Medicaid Coverage for Incarcerated Youth: California’s Initiative

What is the Justice-Involved Initiative?

The Justice-Involved Initiative is a pioneering program under California’s Medicaid reforms, specifically designed to extend Medicaid coverage to incarcerated individuals. Historically, under the Medicaid Inmate Payment Exclusion Rule, federal Medicaid funds could not be used to cover healthcare costs for inmates of public institutions, which includes youth detained in correctional facilities. However, through the Justice-Involved Initiative, California has become the first state to receive federal approval to offer a targeted set of community-based Medicaid services to Medi-Cal-eligible, incarcerated youth and adults for up to 90 days prior to their release.

Eligibility Criteria for Pre-Release Services

For incarcerated youth to receive pre-release services under the Justice-Involved Initiative, they must meet the following criteria:

  1. Medi-Cal or CHIP Eligibility: The youth must be eligible for either Medi-Cal or the Children’s Health Insurance Program (CHIP).
  2. Custody: They must be in the custody of a youth correctional facility.

Unlike adults, there are no specific health care criteria for youth to qualify for these services. However, adults must meet one or more of the following health care needs:

  • Mental illness
  • Substance use disorder
  • Chronic condition or significant non-chronic clinical condition
  • Intellectual or developmental disability
  • Traumatic brain injury
  • HIV/AIDS
  • Pregnant or postpartum

An important distinction in this program is that “youth” is determined by the correctional facility and not strictly by the individual’s age.

Available Pre-Release Services

The services available to incarcerated youth in the 90 days prior to their release include:

  • Reentry Care Management Services: Coordination of care to ensure a smooth transition back into the community.
  • Physical and Behavioral Health Clinical Consultation Services: Medical and mental health consultations to address immediate and ongoing health needs.
  • Laboratory and Radiology Services: Diagnostic tests and imaging.
  • Medications and Medication Administration: Access to necessary medications and management of medication regimens.
  • Medication Assisted Therapy (MAT): Includes counseling and support for substance use disorders.
  • Services by Community Health Workers (CHWs): Support from individuals with lived experience who can provide guidance and assistance.

Initiation of Pre-Release Services

The timing and initiation of these services depend on the length of stay and the anticipated release date of the incarcerated individual:

  • Short or Unknown Length of Stay: Services should begin as close to intake as possible, once the individual’s Justice-Involved aid code is activated.
  • Known Release Date (longer than 30 days stay): Services should commence within the 90-day period prior to their release.

Impact and Significance

The Justice-Involved Initiative represents a significant shift in how healthcare is provided to incarcerated populations, particularly youth. By extending Medicaid coverage to include pre-release services, California aims to improve health outcomes and facilitate a smoother transition back into the community. This initiative addresses the critical healthcare needs of incarcerated individuals, ensuring they receive necessary care before reentering society, which can help reduce recidivism and support overall public health.

Conclusion

California’s Justice-Involved Initiative is a groundbreaking effort to provide essential healthcare services to incarcerated youth and adults prior to their release. By ensuring these individuals receive the necessary medical, mental health, and support services, the initiative not only addresses immediate health needs but also supports their reintegration into the community. This innovative approach sets a precedent for other states to follow, aiming to enhance the well-being of justice-involved populations and promote more equitable healthcare access.

For more information, you can refer to detailed guidelines and policy documents provided by the Department of Health Care Services (DHCS).

  1. Congressional Research Service: Medicaid and Incarcerated Individuals
  2. CalAIM Behavioral Health Initiative Frequently Asked Questions
  3. Department of Health Care Services, Medi-Cal Managed Care Plans by County (2023 and 2024)
  4. Department of Health Care Services, Changes to Managed Care for the Child Welfare Population (April 2023)
  5. Department of Health Care Services, All Plan Letter No. 22-005: No Wrong Door Policy
  6. Department of Health Care Services, All Plan Letter No. 21-011 (Revised): Grievance and Appeals Processes
  7. Medi-Cal Manual for Intensive Care Coordination (ICC), Intensive Home Based Services (IHBS), and Therapeutic Foster Care (TFC) Services for Medi-Cal Beneficiaries
  8. Department of Health Care Services, Behavioral Health Information Notice No. 23-056: MOU Requirements for MHP and MCP
  9. Sample MOU Template

These resources provide detailed information about the Justice-Involved Initiative and related healthcare policies for justice-involved youth.

Classroom Attendance Calculator: A Tool for Monitoring Student Absences

Monitoring chronic absence data is essential for ensuring educators are equipped to support their students effectively. Amidst the busy school year, it can be easy to lose track of how absences accumulate for individual students. This is where the Classroom Attendance Calculator developed by Attendance Works comes into play. It helps educators determine whether a student’s absences place them in the satisfactory, at-risk, or chronic absence categories.

Importance of Monitoring Chronic Absences

Chronic absenteeism can significantly impact a student’s academic performance and overall well-being. Early identification of students who are frequently absent allows for timely interventions that can help mitigate the negative effects of missed school days. By regularly monitoring absence data, educators can ensure that every student receives the support they need to succeed.

Features of the Classroom Attendance Calculator

Self-Calculating Spreadsheet

The Classroom Attendance Calculator is a self-calculating spreadsheet designed to identify students who require early intervention due to excessive absences. If your district does not provide chronic absence reports, this tool can serve as an invaluable resource for tracking student attendance.

Categories of Absence

The calculator categorizes students’ absences into three groups:

  1. Satisfactory: Students whose absences are within an acceptable range.
  2. At-Risk: Students who are beginning to show a pattern of frequent absences.
  3. Chronic: Students whose absences are significantly impacting their academic progress and require immediate attention.

Comprehensive Tracking

The tool prompts educators to consider both excused and unexcused absences, as well as suspensions, ensuring a comprehensive view of each student’s attendance record. This holistic approach helps in identifying patterns and understanding the reasons behind frequent absences.

Step-by-Step Guide

The calculator comes with a step-by-step guide to help educators fill in the spreadsheet accurately. This guide ensures that the data entered is consistent and reliable, providing a clear picture of each student’s attendance status.

Action Plan Worksheet

In addition to the attendance calculator, a worksheet is included for educators to assess their current strategies and identify additional measures to reduce chronic absenteeism. This reflective tool encourages educators to think critically about their approaches and develop effective action plans.

Utilizing the Attendance Calculator

To use the Classroom Attendance Calculator effectively:

  1. Input Data: Enter each student’s absences, including excused, unexcused, and suspension days.
  2. Review Categories: Observe which category each student falls into based on their absence record.
  3. Develop Interventions: Use the action plan worksheet to devise strategies for supporting students with chronic absences.

By actively monitoring and addressing chronic absenteeism, educators can create a more supportive and conducive learning environment for all students. The Classroom Attendance Calculator from Attendance Works is a powerful tool that empowers educators to stay informed and take proactive steps in ensuring student success.

RESOURCE BROUGHT TO US BY:

Attendance Works seeks to advance student success and reduce equity gaps by reducing chronic absence. Their work includes influencing better federal, state and local policy and practices around school attendance, encouraging school districts to track chronic absence data from an early age, and partnering with families and community agencies to intervene as soon as poor attendance becomes evident for a child or school.

Unleashing the Power of Healthcare Data: Exploring HRSA’s Data Portal

Discover the power of the HRSA Data Portal in revolutionizing healthcare research and planning. Developed by the Health Resources and Services Administration (HRSA), this web-based platform provides access to a vast array of comprehensive healthcare data. From primary care facilities to health workforce information, the HRSA Data Portal serves as a centralized repository for diverse datasets. Explore its key features, including interactive data visualization tools that enable users to gain insights and identify trends. Customizable reports and dashboards allow for tailored analysis, while the data download capability empowers researchers to perform in-depth analysis and integrate HRSA data into their own workflows. With its potential to inform evidence-based decision-making, the HRSA Data Portal can contribute to improved healthcare delivery, reduced disparities, and targeted interventions. Unlock the potential of data-driven solutions and work towards equitable access to healthcare resources with the HRSA Data Portal. Access it now to drive positive change.

Introduction:

In today’s data-driven world, information has become a valuable asset, particularly in the healthcare industry. Access to accurate and comprehensive healthcare data can drive research, inform policy decisions, and ultimately improve patient outcomes. Fortunately, the Health Resources and Services Administration (HRSA) understands the significance of data transparency and has developed a powerful tool: the HRSA Data Portal. In this blog post, we will delve into the depths of this invaluable resource and explore its potential to revolutionize healthcare research and planning.

What is the HRSA Data Portal?

The HRSA Data Portal is a web-based platform that provides access to a wealth of healthcare data collected by the Health Resources and Services Administration. HRSA is an agency of the U.S. Department of Health and Human Services, tasked with improving access to healthcare services for underserved populations. The Data Portal serves as a centralized repository for various datasets, enabling users to analyze, visualize, and download information relevant to health resources, health workforce, and other critical healthcare domains.

