorating the OASAS Residential Treatment System A New Model for a Strengthened Continuum of Care

7. Three Phases of Residential Care Stabilization – Rehabilitation - Community Reintegration

8. What We Have Already Achieved Addiction services are included in the Essential Benefits Package. The passage of the federal Parity Law. Creation of the MRT Behavioral Health Workgroup.

9. Moving Forward – The OASAS Vision Patients will: have their care coordinated, have access to a peer to help bridge treatment and recovery, have access to greater recovery supports, and have more input into treatment that supports an improved quality of life.

10. Protecting the Path Forward Segregate and track behavioral health spending Make sure BHOs are not pushed towards mental health rather than SUD We will require managed care plans to: Use APG pricing for two years Reimburse for CASAC services Include in plan networks providers in treatment relationships with patients in those plans Use our level of care tool, the OASAS LOCATDR 3

11. Level of Care for Alcohol and Drug Treatment Referral Tool

12. Mental Health Parity & Addiction Equity Act “I am very proud that the law I sponsored with my father is helping tens of millions of Americans who struggle every day with mental illness and addictions and who for years received unequal, inadequate care.” Patrick Kennedy

13. Stronger Families – Making a Difference