Report by Texas Council of Community Centers – “Redesigning the Publicly-Funded Mental Health System in Texas”

On September 25th, 2012, the Texas Council of Community Centers released a draft of a report called, “Redesigning the Publicly-Funded Mental Health System in Texas”. The report is the result of the Healthcare Opportunities Workgroup (HOW), an effort led by the Texas Council. You can read the report here: http://www.txcouncil.com/userfiles/file/HOW/System%20Redesign%20DRAFT%209%2025%2012%20UPDATED%20FINAL.pdf

The draft report contains the following 3 recommendations:

1. Carve-in Medicaid covered mental health services into the STAR and STAR+PLUS Health Maintenance Organization (HMO) plans.

  • Ensure access to vital Medicaid services that enhance and support recovery including psychiatric, rehabilitative skills training and counseling services for adults with serious mental illness and children with serious emotional disturbance through a designated benefit package and capitation rate in managed care.
  • Require STAR and STAR+PLUS plans to support and fund designated Health Homes for adults with Serious Mental Illness and children with Serious Emotional Disturbance.
  • Require STAR and STAR+PLUS plans to establish a network of comprehensive mental health providers by contracting with DSHS certified private and public Medicaid Mental Health Rehabilitation providers.

2. Retain local control over important community decisions related to public mental health services through the network of Local Mental Health Authorities.

3. Strengthen community mental health and substance use disorder services by leveraging the 1115 Transformation Waiver to maximize federal revenue as a match to state and local funding expended for indigent care.

The Texas Council is seeking input on this draft report. If you have comments to provide, please submit them at the following link by close-of-business on Friday, October 19, 2012: https://www.surveymonkey.com/s/6PJ9SWQ

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