Exploring the Key Features:

  1. Comprehensive Data Collection: The HRSA Data Portal offers an extensive collection of datasets covering diverse aspects of healthcare, including but not limited to primary care facilities, healthcare workforce, medically underserved areas, and health disparities. This wide-ranging data facilitates a holistic understanding of the healthcare landscape and enables researchers, policymakers, and healthcare professionals to identify gaps and target interventions more effectively.
  2. Interactive Data Visualization: The Data Portal incorporates interactive data visualization tools that empower users to explore healthcare data visually. From dynamic charts and graphs to geospatial mapping, these visualization features provide a user-friendly interface for gaining insights and identifying trends, patterns, and disparities across different regions and demographics. This functionality enhances data comprehension and assists in evidence-based decision-making.
  3. Customizable Reports and Dashboards: Users can create custom reports and dashboards using the available datasets within the HRSA Data Portal. This flexibility allows individuals to tailor their analysis and focus on specific areas of interest. Whether one is conducting research on healthcare access in rural communities or examining workforce distribution in underserved regions, the ability to customize reports streamlines the data exploration process and promotes targeted investigations.
  4. Data Download Capability: The Data Portal provides direct access to downloadable datasets in various formats, allowing researchers and analysts to integrate the HRSA data into their own analytical tools and workflows. This feature empowers users to perform in-depth analysis, conduct advanced statistical modeling, or combine HRSA data with other sources to gain a comprehensive understanding of healthcare dynamics.

The Potential Impact:

The HRSA Data Portal has the potential to revolutionize healthcare research, planning, and policy development. By fostering transparency and access to valuable information, the platform can facilitate evidence-based decision-making, leading to more effective resource allocation, improved healthcare delivery, and reduced health disparities. Researchers can leverage the data to identify gaps in healthcare access, evaluate the impact of interventions, and propose targeted solutions. Policymakers can utilize the insights gained from the data to shape healthcare policies that address the needs of underserved populations, ultimately enhancing the overall health of communities.

Conclusion:

The HRSA Data Portal stands as a testament to the power of data in transforming the healthcare landscape. Its robust collection of datasets, interactive visualization capabilities, customizable reports, and data download functionality provide a comprehensive toolkit for healthcare researchers, policymakers, and professionals. By leveraging this platform, stakeholders can gain valuable insights, make informed decisions, and work towards a future where healthcare resources are equitably distributed and accessible to all. The HRSA Data Portal serves as a beacon of hope, empowering us to unlock the potential of data-driven solutions in improving healthcare outcomes for communities across the nation.

Area Health Resources Files 

BHW Clinician Dashboards 

BHW Program Applicant and Award Data

Grants 

Health Center Service Delivery and Look–Alike Sites 

Health Professions Training Programs 

Maternal and Child Health Bureau

National Health Service Corps (NHSC), Nurse Corps, and Substance Use Disorder Treatment and Recovery (STAR) and other Programs 

