Process for Optional Medicaid Transformation Demonstration Project Selection Greater Columbia ACH Board of Directors 4/19/17 Leadership Council 4/20/17

Leadership Council’s Role per GCACH Bylaws, adopted 2/18/16 “General members participate in the GCACH through the Leadership Council. The Leadership Council is a permanent advisory committee to represent the community in the work of the Board, act in an advisory capacity to the Board, and serve as advocates for priorities in the communities from which the members come. In addition to tasks assigned to them by the Board, the Leadership Council: Develops a list of priority issues to be addressed by the GCACH. Develops strategies to address priority issues; Monitors indicators of population health in the regional services area; and Monitors the performance of regional healthcare delivery systems. Leadership Council members may serve on workgroups established to address the priority issues identified by the GCACH.”

Proposed “Re-Formation” of Priority Work Groups Project Teams GCACH Priority Work Group MTP Project Team Project Behavioral Health Bi-Direction Integration of Care & Primary Care Transformation 2A Addressing Opioid Use Public Health Crisis 3A Care Coordination Care Coordination (Pathways Hub) 2B Transitional Care & Diversion Interventions Transitional Care and Diversion Interventions 2C 2D Healthy Youth & Equitable Communities Reproductive and Maternal/Child Health 3B Oral Health Access to Oral Health Services 3C Diabetes/Obesity Chronic Disease Prevention and Control 3D

Suggested Project Teams’ Role Act as Advisory to the Board Represent Subject Matter Expertise Bring in Subject Matter Expertise Review Data & Evidence-Based Studies in the MTD Project Toolkit Determine Community Strengths and Gaps Represent Sectors Find Connections between Approaches Make Recommendations to Board

GCACH Priority Work Group Project Objective/Goal MTP Project Team Project Project Objective/Goal MTP Weight Behavioral Health Bi-Direction Integration of Care & Primary Care Transformation 2A Project Objective: Through a whole‐person approach to care, address physical and behavioral health needs in one system through an integrated network of providers, offering better coordinated care for patients and more seamless access to the services they need. This project will support and advance Healthier Washington’s initiative to bring together the financing and delivery of physical and behavioral health services, through MCOs, for people enrolled in Medicaid. Required 32% Addressing Opioid Use Public Health Crisis 3A Overarching Goal: Support the achievement of the state’s goals to reduce opioid‐related morbidity and mortality through strategies that target prevention, treatment, and recovery supports. 4% Care Coordination (Pathways Hub) 2B Project Objective: Promote care coordination across the continuum of health for Medicaid beneficiaries, ensuring those with complex health needs are connected to the interventions and services needed to improve and manage their health. Optional 22% Transitional Care & Diversion Interventions Transitional Care and 2C 2D Overarching goals: Improve transitional care services to reduce avoidable hospital utilization and ensure beneficiaries are getting the right care in the right place. Overarching Goal: Implement diversion strategies to promote more appropriate use of emergency care services and person‐centered care through increased access to primary care and social services, especially for medically underserved populations. 13% Healthy Youth & Equitable Communities Reproductive and Maternal/ Child Health 3B Overarching goal: Ensure that women have access to high quality reproductive health care throughout their lives and promote the health and safety of Washington’s children. 5% Oral Health Access to Oral Health Services 3C Overarching goal: Increase access to oral health services to prevent or control the progression of oral disease and ensure that oral health is recognized as a fundamental component of whole‐person care. 3% Diabetes/ Obesity Chronic Disease Prevention and Control 3D Overarching Goal: Integrate health system and community approaches to improve chronic disease management and control. 8%

Medicaid Transformation Project Certification & Application process for ACHs March RHNI Data Provided and HW Data Website Created STATE/PARTNERS ACH/REGIONAL March Certification Requirements Complete March/April VBP Taskforce July Project Application Template April DSRIP TA Starts May Certified Phase 1 Aug Certified Phase 2 Aug Dec 2017 Applications Approved Dec March Apr May June July Oct Jan March ACH Transition Plan in Place May 15th Certification Phase 1 Due June 30th Update SIM Budget Aug 14th Certification Phase 2 Due Jan Project Implementation Oct Oct 31st SIM Narrative Report Project Plan Applications Due Project Plan Development Q1 2017 Q2 2017 Q3 2017 Q4 2017 Jan 2018

Project Selection Process Timeline Project Selection Process April 20 Leadership Council Meeting Re-form 5 Priority Work Groups into 7 Project Teams Review MTP Approaches Assess Subject Matter Expertise on Team Review Data, Community Asset Inventory Select Project Team Facilitator May 4 Conference Call Project Team Facilitators Discuss Areas of Commonality between Projects May 18 Receive Report from Project Facilitators on Common Ground Receive Regional Survey Results Review Project Approaches Assess Community Readiness & Capacity Recommend Project Approaches June 15 Leadership Council Meeting Project Team Facilitators Select Project Approaches June 30-July 14 Public Input on Project Approaches July 18 Evaluation Team Recommends Projects for Board Consideration July 20 Board Meeting Project Selection by Board of Directors July 21-Oct 21 Project Plan Development

MTP Team recommends Approach(es) to Optional Projects Recommendation will be based on data, community asset inventory, Regional Survey results, consumer input, community impact Recommendation will consider community capacity and readiness Recommendation will incorporate the guiding principles from GCACH Regional Health Improvement Plan

MTP Team Facilitators Form Facilitators Council Charge of the Facilitators Council: Meet between Leadership Council Meetings Find areas of Commonality between Projects Study Data and Develop Narratives Bring in other Subject Matter Experts as needed Provide Bi-directional communication between Board and Leadership Council

For more information: Carol Moser cmoser@greatercolumbiaach For more information: Carol Moser cmoser@greatercolumbiaach.org Wes Luckey Wluckey@greatercolumbiaach.org Aisling Fernandez Afernandez@greatercolumbiaach.org Website: www.greatercolumbiaach.org Thank you for the opportunity to discuss Healthier WA with you today, and we look forward to a continued partnership as Healthier WA further develops throughout the state. Thank you!