1. Michigan Association of COMMUNITY MENTAL HEALTH Boards Report Card and Advocacy Plan for Michigan’s Integrated Care for People who are Medicare-Medicaid Eligible 1MACMHB ~ www.macmhb.org ~ 517-374-6848

2. How consistent is the proposed plan with what MACMHB identified in January, 2012 as the Necessary Elements to ensure success for the State’s plan to improve integrated care for persons with dual eligibility? MACMHB ~ www.macmhb.org ~ 517-374-68482 MACMHB’s Report Card

3. Use existing PIHP/CMH system and staff who have experience and established relationships with people using services This is in the plan for Persons with BH disorders and DD The organizations/providers who help plan the care should also control the resources This is in the plan for Persons with BH disorders and DD Ensure that all services and providers currently available will be in the new plan This is in the plan. MACMHB ~ www.macmhb.org ~ 517-374-68483 Key Principles for Success of the Plan

4. Promote health homes for persons with chronic conditions The plan anticipates it will be part of service delivery model. Use local and regional Health Information Technology solutions to enhance coordinated care This plan calls for supplemental incentive payments to achieve specific outcomes, which include integrating information technology with a focus on electronic medical records and sharing information between ICOs and PIHPs. MACMHB ~ www.macmhb.org ~ 517-374-68484 Key Principles for Success of the Plan

5. The plan should align contractual requirements while ensuring the rights of people served a. Simplify and coordinate enrollment This is intended as described in the plan. b. Simplify and consolidate grievance and appeals – uniform, accessible, and credible This is intended as described in the plan. c. Align reporting requirements and outcome expectations This is intended as described in the plan. MACMHB ~ www.macmhb.org ~ 517-374-68485 Key Principles for Success of the Plan

6. The plan should be implemented as a demonstration project, with consideration for implementation by geographic region or sub-populations This is in the plan. Ensure savings are reinvested into community-based services This is not addressed in the plan. MACMHB ~ www.macmhb.org ~ 517-374-68486 Key Principles for Success of the Plan

7. Support the plan to state and federal officials as a very good start to improving integrated care outcomes and managing costs. Encourage participation by the following on developing details of the plan: Stakeholder organizations (including MHPs, PIHPs, AAAs, LTC, Providers) Beneficiaries Provide your own ideas and suggestions MACMHB ~ www.macmhb.org ~ 517-374-68487 Advocacy Recommendations

8. MACMHB Forums MDCH Forums March 20 th, 1:30 – 4:00 p.m. Best Western Hotel (Causeway Bay), Lansing March 29 th, 1:30 – 4:00 p.m. Greater Grace Temple, Detroit Legislative Hearings – not yet scheduled MACMHB ~ www.macmhb.org ~ 517-374-68488 Public Input Opportunities

9. Copy of Plan at: www.michigan.gov/mdch, click on Integrated Care for Persons Dually Eligible for Medicare and Medicaidwww.michigan.gov/mdch Comments by email at: IntegratedCare@michigan.govIntegratedCare@michigan.gov Regular mail at: Integrated Care Medical Services Administration PO Box 30479 Lansing, MI 48909 – 7979 Comments due no later than close of business April 4, 2012 MACMHB ~ www.macmhb.org ~ 517-374-68489 Public Input Opportunities

10. MACMHB ~ www.macmhb.org ~ 517-374-684810

11. Michigan Association of Community Mental Health Boards 426 S. Walnut St, Lansing, MI 48933 (517) 374-6848 Michael VizenaAlan Bolter Executive DirectorAssociate Director mvizena@macmhb.orgabolter@macmhb.org MACMHB ~ www.macmhb.org ~ 517-374-684811 Questions ?