National Practitioner Data Bank 

Nursing Workforce Survey Data 

Organ Donation and Transplantation

Ryan White HIV/AIDS Program

Shortage Areas 

Uniform Data System

Workforce Projections 

Health Insurance Providers’ Actions Concerning Mental Health

  • AllWays Health Partners has teamed up with Lyra Health to offer a new solution to expand the availability of mental health support and counseling. Through Lyra, members will be able to seek clinically proven mental health support, find high-quality providers tailored to their individual needs, and book appointments quickly with a therapist or coach by video or in-person securely and confidentially. Lyra will be rolled out in phases beginning June 2022.
  • AmeriHealth Caritas posted 5 questions that patients can use to find culturally competent mental health professionals. The questions include:
    • Does the provider ask about your problems in the context of your social network, such as family or friends, others in your community?
    • Does the provider ask you what you think the causes of your problems are?
    • Does the provider ask about the most important aspects of your background or identity and whether they make a difference to your problem (i.e. discrimination)?
    • Does the provider ask about barriers that have prevented you from getting the help you need, including any stigmas or social determinants of health?
    • If there are differences in your backgrounds, does the provider ask about your concerns around these differences and what your expectations are?
  • A 3-year grant provided by the Anthem Blue Cross and Blue Shield Foundation to the Chris Atwood Foundation will allow more individuals to seamlessly progress from treatment for substance use disorder, incarceration, or other high-risk transition points into a safe and supportive recovery housing environment. For the past 9 years, the Foundation has worked to save lives from overdose and support recovery from substance use disorder. The $150,000 Anthem grant will support the organization’s Revive to Thrive program and allow them to offer housing and peer support to 300 more individuals.
  • The Anthem Foundation has committed $13 million in grants to promote equity in mental health, particularly for people with substance use disorders. Each program will focus on one of the following goals: prevention and early intervention of risk factors that lead to substance use disorders, improved access and quality of treatment to reduce morbidity and mortality of substance use disorders, and community support to promote lifelong recovery. These grants are part of up to $30 million the Foundation plans to invest over the next 3 years to make significant progress toward reducing substance use disorders and their health impacts.
  • Anthem Blue Cross and Blue Shield, through its Student Advantage health plans, has entered into an exclusive partnership with Christie Campus Health to help colleges and universities address escalating rates of anxiety and depression reported on campuses throughout the country. The 2 companies will provide a student-centered mental health platform that helps counseling centers meet the high demand for services. Christie Campus Health currently helps over 40 colleges and universities bring timely and accessible mental health and wellbeing support to more than 430,000 students. Christie Campus Health’s CONNECT@College product will allow Anthem Student Advantage to offer a comprehensive solution that focuses on both the physical and emotional wellbeing of today’s college student.
  • Anthem has launched a number of specific physical and mental health/substance use disorder (MH/SUD) health integrated care management and outreach programs utilizing predictive modeling related to comorbid conditions that include licensed clinicians and peer/wellness and recovery coaches. These programs include Cardiac Pain, Sleep Apnea, Predictive High Utilizing Alcohol and Opioid Users, and Suicide Prevention. Additionally, to meet the needs of members with complex conditions, Anthem created the High Outreach to Promote Engagement (HOPE) program. These populations have the highest rates of multiple chronic conditions and higher than average emergency room visits and inpatient admissions for both MH/SUD and physical health. Case managers in this program take a broad view of a patient’s whole health and assist consumers in a variety of ways, including providing transportation or coordinating doctor appointments. Anticipating and supporting member’s needs before and after they need medical care significantly improve member outcomes and lower healthcare costs. By anticipating and supporting members’ needs, Anthem has decreased major incidents such as ER visits and inpatient hospitalizations by 50%.
  • To respond to growing needs throughout its 72,000-square-mile footprint, Avera Health Plans opened a new four-story wing as part of its Avera Behavioral Health Hospital in Sioux Falls.The Helmsley Behavioral Health Center adds 60,000 more square feet of space for treating psychiatric needs among children, youth, and adults. This wing adds several new services including 24/7 Behavioral Health Urgent Care, observation care, youth addiction care services, and partial hospitalization for youth.The wing also will house Avera’s senior behavioral health unit, which is currently located on the Avera Prince of Peace campus. This will provide an opportunity to add to the continuity of mental health services while enhancing and expanding this program. In total, Avera Behavioral Health Hospital will have 146 inpatient behavioral health beds plus 8 addiction residential beds for adolescents – all private rooms.
  • Beacon Health Options has partnered with the Kennedy-Satcher Center for Mental Health Equity (KSCMHE) to address behavioral health equity ahead of the 988 suicide prevention lifeline launch in July. The partnership centers on 2 main components: a research and policy initiative that imagines equitable crisis response for the future of behavioral health service delivery, and a leadership summit to explore how to embed equity into crisis response. Some recommendations for embedding behavioral health equity into state and local 988 systems include:• Prioritizing visibility of groups that are historically excluded or inadequately reached by psychiatric emergency systems
    • Deploying law enforcement in psychiatric emergency response only as needed
    • Leveraging mobile crisis units staffed by culturally competent staffBeacon Health Options is a wholly-owned subsidiary of Anthem.
  • Blue Shield of California posted a back-to-school mental health Q&A with Dr. Nicole Stelter, Blue Shield’s Director of Behavioral Health. Dr. Stelter discussed the growing mental health crisis adolescents are facing, as well as steps students, parents, and teachers can take to support youth mental health.
  • Blue Shield of California is investing in 4 organizations that are working to support youth mental health in California. In total, Blue Shield of California is providing more than $1.1 million to the 4 organizations. Mental illness is the number one reason children in the state are hospitalized, and half of all lifetime cases of mental illness begin by the age of 14. The support is part of Blue Shield of California’s BlueSky Initiative, which provides resources and support for youth, families, educators, and caregivers to promote emotional well-being for youth. Over the last year, BlueSky and its programs almost doubled the number of educators it trained to spot warning signs of mental health concerns in youth, conducted more than 4,000 counseling sessions, and supported cultivating a pipeline of diverse youth to work in the mental health field. The new financial support will continue enhancing these mental health supports with a focus on reducing health disparities.
  • A recent Blue Shield of California post shared important points for seniors about behavioral health, mental health stigma, the pandemic’s effect on this health issue, and how treatment and self-care can help. Getting treatment sooner rather than later is important, and seniors should start by making an appointment to see a primary care doctor or a mental health care professional to discuss whether treatment might help, said Jennifer Christian Herman, vice president, Mindbody Medicine at Blue Shield of California.
  • Funding from Blue Shield of California’s BlueSky youth mental health initiative has let the National Alliance on Mental Health (NAMI) California expand its On Campus High School clubs throughout the state, increasing membership from 1,051 in 2020 to 1,271 participants in 80 clubs across 16 counties in 2022. The clubs provide peer-led support for students with mental health conditions, students whose family members have a condition, or students who are interested in the field or in advocacy – all focused on the goal of reducing mental health stigma among youth.
  • The Health Care Service Corporation is providing access to an online self-service platform to help fill a gap for some untreated members who have been reluctant to seek care or had difficulty finding it. The platform, provided by an independent company called Learn to Live, offers around-the-clock mental health assessments and online cognitive behavioral therapy (CBT) for mild to moderate depression, substance use, social anxiety, insomnia, and stress, worry, and anxiety. It is available at no added cost to 11 million members, starting at 13 years of age, in most group health plans across its communities in Illinois, Montana, New Mexico, Oklahoma, and Texas.
  • Blue Cross and Blue Shield of Montana awarded 4 nonprofits with a $70,000 Big Blue Sky Initiative major grant through the Healthy Kids, Healthy Families® program. All 4 grant recipients will use the funds to help improve pediatric behavioral health. In addition to the 4 grants, Blue Cross and Blue Shield of Montana also made a $15,000 grant to NAMI Montana to bolster the organization’s mission to support, educate, and advocate for Montanans with mental illnesses and their families.
  • Blue Cross and Blue Shield of Montana (BCBSMT) is providing access to an online self-service platform to help fill a gap for some untreated members who have been reluctant to seek care or had difficulty finding it. The platform, provided by an independent company called Learn to Live, offers around-the-clock mental health assessments and online cognitive behavioral therapy (CBT) for mild to moderate depression, substance use, social anxiety, insomnia, and stress, worry and anxiety. It will be available at no added cost to members at least 13 years old in most of group health plans.
  • Blue Cross and Blue Shield of Montana is becoming more strategic in coordinating access to life-saving behavioral health services for members throughout the state — particularly in its most isolated areas. BCBSMT launched Big Blue Sky Initiative in 2018 to help fight opioid abuse, rising suicide rates, and methamphetamine and heroin epidemics. The company also helped fund a new psychiatry residency to bring more mental health professionals to Montana, as well as other programs. To improve access, leaders are working with providers and policymakers to develop care models that will keep members closer to home and reduce obstacles to care, including expanded telehealth services. The effort is part of a larger initiative to create more medical and behavioral health access and better care management for BCBSMT members no matter where they live.
  • New Mexico Kids Matter received a $25,000 grant from Blue Cross and Blue Shield of New Mexico’s Healthy Kids, Healthy Families® initiative. The grant will support New Mexico Kids Matter’s Successful Transitions and Adulthood Readiness (STAR) Program, which works to prepare teen foster youth for their transition out of foster care and into healthy and safe adulthood and independent living situations. Studies have shown youth who spent their teenage years in foster care and/or aged out of the foster care system suffered significant challenges as adults in the areas of mental health, education, employment, and finances. Without intervention, these youth have a higher likelihood of violence, homelessness, incarceration, and poverty in their adult lives.
  • Jardin de los Niños has received a $25,000 grant from Blue Cross and Blue Shield of New Mexico’s Healthy Kids, Healthy Families® initiative. The grant supports Jardin de los Niños’ Flourishing Families Infant Mental Health and Wellness Program, which provides direct therapy services to homeless and near-homeless children and their families to address trauma. The grant also supports an anti-hunger component that provides healthy and nutritious meals to address food insecurity.
  • Blue Cross and Blue Shield of North Carolina is expanding its network of behavioral health providers through a collaboration with Headway, a mental health care company that works with insurers to deliver high-value mental health care. Together the 2 companies will make it easier for Blue Cross NC members to quickly access – as soon as 48 hours – in-network therapists and psychiatrists who meet their specific needs. The focus of the collaboration is on improving access to care for underserved communities, including rural and socially vulnerable counties, children and adolescents, and individuals across diverse racial and ethnic backgrounds.
  • Blue Cross and Blue Shield of North Carolina is investing more than $2 million to support 11 organizations across North Carolina to improve access to behavioral health care services in rural and marginalized communities and in HPSAs (Health Professional Shortage Areas). This funding initiative is part of Blue Cross NC’s statewide commitment aimed at addressing and eliminating racial, health, and geographical disparities in North Carolina and supports the company’s goal to improve access to behavioral health care in rural and underserved communities by 25% in 5 years.
  • Blue Cross and Blue Shield of North Carolina has announced a new collaboration with Mindoula to help address the complex health needs of members with serious mental illness and/or substance use disorder. The program leverages expertise from the tech-enabled behavioral health management company to expand access to behavioral health services and will launch on January 1, 2023. Blue Cross NC will work with Mindoula to directly address the mental health crisis and health care shortage in North Carolina by providing tech-enabled support that expands outpatient behavioral health care to members in the greater Triangle area, as well as eligible members outside of North Carolina.
  • Blue Cross and Blue Shield of Oklahoma has made a grant to the National Alliance on Mental Illness of Oklahoma to support mental health efforts focused on young children. The grant will support the “Meet Little Monster” coloring and mental health activity book created for young children to express and explore their feelings as well as to help foster dialogue between children and the safe adults in their lives. The book is available in English and Spanish for families, organizations, teachers, and young people across Oklahoma at no cost.
  • The CalOptima Board of Directors has authorized a grant agreement of up to $1 million to support the Be Well Orange Campus, a mental health and substance use treatment facility in Orange. The grant will enhance intake and admissions coordination services for CalOptima Medi-Cal members who need behavioral health services. The two-year grant will ensure CalOptima members have timely access to services, assessment and placement into care through an improved intake and coordination process at the Be Well Orange Campus. The cost of coordination includes staffing, training and development, administrative services, and a phone system upgrade.
  • The Cambia Health Foundation has invested more than $300,000 in non-profit organizations that are part of the National Suicide Prevention Lifeline system. The goal of the investments is to support, expand, diversify, and train the behavioral health workforce.
  • CareFirst BlueCross BlueShield is collaborating with Headway, a tech-enabled company that expands access to in-network mental health care by removing barriers faced by providers, payers, and the people they serve, to support CareFirst’s mental healthcare system. The collaboration will help eliminate obstacles to providing and accessing behavioral health while delivering quality, easy-to-access mental health care for all members. Headway’s secure online platform is available to CareFirst’s network of mental health providers at no cost and will enable efficient scheduling, billing and more. This allows providers to focus on quality care delivery, rather than administrative tasks.
  • CareOregon has provided Lutheran Community Services Northwest with a $79,867 grant to help make more culturally specific mental health resources available to newly arriving and already resettled Ukrainian refugees in the region. The funds from the grant will be used to hire 1 additional full-time peer support specialist and 1 Ukrainian speaking clinician that will support the increasing demand for care. The grant will also help fund additional support for the broader Ukrainian community. The peer support specialist will provide timely support to Ukrainian refugees to help address mental health and trauma and connect clients to the appropriate services and resources. Services include individualized psychological first aid such as mental health counseling, emotional support groups, workshops to aid in resettlement and referrals for any additional needs like wellness exams, immunizations, housing, employment and more.
  • CareOregon announced that it has awarded $210,000 in community giving grants to nine local nonprofit organizations that provide social support and improve access to medical care for seniors, communities of color and other underrepresented communities across the Portland metropolitan region. Among the grants awarded, CareOregon is investing $50,000 in Lines for Life’s Cultural Engagement Initiative, which prioritizes the mental health needs of communities of color. The funding will support Lines for Life’s effort to reach 1,500 community members who identify as Black, Indigenous, and from other communities of color with mental health support through direct outreach by community health workers and hosting community-wide events that aim to reduce stigma.
