Identifying Opportunities to Advance Coordination and Integration of Physical and Behavioral Health Programs in California’s Safety Net

2016
Prepared for
California HealthCare Foundation

The myriad of federal and state initiatives designed to serve enrollees in California’s Medicaid program, Medi-Cal, with comorbid physical and behavioral conditions challenges California providers and health plans to transform care while meeting the varying requirements of these different programs. Conflicting program rules on care coordination, covered services, and target populations may open service gaps for members of some populations or duplicate services for others.

With funding from the California Healthcare Foundation, Mathematica Policy Research is reviewing the rules and requirements for a number of California programs that are intended to help providers and plans integrate behavioral and physical health services. The review will focus on programs initiated at the federal and state levels, as well as innovative programs initiated by Medi-Cal managed care plans.

Our team will produce a set of comparative matrices and an analytic report summarizing incompatibilities between programs that can lead to implementation challenges and access barriers. We will also identify opportunities for alignment and coordination of efforts among providers and health plans.