We have posted the 3 presentations on the T-ACT archives. You can download them separately or as one zipped file. Below is a brief summary:
- Mary Armstrong, Georgetown University: presented information on a national study she is conducting that identifies the different strategies used by states to modify organizational and financing arrangements to implement systems of care.
- Beth Baxter & Dave Hoyt, Kearney, Neb.: presented information on the implementation within a 22-county area of south central Nebraska, including the role of a family advocacy organization in supporting services and evaluation activities.
- David Cygan, Nebraska Health and Human Services System: presented information on how the state worked with Medicaid, child welfare, and block grant systems to finance systems of care.
- Magellan operates in Nebraska and was involved in their process.
- The state permitted reimbursement for screenings for mental health and substance abuse problems through its EPSDT program.
- Participants emphasized the importance of having an accurate accounting of what services are provided through what funding streams in order to know the full implications of any changes to the system.
- They also stressed the importance of starting with a clearly defined target population. For example, one might want to target youth transferred out-of-state, a traditionally expensive treatment option. A broader population will work so long as all the stakeholders agree on the definition and the importance of the addressing their needs.
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