  • CareOregon and the Alliance for Culturally Specific Behavioral Health Providers have codesigned a payment model to improve health outcomes for Oregon’s communities of color. Numerous national studies have shown that these communities are disproportionately impacted by lack of access to mental health support. Over the past 2 years, the collaboration has hit several milestones, most recently resulting in expanded payments for culturally specific providers that leverages both traditional payment models by increasing rates and Health Related Service dollars to compensate providers for time invested in outreach and engagement activities. These changes will result in an increase of up to 20% in payment to culturally specific providers.
  • CareSource is collaborating with Clarigent Health to bring artificial intelligence to behavioral health providers in Ohio. Clairity, Clarigent Health’s software tool, analyzes speech with artificial intelligence trained to identify patients at risk of suicide. Behavioral health providers in the Ohio Children’s Alliance (OCA) and Ohio Behavioral Health Provider Network (OBHPN) can now be reimbursed through CareSource when using Clairity. Between the 2 networks, more than 265,000 families and youth will have access to the technology.
  • The CareSource Foundation has awarded Overdose Lifeline, Inc. a more than $178,000 grant to improve the prevention of and response to opioid overdoses in Indiana schools. These funds will provide school partners with the emergency, life-saving medication naloxone, develop a custom training course for school staff and connect schools to evidence-based prevention programs.
  • CareSource has announced a new option with the Montgomery County Board of Developmental Disabilities (MCBDDS) and I Am Boundless to provide respite care for parents and other caregivers of people with intellectual and developmental disabilities (I/DD) and behavioral health challenges. This new collaboration will provide respite services to those families with I/DD youth. Services such as after-school and day programming, and therapeutic supports will be embedded in each respite opportunity.
  • Centene has launched an all-employee training on Mental Health and Substance Use Disorder Parity to educate employees on parity law and outline Centene’s policies that ensure delivery of benefits that do not discriminate against individuals with mental health conditions or substance use disorders. Centene also maintains youth and adolescent programs focused on mental health, including the Choose Tomorrow™ Suicide Prevention Program, which uses evidence-based practices to screen for suicide risk, develop member-driven safety planning, provide connection to community resources, and monitor members’ treatment progress to prevent suicide.
  • Centene is a driving partner in solving the problem of social isolation in schools through No One Eats Alone® Day, created by the nonprofit Beyond Differences and sponsored by The Centene Charitable Foundation. Mental well-being is especially important now as youth continue to experience stressors from the COVID-19 pandemic. Centene health plans across the country helped raise awareness by hosting virtual and in-person events in February and March to encourage inclusion and teach children how to combat isolation. They worked with 108 schools across 10 states, engaging at least 48,500 students in educational and fun activities.
  • Centene recently released a white paper entitled, “Advocating for the Mental Health of Medicare Recipients.” The white paper notes the important role Medicare plays in the more than 63 million Americans who received Medicare benefits in 2021 and the unique challenges the Medicare population faces.The white paper also highlight’s Centene’s role in keeping people enrolled in Medicare healthy, stating: “While recent policy changes have improved access to mental health services for Medicare beneficiaries, there is still work to be done to ensure they can easily receive the care they need to live healthier, higher-quality lives. As an industry leader and one of the largest Managed Care Organizations in the country serving many of our nation’s most vulnerable citizens, Centene is committed to ensuring the mental wellbeing of Medicare beneficiaries through access to high-quality care, innovative programs, and a wide range of health solutions.”
  • The Cigna Foundation has made more than $3 million in grants to local nonprofits to help address childhood hunger and mental health concerns as schools return to session. Programs spanning communities in 16 states will receive critical financial support enabling them to positively impact thousands of children across the country. All grants are made available through Cigna Foundation’s Healthier Kids For Our Future® program, a 5-year, $25 million global initiative focused on improving the health and well-being of children. Since its inception in 2019, the program has awarded more than $18 million in grants.
  • Cigna Chairman and CEO David M. Cordani unveiled new findings about the growing mental health crisis among teenagers and the impact it is having on parents, both at home and work. Cigna and Evernorth, its health services business, commissioned the study from Economist Impact to examine the mental health effects of the COVID-19 pandemic on teenagers and their parents. The study was conducted in April 2022 and key findings include:
    • Approximately 80% of working parents reported some form of impact on the mental health of their teenage children as a result of the pandemic, including new or increased levels of anxiety, depression, behavioral issues, and problems with social interactions.
    • Nearly one in five working parents reported a negative impact on their work performance and productivity because of concerns about their child’s mental health.
  • Aetna, a CVS health company, and Psych Hub have launched an Adolescent Treatment Training Series to meet the urgent needs of youth and young adults. This joint effort arms the 283,000 behavioral health and employee assistance program providers in Aetna’s commercial network, Aetna’s internal clinicians, and CVS Health’s licensed counselors at MinuteClinics in select HealthHUB locations with access to a no-cost, evidence-based curriculum in the form of courses and resources to identify and treat adolescents and young adults along a full continuum of care, from prevention through intervention, for those at risk of suicide.
  • CVS Health is providing support to the National Association of Free and Charitable Clinics, the American Foundation for Suicide Prevention, and Mental Health America, in recognition of Mental Health Awareness Month. The support is focused on equitable, quality access to mental health care services and resources, particularly among the Black, Indigenous, and People of Color (BIPOC) community. A recent CVS Health/Morning Consult survey of Americans age 18+ also found that mental health concerns are continuing to rise among individuals of all backgrounds, especially Black, age 65+, young adult, and LGBTQIA+ respondents. The survey also found more Americans agree that the pandemic has made them more comfortable seeking support for mental health and using technology to address it.
  • Elevance Health is working to address the behavioral and mental health care needs of all members, at every age. Through the Sydney Health app, for example, a spectrum of care delivery options is available: digital, virtual, and in-person. Sydney Health can connect eligible members to a virtual text visit or a video visit with a behavioral or mental health provider such as a therapist or counselor. The app allows users to get important information about benefits and claims, track progress toward health goals, access a member ID card, and more. Elevance Health is also dedicated to advancing health equity through a “health equity by design” approach. This approach is personalized and intentional, ensuring that people can receive individualized care.
  • The Florida Blue Foundation is making a $3.8 million investment to enhance mental health for Florida’s children, families, and seniors. Twelve nonprofit organizations across the state share in the investment, which will support community-based programs that directly improve access to and quality of mental well-being services, particularly for the underserved and uninsured, including racial and ethnic minorities, and low-income populations. The investment will provide mental health counseling and education in schools for under/uninsured students and provide a safe environment for mental and emotional healing for members of the LGBTQ+ community, transgender individuals, victims of hate crimes, and LGBTQ+ seniors, in addition to supporting other mental health programs.
  • Highmark is encouraging members to focus on mental health in 2022 and is reminding them of resources that are available to better manage stress, anxiety, and depression. One new option for members is Meru Health, a 12-week evidence-based program to treat depression, anxiety, and burnout that mixes a clinical human touch with technology, self-care, and data via a discreet smartphone app. The 12-week treatment program includes consultation with a dedicated licensed therapist, evidence-based video lessons, guided mindfulness practices, habit-changing activities, and anonymous peer support groups, all done on a mobile device. Members will also have access to on-going support following the completion of the 12-week program.
  • Horizon Blue Cross Blue Shield of New Jersey members have access to Equip as an in-network option. Equip offers Family-Based Treatment for eating disorders through a 5-person virtual care team including a therapist, dietitian, medical provider, peer mentor, and family mentor. Equip is designed to replace the residential level of care and support families throughout their journey to really be the last treatment they will need.
  • Horizon Blue Cross and Blue Shield of New Jersey is offering eligible members access to MindRight Health, a mental health coaching service that leverages texting to provide coaching and emotional support to young adults ages 13 to 25. Once users sign up on their phones (no face-to-face meeting or phone call required), they can receive guidance from a team of coaches supervised by licensed mental health clinicians.
  • Independence Blue Cross released a video featuring Independence and community experts discussing how the COVID-19 pandemic has changed the ways in which people think about mental health and access behavioral health services. The video discussed changes in the workplace, the increased use of telemedicine, persistent disparities in health care, and how Independence can support young people who have suffered losses during this time.
  • Independent Health highlighted the mental and physical health benefits of yoga at the 2nd annual Yogathon for Suicide Awareness & Prevention, presented in conjunction with Power Yoga Buffalo. The Yogathon helped raise awareness of suicide prevention as well as funds to benefit mental health programs at Mental Health Advocates of WNY.
  • Independent Health has been awarded the 2022 platinum Bell Seal for Workplace Mental Health by Mental Health America (MHA). The Bell Seal is a workplace mental health certification that recognizes employers who strive to create mentally healthy workplaces for their employees. Independent Health is the only organization in Western New York to be certified by MHA. Independent Health’s status as a platinum-level Bell Seal-certified organization demonstrates the company’s ongoing commitment to employee mental health and well-being, which in turn is instilled in the company’s wellness and mental health programming for its employer groups and members.
  • Kaiser Permanente has awarded a 2-year, $125,000 grant to the Boulder Valley School District to bolster ongoing efforts to increase mental health among teachers, staff, students, and their families following the recent Marshall Fire. The grant will help the district expand an existing Kaiser Permanente initiative called Resilience in School Environments, or RISE. The program provides emotional support and trauma-informed training to staff members, who then help other staff members and students. The grant will extend support for staff members, students, and families who are experiencing traumatic stress following the Marshall Fire.
  • A mental health initiative developed by Kaiser Permanente and esports organization Cloud9 has been found to be an effective way of supporting the mental health of young adult esports players and fans, according to a new study from the NEJM Catalyst. Presence of Mind launched in May 2020 with the goal of reaching teens and young adults with positive mental health messages in places where they spend a lot of their time: online gaming and esports platforms. The initiative includes 2 seasons of live Twitch Stream series featuring prominent players; mental health experts and influencers; creator-led YouTube video content from some of esports’ favorite players sharing insights, positivity, and personal mental health messages; and a series of free, online interactive training sessions to help address critical mental health issues. As of May 2022, the training sessions have been accessed by more than 51,000 teens and young adult gamers who have learned how to better manage their mental health and support their friends when they need it most.
  • A telehealth program at Kaiser Permanente Northern California (KPNC) is expanding support for people with serious, persistent mental illness by adding psychiatric clinical pharmacists to their care teams. The care teams deliver a package of comprehensive care for a highly vulnerable patient population, who are more likely to have chronic conditions such as diabetes and hypertension and a lifespan shortened by 10 to 25 years. The program takes advantage of a growing workforce of clinical pharmacists with 2 years of postgraduate training in psychiatry. Working closely as a team with the patient’s psychiatrist and other clinicians, clinical pharmacists act as care navigators, establishing an ongoing partnership with patients through regular video and telephone appointments.
  • Kaiser Permanente adult members in Colorado now have access to a 90-day subscription to Ginger, an on-demand mental health care solutions provider. Ginger provides confidential emotional support through on-demand coaching via text-based chats and skills-building content. Eligible members can use their smartphone to connect with a highly trained emotional support coach 24/7 — at no cost and with no referral or appointment needed. The private, one-on-one texting sessions provide support in coping with common challenges such as managing stress or getting better sleep.
  • Kaiser Permanente in Hawaii has awarded a $500,000 grant to Mental Health America of Hawaii to support its youth resilience and wellness training and education program. The program will provide 1,300 youth and youth-serving adults with evidence-informed suicide prevention and bullying prevention training over 6 months and will enable Mental Health America of Hawaii to increase training to individuals in rural areas of Oahu, Hawaii Island, and Kauai.
  • Magellan Healthcare will hold a series of virtual events in support of Suicide Prevention Awareness Month and Recovery Month in September. Magellan will host events Sept. 14 and 22 focused on suicide prevention, and recovery from mental health and substance use conditions.
  • Magellan Health, Inc. has opened a complimentary 24-hour crisis line for individuals impacted by gun violence in Chicago and surrounding communities. Magellan confidential consultation services are offered at no charge to the communities to assist individuals as they work to cope with the feelings of fear, sadness, anger, or hopelessness related to these kinds of incidents. Crisis line callers may also seek information and guidance to other available resources, such as community-based support.
  • Magellan Health subsidiary Magellan Federal has launched a program that provides United States military families with personalized, digital mental health and well-being support by combining NeuroFlow’s technology with evidence-based resources and clinical support provided by Magellan Healthcare. The 18-month long first phase will be launched on three installations through the Military & Family Life Counseling (MFLC) program. NeuroFlow will supplement Magellan’s MFLC counseling services to provide service members and their spouses with personalized, self-directed mental health resources, tools, and support, all from a smartphone. Member usage of NeuroFlow will also produce de-identified, population-level data to highlight mental health trends at each installation without compromising an individual service member’s privacy.
  • Magellan Health has opened a complimentary 24-hour crisis line for individuals impacted by the elementary school shooting that occurred in Uvalde, Texas. The line is available to all Superior HealthPlan members and the local community. The toll-free number to access free, confidential consultation services is 1-800-327-7451. Magellan confidential consultation services are offered at no charge to the community to assist individuals as they work to cope with the feelings of fear, sadness, anger, or hopelessness related to these kinds of incidents.
  • Magellan Healthcare has launched a Digital Emotional Wellbeing program that helps members improve overall health and wellbeing, manage stress, and build resilience in a confidential manner. Participating Magellan members with emotional concerns who use the NeuroFlow app or website receive recommendations and have access to activities to help them improve their overall health. Activities include evidence-based videos, articles, and behavioral trackers, as well as Magellan’s digital cognitive behavioral therapy programs, FearFighter® for anxiety and MoodCalmer® for depression. These activities will provide members with personalized, self-directed behavioral health resources, tools, and support, all from the secure, anonymous convenience of NeuroFlow’s app and website.
