1. GMH/SA Benefit for Acute Duals Integration Update Kijuana Wright March 18, 2015

2. General Mental Health and Substance Abuse Population to be Served by Acute Health Plans 2 Reaching across Arizona to provide comprehensive quality health care for those in need Medicare Parts A and/or B AND AHCCCS eligible members aged 18 and older, enrolled in an acute health plan, not SMI and not enrolled in AIHP Total duals population 87,000 estimated

3. GMH/SA Dual Integration Goals Integration of services – this is enhanced when members are in aligned plans Payment modernization – greater capacity to link incentives Enhance simplicity for members and providers AHCCCS and plans are poised to react to any future changes that CMS imposes on the D-SNP program 3 Reaching across Arizona to provide comprehensive quality health care for those in need

4. Array of Choices for Native American Members American Indian Health Program (AIHP) Choice to enroll in either a TRBHA or RBHA Acute Health Plan Choice to enroll in either a TRBHA or RBHA Integrated Acute Plan Behavioral health and physical health delivered 4 Reaching across Arizona to provide comprehensive quality health care for those in need American Indian Members can always access services at IHS and tribally owned and/or operated 638 facilities at any time

5. General Mental Health/Substance Abuse Benefit for Duals Acute plans have submitted implementation plans to AHCCCS on 10/2014 Active internal workgroups (contract/policy changes) AHCCCS has provided a variety of data to acute plans o Top 100 providers o GMH/SA utilization percentage by cost bucket o Education list for plan staff o Format of DEF file 5 Reaching across Arizona to provide comprehensive quality health care for those in need

6. General Mental Health/Substance Abuse Benefit for Duals AHCCCS has sent out the readiness tool on 2/17/15 to each plan outlining the requirements with due dates. Upcoming due dates- o Staffing assessment due 3/16/15 o Technology assessment due 3/16/15 Plans will meet with AHCCCS and ADHS monthly starting 3/19/15 6 Reaching across Arizona to provide comprehensive quality health care for those in need

7. General Mental Health/Substance Abuse Benefit for Duals In development: o Communication plan for stakeholders o FAQs list for providers Additional information to be shared with plans on an ongoing basis 7 Reaching across Arizona to provide comprehensive quality health care for those in need

8. Thank You! Kijuana.Wright@azahcccs.gov 8 Reaching across Arizona to provide comprehensive quality health care for those in need