1. 2014 Pay-for-Performance Review To Executive Directors 1

2. Topics 2 2014 Pay-for-Performance (P4P) 2014 Results on 2013-14 services Comparisons to previous years Positive Trends Ongoing challenges Looking ahead to 2015

3. 2014 P4P Process 3

4. Behavioral Health Rehabilitation Services (BHRS) – Wraparound BHRS School-based Therapeutic Services (STS) Community Integrated Recovery Centers (CIRC) Extended Acute Care (EAC) Host Homes Inpatient Psychiatric, Adult(AIP) Inpatient Psychiatric, Child (CIP) Intensive Drug & Alcohol Outpatient (IOP) Journey of Hope Outpatient, Drug &Alcohol (DAOP) Outpatient, Mental Health (MHOP) Residential Treatment Facilities for Children (RTF) Residential Treatment Facilities for Adults (RTFA) Residential Rehabilitation Residential Non-Hospital Inpatient Treatment (RINT) Targeted Case Management (TCM) 4 2014 Levels of Care

5. Major Activities in 2014 5 Spring webinars to review proposed measurements & thresholds Fall webinars to review data & new/revised measurements Meetings with individual providers at their request Piloted addition of participation in a behavioral health screening event for outpatient providers Incorporation of participation in the STS Outcomes Monitoring Project into scoring

6. Status as of February 2015 6 Awards totaling over $5 million to providers More than 250 reports, in new streamlined format, have been e-mailed to providers

7. Streamlined Provider Summary Eliminated redundancy of information from NIAC and Quality Management reports Cover Sheet with relevant information Operational Definitions Master Document 7

8. 2014 Results 8

9. 9

10. Total amount of awards by Reporting Year: –$5.4 million in 2014 –$9.5 million in 2013 –$16 million in 2012 –$13.4 million in 2011 –$3.2 million in 2010 2014 Award compared to Past Years 10

11. Positive Trends Achieving Quality Through P4P 11

12. Residential Rehabilitation: Continuity of Care 12

13. Child Mental Health Outpatient: Early Engagement 13

14. TCM: Service Delivery and Continuity of Care 14

15. Ongoing Challenges 15

16. Redundancy of measures Allegations and convictions of fraud, waste and abuse for past awards Recognizing consistency in achievement over multiple years Consistently underperforming providers Ongoing Challenges 16

17. 2015 and Beyond 17 Looking Ahead…

18. Looking Ahead: 2015 and Beyond 18 Ongoing evolution of measurements Behavioral health screening event participation –Scoring and fairness in application Client/Family Satisfaction Survey –Outcomes data directly from service recipients and families

19. Questions or Comments? 19

20. Thank You! Thank You! Suet Lim, PhD Performance Evaluation, Analytics and Research Community Behavioral Health 20