  • Magellan Healthcare is offering resources to support the emotional wellness of first responders, health care workers, and the National Guard in Idaho who are serving on the front lines of the coronavirus pandemic. Magellan continues to make available a free, confidential 24-hour crisis line. This is available for all first responders, health care workers, and the Idaho National Guard citizen soldiers and airmen. Critical care workers coping with feelings of fear, sadness, anger and hopelessness can call the toll free 1-800-327-7451 (TTY 711) to speak directly with a licensed mental health clinician and receive information on community-based support.
  • Magellan Health launched eMbrace, an industry-first total wellbeing solution for employers with more than 500 employees, on April 1, 2022. The solution aims to help people move from suffering and struggling in their everyday life to thriving. eMbrace is built to address multiple areas of an individual’s life, proactively assessing if they are thriving, struggling, or suffering across six essential elements: career, social, financial, physical, community, and emotional. eMbrace also includes a special version of the Gallup® WellbeingFinder™ that offers employees a personalized wellbeing plan addressing all six elements. Employees are directed to services and resources that address their pressing needs first, from legal, financial, and identity theft services to digital cognitive behavioral therapy modules, coaching, and counseling.
  • Martin’s Point Health Care has released an update focused on helping men make mental health a priority. The update covers several steps men can take, including connecting with others, taking care of yourself, and talking to your doctor. Mental health struggles are linked to the increase in deaths related to alcohol and drugs, and 1 in 4 adults with mental health disorders also struggle with substance abuse.
  • Medica has introduced 2 new support programs to help simplify the mental health care experience and connect children and their families to the support they need. The Family Support Program provides clinical expertise and care navigation support to caregivers of children with complex mental health needs, while the Family Support Navigator is an interactive online tool that helps parents and caregivers find the right resources for children who may have autism or depression. Both programs are available to Medica members who have children with complex mental health needs.
  • MHS Indiana highlighted the mental health supports available to members, including access to MyStrength, a free resource that includes tools to hep reduce stress, anxiety, depression, and substance abuse. MHS also maintains a 24-hour crisis text line, where members can speak with trained crisis counselors, and offers members access to Teladoc for non-emergency issues.
  • Molina Healthcare of New Mexico has partnered with Pyx Health to expand access to behavioral health services for Molina’s Medicare members. Through a screening process, working with members and data, the Pyx Health platform gauges the emotional state of users. This data is then monitored by support staff that provides actionable recommendations for how to respond, such as calling a user to address their behavioral health needs or offering support during a rough time. By providing access to this platform, Molina will improve behavioral health outcomes for its members.
  • Molina Healthcare of California has partnered with WEconnect Health Management, giving Molina’s network providers access to the WEconnect Recovery mobile platform to support Molina members dealing with substance misuse and mental health challenges. The app provides a supportive environment to Molina’s Medi-Cal members engaged in the recovery process by delivering critical resources to their phones. WEconnect facilitates daily reminders, medical appointment alerts, and rewards milestones with incentives in the form of gift cards for CVS, Safeway, and Amazon, among others. Members also have access to mobile recovery meetings throughout the day and exclusive Molina-enabled peer recovery support services for on-demand, one-on-one support.
  • Molina Healthcare of California has partnered with BeMe Health, a digital behavioral health company, to provide Molina Medi-Cal members, ages 13 to 19, with access to digital tools, content, and support designed to tackle some of the most prevalent mental and social challenges facing today’s teens. The offering will provide young Molina members with activities, one-on-one coaching and more through an interactive mobile app designed to help teens feel acknowledged and empowered. The app features digital tools and interventions to teach teens coping skills, provide support for issues they may be facing, and offer engaging content that can help take the focus off daily struggles and challenges. In addition, teen members will have access to clinical services, with parental consent, and crisis support.
  • The MolinaCares Accord, in collaboration with Molina Healthcare of Washington, recently committed $400,000 to the University of Washington School of Nursing to help expand the behavioral health workforce in the state through the development and implementation of a blended family and psychiatric primary care curriculum for nurse practitioners.
  • The MolinaCares Accord, in collaboration with Molina Healthcare of Washington, has announced a $77,000 grant to SPARK, an organization dedicated to providing a career pathway for youth and students to become certified peer counselors in the state of Washington. The grant is just one component of MolinaCares’ Behavioral Health Initiative, an over $700,000 philanthropic effort to expand access to behavioral health care across Washington. The funds donated to SPARK will go toward the identification, outreach, training, and placement of youth peer supports in the state.
  • The Molina Healthcare Charitable Foundation, in conjunction with Molina Healthcare of Florida and in partnership with the Federation of Families of Central Florida, recently welcomed families to the MolinaCares Youth Festival. The event focused on supporting the growing number of young people and families affected by mental illness. This year, through a $15,000 grant from the Foundation, the Federation of Families of Central Florida is hosting monthly group meeting for teens and young adults centered on improving mental health. In those meetings, participants engage in activities and listen to speakers, while being encouraged to find creative outlets as part of the healing process.
  • The MolinaCares Accord, in collaboration with Molina Healthcare of Washington, has presented a $100,000 grant to support Compass Health’s Broadway Campus Redevelopment Project. The grant will help fund construction of a 72,000 square-foot facility that will expand community-based behavioral health care services and its workforce in northwest Washington. The grant is a part of The MolinaCares Behavioral Health Initiative to increase access to behavioral health across the state.
  • Eleanor Health, an outpatient addiction and mental health provider is collaborating with Point32Health on a program to support Tufts Health Plan MassHealth members with substance use disorders and other mental and physical health comorbidities. The value-based program uses a population health management model and provides patients with comprehensive care including access to medications for substance use disorder, psychiatry and mental health care, group and individual therapy, nurse care management and peer support.
  • Members of Regence Health Plans have access to a wide range of behavioral health care, from traditional in-person therapy to specialized virtual care. To improve access to care, Regence added more than 1,500 new behavioral health providers to its network in 2022. To support members in rural areas with little access to care, Regence has added virtual care providers available nationwide who specialize in everything from substance use disorder to individual therapy to child and family therapy, obsessive-compulsive disorder and more. Regence’s dedicated behavioral health team continually evaluates and contracts with virtual care providers that would add unique value to its array of resources for members seeking support. Regence is continuing an $11.5 million multi-year philanthropic initiative to increase access, improve quality of care, and reduce mental health stigma. Additionally, approximately $4 million of investments were made from its corporate foundation in 2021 to increase access to mental health support for people living in rural communities across Idaho, Oregon, Utah, and Washington.
  • Security Health Plan’s new partnership with Freespira, Inc., maker of the first FDA-cleared digital therapeutic treatment for panic attacks, panic disorder and post-traumatic stress disorder (PTSD), will provide many members with a clinical alternative to current treatments. Freespira works by addressing the underlying physiological factors behind panic attacks and post-traumatic stress disorder. As an adjunct to medications and counseling therapy, the treatment normalizes breathing irregularities developed in response to underlying carbon dioxide (CO2) hypersensitivity. The Freespira treatment provides users with real-time physiological feedback-based training to regulate their respiration rate and exhaled CO2 levels. Telehealth coaching guides patients throughout the 28-day care journey to deliver maximum benefits from the twice daily, 17-minute treatments.
  • Security Health Plan and Marshfield Medical Center-Rice Lake are investing in a mental health program from the Turtle Lake School District. School Pulse is an anonymous, interactive program that works to improve the mental health of students. The program provides social and emotional support to students through their cell phones and helps promote mental wellness and decrease suicide rates in young people. The School Pulse program uses texting to check in with students about their mental health 3 times a week, all year long. Students who wish to participate in the program will receive real-time help through open, anonymous communication through a platform that works just like texting.
  • Security Health Plan and Marshfield Clinic Health System are accepting applications from eligible school districts to implement b.e.s.t.® Universal Screening in the 2022-23 school year. b.e.s.t.® (Behavioral Emotional Social Traits) is an online screening tool designed to help education professionals build the emotional health of students and help identify students who may need additional positive behavioral support. The tool provides educators recommended actions to take with students based on their behaviors. Schools awarded a grant receive technical support, biannual screenings for students, and training consultation and support for teachers and staff.
  • Sharp Health Plan has released an update providing tips on finding the right mental health support. For example, there are many types of mental health professionals, including therapists and counselors, psychiatrists, and psychologists, all with distinct differences. Steps to take include thinking about your specific mental health needs, doing your research on what kind of mental health professional you’d like to see, and writing down question about things that are important to you before your appointment.
  • Sunflower Health Plan is partnering with the National Alliance on Mental Illness (NAMI) of Kansas to help increase access to educational resources for family members and supporters of those living with mental illness. Through the partnership, Sunflower will support NAMI’s Family-to-Family, a free, 8-session educational program for families, significant others, and friends of people with mental health conditions and Family Support Groups, peer-led support groups for adults with loved ones experiencing symptoms of a mental health condition. The groups allow family members to share their experiences and gain insight from the challenges and successes of others facing similar situations.
  • Sunshine Health recently sponsored the Volunteer Florida’s Healthy Minds Teen Summit, where roughly 75 Florida middle and high school student leaders gathered to talk about normalizing mental health as a critical self-care topic. Breaking the stigma was the number one topic for these teen leaders, who learned about strategies and resources to take back to their peers to help deal with everything from the stresses of everyday life, to dealing with severe trauma. Inspirational speakers helped motivate the teens and shared their stories about mental health. Former college basketball star turned business owner Iman MacFarland introduced three-time Olympic Gymnast Dominque Dawes.
  • Superior HealthPlan released a short video addressing mental illness and what Superior employees need to know about it. The video featured Dr. Sandy Vale, Superior’s lead behavioral health medical director, who talked about what mental illness is, warning signs, and potential treatments.
  • Sutter Health Plus members have premium access to Sanvello at no extra cost as part of their behavioral health care benefits through U.S. Behavioral Health Plan, California. Sanvello is an app that offers on-demand clinically proven techniques to manage symptoms of stress, anxiety, and depression as they happen. By answering a few questions in the Sanvello app throughout the week to assess mood and track activities like caffeine intake, sleep, and exercise, members can identify patterns in their behavior to make positive lifestyle changes. They can also create progress assessments using past mood and health ratings to discover new connections between their experiences and emotions.
  • Leaders at UCare and Kente Circle are seeking make it okay to discuss mental health issues with trusted barbers and stylists. The Confess Project – America’s First Mental Health Barbershop Movement – empowers frontline heroes to support their clients’ mental health and substance use disorder needs. The barbershop or hair salon is often a safe place for clients to discuss their concerns and needs. Armed with the Confess Project training, barbers and stylists will be able to say: “I am more than a pair of clippers. I am improving my community through the barber chair one client at a time.”
  • UCare and mental health providers Alluma and the Amherst H. Wilder Foundation have developed a pilot program to make it easier for prospective mental health professionals to join the field. Through the partnership, UCare will fund $100,000 in stipends for clinical interns as they complete the supervision necessary to graduate from and eventually be licensed in social work, clinical counseling, marriage and family therapy, and other mental health roles. Wilder and Alluma will provide thousands of hours of state mandated supervision at no cost. The pilot will focus on supporting clinical interns from cultural and ethnic minority groups, rural communities, and other underrepresented populations where the workforce needs are greatest.
  • UPMC Health Plan’s Special Needs Plan Severely Mentally Ill team provides community-based care management services to members with a serious mental illness diagnosis. The team services those with the highest needs of physical health and behavioral health indicators as identified by physical, behavioral and pharmacy claims utilization data in a rolling 12-month period. Goals of the program include: care integration for member physical health and behavioral health conditions, development of self-management skills and improved quality of life. Outcomes include improved HEDIS measures, as well as reductions in Emergency Department visits and inpatient admissions. UPMC’s Community Care Behavioral Health Organization, part of the UPMC Insurances Division, is also working with stylists and barbers to develop an innovative community engagement initiative known as Health Access Initiative for Recovery (Our HAIR). This initiative centers on partnering with barbers and stylists in Pittsburgh to build up black and brown communities through increasing familiarity with, comfort around and connection to resources related to behavioral health concerns seen within hair care settings. In the Our Hair initiative, hair stylists/barbers will have an opportunity to participate in a program that teaches them how to talk about and provide resources for mental health and drug/alcohol/substance use concerns within their communities. The goal is to increase engagement, education, and resource dissemination about behavioral health issues within historically underserved communities and to decrease the behavioral health care disparities between Black and White members.
  • UPMC Health Plan provides support to parents as they build resilience with their children to cope with the stresses of the pandemic and beyond. Teaching children the cognitive mental health techniques they need to excel will enhance their strength to overcome common psychological responses (such as insomnia or fear), health risk behaviors, and mental health conditions like depression and anxiety. UPMC providers continue to offer in-person and virtual appointments for members and UPMC Health Plan has several additional resources to assist in addressing children, youth, and parent/guardian behavioral health needs. RxWell, for example, is UPMC Health Plan’s evidence-based mobile app for ages 16 and older to help members become emotionally and physically healthy by building better lifestyle habits. The app combines health coaching support with provider-endorsed techniques, including self-guided exercises and other tools to help members manage stress, anxiety, and depression and reach their health-related goals. Currently there are 7 programs to choose from based on a member’s needs: Depression, Anxiety, Stress, Weight Management, Nutrition, Physical Activity, and Ready to Quit (tobacco cessation).
  • A team of investigators from UPMC Children’s Hospital of Pittsburgh found that a digital application may remove barriers to mental health care and is associated with reduced emotional distress when offered as part of routine pediatric care. The findings were published in Psychiatric Services. UPMC initially studied RxWell™, a digital application developed by UPMC Health Plan to support its members with management of depression and other health and wellness challenges and published positive outcomes in adult users.

Talking about Mental Health at Work

Tools and Partnerships to help your organization raise awareness, reduce stigma surrounding mental illness, and facilitate help-seeking behavior.

If you or a co-worker are in immediate crisis, reach out to a crisis hotline at 800-273-8255 or text 741741. Trained professionals are available to provide confidential support.

MENTAL HEALTH @ WORK

Treatment can help people feel better and perform better. By sharing information and solutions, we can help reduce the stress on employees and company resources.

Tools and Partnerships to help your organization raise awareness, reduce stigma surrounding mental illness, and facilitate help-seeking behavior.

Talking about Mental Health at Work

Putting tasks off, missing deadlines or feeling indecisive. If you notice these signs in a co-worker and it just doesn’t seem right, be courageous and act.

Depression can be lonely and scary but starting a conversation can help a person feel supported. Here are some ways to start the conversation …

How to start the conversation. 

Talking about feelings and emotions may be uncomfortable for some people.  So start by finding a private place to talk and asking, “are you okay?” or “what’s going on, you don’t seem like yourself?” Describe what you’re seeing and how it seems out of character for that person.

Ask twice. 

A person may deflect the conversation if the topic feels uncomfortable. Talking about an issue that makes a person feel vulnerable is often not easy. For many, hearing someone ask “how are you doing,” it makes them think the person asking really does not want to hear anything negative.  We often say that we’re fine when we may not be feeling that way at all.

To get past this natural response, consider asking twice:

“How are you?”

“Fine.”

“Hey…  is everything okay?”

Try extra hard to show sincerity and compassion (through changes in vocal tone and body language) when you ask the second time.  This can really demonstrate your genuine concern for the other person’s wellbeing.

Listen. 

Take a minute to pause and just listen. When people share their feelings, they are vulnerable. Try to listen non-judgmentally and resist jumping in with a proposed solution. The person will benefit just from talking and having a good listener. If the person is defensive, it may be their feelings and emotions responding, so be patient. Try responding with “I just wanted to make sure that you’re okay and to let you know that I’m here if you ever want to talk.”

Ask for more context, don’t answer. 

Instead of a quick response or offering solutions, ask follow-up questions. You might ask why the person thinks that he or she feels this way or what is needed to feel better.  Ask if the way the person is feeling is impacting his or her daily life. You may also ask whether the person has considered talking with someone who can help. It is easier for someone to seek help if they find the answer themselves, rather than being told how to fix it.

Provide support. 

It is common to sometimes feel stressed, lonely, overwhelmed, frustrated, sad, and depressed. Let your co-worker know that it is okay to feel that way and it is a natural part of the human experience. It’s when it interferes with daily life that it’s time to consider getting help. Express your willingness to help with supportive statements like:

“I want to support you. Let’s talk about how I can help.”

“What can I do to help?” or “How can I help?”

Follow up. 

Be sure to check back in whether the person accepted your offer of support or not. This sends the clear message that you care and are there for support. Also, keep conversations and information shared with you confidential unless you’re worried a person may pose a danger to him or herself or others. In those cases, talk to HR, a manager or someone you trust immediately. Self-harm or potential harm to others require immediate attention.

Remember, a person may not be ready to talk or seek help. Remind him or her that you’re here to help when it is needed.

https://www.shatterproof.org/

If you or a co-worker are in immediate crisis, reach out to a crisis hotline at 800-273-8255 or text 741741. Trained professionals are available to provide confidential support.

Right Direction is an initiative from the American Psychiatric Association Foundation’s Center for Workplace Mental Health and Employers Health, a professional benefits organization. Right Direction is supported by Takeda Pharmaceuticals U.S.A., Inc. (TPUSA) and Lundbeck U.S. The information on this website is not intended to replace medical advice from your doctor. ©2013 – 2021 Right Direction.

Resources to Pay for Prescription Drugs

Insurance companies regularly update their formularies to classify drugs under certain payment categories. It’s best to ask your doctor to help you find out what payment category your drug is in before you go to the pharmacy to avoid an unpleasant surprise when the bill arrives.

However, many prescription medications for mental health conditions are very expensive and even with health insurance, you can find yourself paying a lot for a prescription.

Help Paying For Medication

The ongoing cost of prescription medications can be a challenge, especially if you are taking more than one prescribed medication.

Some pharmaceutical companies offer prescription assistance programs to individuals and families with financial needs. These programs typically require a doctor’s consent and proof of your financial status. They may also require that you have either no health insurance or no prescription drug benefit through your health insurance.

In addition, there are county, state, and national prescription programs for which you may qualify and special drug discount cards offered by some pharmaceutical companies.

The Partnership for Prescription Assistance can help qualifying patients without prescription drug coverage get the medicines they need through the program that is right for them. Many will get their medications free or nearly free. For more information, visit http://www.pparx.org/ or call 1-888-477-2669.


Cutting Costs

It is important to let your doctor know if you cannot afford your prescriptions. In some cases, they may be able to give you free samples of your medications. Discuss with your doctor if switching to generic drugs or less expensive brand-name prescription drugs is a safe option for you.

When a doctor determines that a brand name medication is medically necessary for you or if you are seeking a generic that is identical to the brand but you have trouble affording the higher cost of the brand name medication, a third option may be available. This third option is an authorized generic. An authorized generic medication is a medication made by the original creator of the drug, using the exact same formula (including inactive ingredients) as the original drug. It is manufactured by the maker of the brand name medication and distributed by a special generics division of the drug company. An authorized generic medication will cost the same as a generic medication. But you may have to specially request it from your pharmacy because they may not keep it in stock. Not all medications are available in authorized generic form, but you can check to see if yours is at www.authorizedgenericmedicines.org/product-finder.

Another way to cut costs is to compare the prices of your prescription drugs at different retail pharmacies (CVS vs Walgreens vs Walmart, etc.). Many retail pharmacies list their prices for commonly prescribed drugs online. You can also call local pharmacies to request prices for your medications.

Consider using a prescription savings card such as FamilyWize as another way to cut costs. FamilyWize, a trusted MHA partner, is a community service partnership focused on enabling everyone, both insured and uninsured, to have access to more affordable medications.  

The FamilyWize Prescription Discount Card: 

  • Is FREE for all
  • Has no eligibility requirements
  • Gives you discounts on your meds, whether you have insurance or not
  • Saves you an average of 54% on mental health medications

FLORIDA: Policing Reforms to Reduce Violence Against Minorities Effective Immediately

House Bill 7051, the package of policing reforms negotiated this spring by members of Florida’s Legislative Black Caucus and Republican leaders, was signed into law late Tuesday by Gov. Ron DeSantis, along with 93 other approved bills. The reforms take effect immediately and would impact not only minorities but other people facing trouble with the law.

House Bill 7051, the package of policing reforms negotiated this spring by members of Florida’s Legislative Black Caucus and Republican leaders, was signed into law late Tuesday by Gov. Ron DeSantis, along with 93 other approved bills. The reforms take effect immediately and would impact not only minorities but other people facing trouble with the law.

Policing reforms to reduce violence against minorities and others take effect immediately

New limits on use of force by police, new training standards, and greater focus on identifying dangerous police practices are now in effect in Florida, though Black legislative leaders say those efforts don’t go far enough.

House Bill 7051, the package of policing reforms negotiated this spring by members of Florida’s Legislative Black Caucus and Republican leaders, was signed into law late Tuesday by Gov. Ron DeSantis, along with 93 other approved bills. The reforms take effect immediately and would impact not only minorities but other people facing trouble with the law.

State Rep. Fentrice Driskell, a key sponsor of the reforms, said they constitute a first step toward safer relations between police and people of color in Florida and that the bipartisan legislative effort is worthy of celebration.

“I’m very glad to see the governor sign this into law. The entire Legislature should be proud of it,” Driskell, a Hillsborough County Democrat, told the Phoenix in a phone interview.

That said, the new policing law doesn’t ban chokeholds and vascular neck restraints but limits the use of them to encounters when an officer “perceives an immediate threat of serious bodily injury or death to himself, herself, or another person.” That kind of restraint was used of by former Minneapolis policeman Derek Chauvin, now convicted of murder, to kill George Floyd, an unarmed, handcuffed suspect in his custody.

The killing of Floyd in May 2020, recorded on video seen around the world, ignited national and international protests against police brutality and inspired a movement for policing reform.

Members of the Black Caucus, led by Rep. Driskell and Sen. Randolph Bracy, an Orlando Democrat, said when the reforms were approved in the final days of the 2021 legislative session, they were considered a good first step for preventing deadly encounters between police and the policed.

The reforms do not include, for instance, requirements that Florida law enforcement officers use bodycams and dashboard cameras to record their activities, as was sought by Black Caucus members and their allies.

“Police reform is long overdue in this state and this country. … People of color are disproportionately affected and in some horrifying cases have cost someone their life,” House Co-leader Bobby DuBose, a Broward Democrat, said in a press statement on Wednesday.  “We will continue having conversations with our communities and law enforcement agencies to propose new legislation at the state and federal levels to ensure there is fair and just policing for all.”

Sen. Bobby Powell, a Palm Beach Democrat and chair of the Florida Legislative Black Caucus, said [This law] acknowledges there is a systemic issue in the hiring, training and accountability of law enforcement and correctional officers. I am hopeful that this is the first step of many towards substantial change.”

On Wednesday, Police Chiefs Association President and Satellite Beach Police Chief Jeff Pearson praised the new law in a statement to the Phoenix:

“In the wake of George Floyd’s murder last year, the Florida Police Chiefs Association established a Subcommittee on Accountability and Social Change that hosted over 23 meetings with community leaders to determine how law enforcement can better serve communities. Their recommendations largely formed the basis for HB 7051.”

Pearson wrote that the new law “approaches reform correctly — factual and balanced, ever mindful of the dedication and sacrifice of law enforcement officers, but equally committed to public safety and accountability.”

Pearson said the subcommittee is working to finalize a detailed report of additional recommendations “that law enforcement and community leaders can use to continue making progress together.”

The new law also:

/Requires an officer who observes another officer engaging or attempting to engage in excessive use of force to intervene;

/Require law enforcement agencies to report quarterly to the Florida Department of Law Enforcement on use-of-force incidents that result in serious bodily injury, death, or the discharge of a firearm at a person;

/Require applicants for law-enforcement, corrections or probation jobs to disclose their history of any pending criminal, civil, or administrative investigation;

/Require a law enforcement or correctional agency to maintain records on why an officer was terminated, resigned or retired;

/Requires the Criminal Justice Standards and Training Commission to establish standards for police training in use of force, and requires agencies to develop policies in proportional use of force and de-escalation techniques;

/Establishes that an officer has a duty to render medical assistance to a person in custody who is injured by an officer’s use of force;

/Requires instruction on recognizing symptoms and characteristics of a person with a substance abuse disorder or mental illness and how to appropriately respond;

/Requires independent reviews of officers’ use of force resulting in a death or the intentional firing of a firearm resulting in injury or death;

/Prohibits children younger than seven from being arrested, except if the child commits a forcible felony.

The Police Chiefs Association is holding its annual summer conference in Plantation. Association President Pearson will step down, and his successor, Stephan Dembinsky, director of the Daytona Beach Shores Public Safety Department, will be installed as the new president tonight, said association spokesman William Stander.

Rep. Driskell was invited to speak at the conference but was unable to attend.

The Florida Sheriffs Association has not yet responded to a request for comment.

Florida Phoenix is part of States Newsroom, a network of news outlets supported by grants and a coalition of donors as a 501c(3) public charity. Florida Phoenix maintains editorial independence. Contact Editor Diane Rado for questions: info@floridaphoenix.com. Follow Florida Phoenix on Facebook and Twitter.

Payer Notice regarding the implementation of Senate Bill 855, Mental Health and Substance Use Disorder Coverage

Carenodes Health Enterprise
Office of the Executive

Dear Health Plan Representative,

Please see attached Notice regarding the implementation of Senate Bill 855, Mental Health and Substance Use Disorder Coverage.



Carenodes Health Enterprise 

Office of the Executive 


Dear Health Plan Representative, 



Please see attached Payer Notice regarding the implementation of Senate Bill 855, Mental Health and Substance Use Disorder Coverage.


 


February 25 , 2021

 

TO:  PAYER PARTNERS

 

 

RE:  DMHC All Plan Letter directing commercial full-service health plans and  specialized health plans offering behavioral health services to demonstrate  compliance with the amended California Mental Health Parity Act (SB 855, 2020).

 

On Jan. 5, the Department of Managed Health Care (DMHC) issued All Plan Letter (APL) 21-002 to all commercial full-service health plans and specialized health plans offering behavioral health services that are regulated by the department. The guidance is designed to ensure health plans comply with amendments made to Senate Bill (SB) 855 (Wiener, D-San Francisco), the mental health and substance use parity law that took effect on Jan. 1.   


SB 855 requires commercial health plans and insurers to provide full coverage for the treatment of all mental health conditions and substance use disorders. It also establishes specific standards for what constitutes medically necessary treatment and criteria for the use of clinical guidelines. The APL outlines filing and compliance requirements of plans, including revised policies and procedures to accommodate new coverage requirements and implementation procedures related to utilization review of covered benefits. 


In addition, the 2020-21 state budget approved strategies to strengthen enforcement of behavioral health parity laws, including focused investigations of commercial health plans regulated by DMHC. These investigations, which are expected to begin in the first quarter of 2021, will help DMHC further evaluate health plan compliance with parity and assess whether enrollees have consistent access to medically necessary behavioral health care services. 





Sincerely,

 




 

A Alex Yarijanian

Chief Executive Officer and Founder

Alex@carenodes.com

(310) 626-0149 (main)

(310) 525-5498 (direct)




Health Care Consumer Assistance

Department of Managed Health Care (DMHC) Help Center
Assistance with problems with health coverage and with health plan grievances and appeals.
http://www.Healthhelp.ca.gov 


California Department of Insurance
Assistance with health insurance problems for non-managed care plans
1-800-927-4357
http://www.insurance.ca.gov 


Health Consumer Alliance
Consumer assistance program to help people with low incomes get the health care they need.
1-888-804-3536
http://www.healthconsumer.org/


HICAP (California Health Insurance Counseling and Advocacy Program)
Information, counseling, and assistance for people who have or will soon have Medicare
1-800-434-0222
http://www.aging.ca.gov/hicap/


MediCaManaged Care Ombudsman
Assistance for people enrolling in or changing Medi-Cal managed care plans
1-888-452-8609
http://www.dhcs.ca.gov/services/medi-cal/Pages/MMCDOfficeoftheOmbudsman.aspx





Payer Notice regarding the implementation of Senate Bill 855, Mental Health and Substance Use Disorder Coverage

Carenodes Health Enterprise
Office of the Executive

Dear Health Plan Representative,

Please see attached Notice regarding the implementation of Senate Bill 855, Mental Health and Substance Use Disorder Coverage.

← Back

Thank you for your response. ✨

 

 

 

 

Carenodes Health Enterprise 

Office of the Executive 

 

Dear Health Plan Representative, 

 

 

Please see attached Payer Notice regarding the implementation of Senate Bill 855, Mental Health and Substance Use Disorder Coverage.

 

 

 

 

 

 

February 25 , 2021

 

TO:  PAYER PARTNERS

 

 

RE:  DMHC All Plan Letter directing commercial full-service health plans and specialized health plans offering behavioral health services to demonstrate compliance with the amended California Mental Health Parity Act (SB 855, 2020).

 

On Jan. 5, the Department of Managed Health Care (DMHC) issued All Plan Letter (APL) 21-002 to all commercial full-service health plans and specialized health plans offering behavioral health services that are regulated by the department. The guidance is designed to ensure health plans comply with amendments made to Senate Bill (SB) 855 (Wiener, D-San Francisco), the mental health and substance use parity law that took effect on Jan. 1.   

 

SB 855 requires commercial health plans and insurers to provide full coverage for the treatment of all mental health conditions and substance use disorders. It also establishes specific standards for what constitutes medically necessary treatment and criteria for the use of clinical guidelines. The APL outlines filing and compliance requirements of plans, including revised policies and procedures to accommodate new coverage requirements and implementation procedures related to utilization review of covered benefits. 

 

In addition, the 2020-21 state budget approved strategies to strengthen enforcement of behavioral health parity laws, including focused investigations of commercial health plans regulated by DMHC. These investigations, which are expected to begin in the first quarter of 2021, will help DMHC further evaluate health plan compliance with parity and assess whether enrollees have consistent access to medically necessary behavioral health care services. 

 

 

 

 

Sincerely,

 

 

 

 

A Alex Yarijanian

Chief Executive Officer and Founder

 

 

 


Health Care Consumer Assistance

Department of Managed Health Care (DMHC) Help Center
Assistance with problems with health coverage and with health plan grievances and appeals.
www.Healthhelp.ca.gov 

 

California Department of Insurance
Assistance with health insurance problems for non-managed care plans
1-800-927-4357
www.insurance.ca.gov 

 

Health Consumer Alliance
Consumer assistance program to help people with low incomes get the health care they need.
1-888-804-3536
www.healthconsumer.org/

 

HICAP (California Health Insurance Counseling and Advocacy Program)
Information, counseling, and assistance for people who have or will soon have Medicare
1-800-434-0222
www.aging.ca.gov/hicap/

 

MediCaManaged Care Ombudsman
Assistance for people enrolling in or changing Medi-Cal managed care plans
1-888-452-8609
www.dhcs.ca.gov/services/medi-cal/Pages/MMCDOfficeoftheOmbudsman.aspx

 

 

 

 

 
 

 

Carenodes Behavioral Health Case Management

ETHOS AND PROGRAM DESIGN

The central premise of the Carenodes Behavioral Health Case Management (BHCM) Program is to promote collaboration between all treating providers, ensuring coordination between medical care and behavioral health care. Once members are identified, Behavioral Health Care Managers outreach / consult with our community partners in medical and behavioral health practice settings. Our program supports the treatment planning needs of providers with respect to behavioral health services and often provides consultation/ suggestions for modifications in current care. This coordination is performed through various avenues including

  • Notification letters to physicians informing them that their patients are engaged with the program,
  • Telephonic outreach calls,
  • Opportunity/option for physician peer-to-peer consultation when needed.

The essence of behavioral health management is ensuring that we direct our members to the right services at the right time.

Our triage and tracking processes include specialized support during service level transitions, such as a discharge from inpatient to outpatient follow-up treatment to ensure that members are attending follow up appointments with community providers within 7 days of hospital discharge. In addition, we utilize a readmission risk algorithm, which identifies members most at risk for readmission to inpatient hospital care. Specialty services are also offered to members diagnosed with eating disorders, maternal mental health issues, families of children and adolescents with a recent inpatient psychiatric stay, and members referred from community providers affiliated with Enhanced Personal Health Care. Also, consenting members engaged in medical care management programs with a positive PHQ2 depression screen or any other BH condition impeding the member’s ability to manage their medical condition are routed to BH for intervention.

Clinical Team/Patient/Family Engagement

Our clinicians work with the member and their family to:

  • Understand the options available for behavioral health treatment, utilize insurance benefits for the lowest possible out of pocket cost, and decrease unnecessary health care expenditures
  • Advocate for the coordination of all care, both medical and behavioral health
  • Educate on symptoms and condition management to prevent future inpatient hospitalization stays
  • Discuss and identify barriers to treatment compliance and offer resources and support to overcome them
  • Improve overall health outcomes for improved quality of life