In 2007, the Governor of Minnesota proposed a mental health initiative, which Congress passed. One of the key elements of this initiative was the law that modified Minnesota's two programs for uninsured people, general aid medical care and Minnesota care to increase comprehensive mental health and addiction benefits.
Who is eligible?
General aid medical care covers those who have incomes less than 75% of federal poverty level and who meet one or more additional criteria known as qualified general medical care care. Qualified individuals include waiting or attractive things for assessment of faults by the Social Security Administration or the State Medical Review Team. Egypt is homeless, lives in shelter, hotel, or other public facility location.
Minnesota Care covers pregnant women, parents and guardians up to 275% of federal poverty levels, unless parents and carers' total revenue can exceed $ 50,000. By January 1, 2008 single adults who do not have children will rise to 200% of the federal poverty level and will rise to 215% of the federal poverty level by 1 January 2009.
What services are covered?
Minnesota Care has a $ 10,000 limit on hospitalization for federal poverty levels and any state (physical, mental health, or addiction) for parents over 175% of adults without children. For general aid medical care, the hospital allowance is completely covered. Both programs cover chemically-dependent outpatient services. Intensive outpatient and resident mental health services are available.
What is the cost?
In Minnesota, Medicaid Interim Aid, General Assist Medicine, and Minnesota Care for poor families are included in a comprehensive non-profit health plan that is responsible for the performance of total health benefits, including behavioral health. We planned a mental health rehabilitation service for Minnesota Care (including individual and group rehabilitation services of mental health services, assertive community treatment, intensive housing treatment, mobile and home crisis services) per person for $ 3.40 per month. In the case of general aid medical treatment including homeless population, it was 7.01 dollars per person per month. Additional target case management services were expected at $ 2.22 per capita in Minnesota State Care and $ 7.66 for General Assisted Medical care.
The Legislature approved an additional total of $ 1 million in 2008 and $ 3.5 million in 2009 to add adult rehabilitation services and case management to Minnesota Care. State funds that were previously subject to incident management were transferred from county to province in 2009 and amounted to $ 4.4 million.
What led to comprehensive coverage?
The state collects data on Minnesota Care, general aid medical care, and the residents of the Medicaid Management Care Plan that serve the unaffected population and the growing number of individuals with serious psychosis in these plans . Several insurance reforms similar to those included in the national health care reform bill include guaranteed problems of small and large group plans, taxpayered rate bands, parity of mental health and chemistry-dependent services, Medical loss rate, high risk insurance pool, others. In lawsuits by lawyers' offices, attention was drawn to refusal of health insurance for payment of treatment by court orders, such as civil lawsuits and home care for young people.
If the court is based on decisions on diagnostic assessment and care plans developed by qualified experts, the health plan resolved with the consensus that behavioral and mental health benefits would be covered by health insurance. In addition to serving court orders, state contracts and trafficking with prepaid health programs (Minnesota State Care and General Assisted Medicine) involve the risk and responsibility of 180 day service of mental illness facilities, nursing homes or nursing homes Health coordinated to adjust, treatment by court order included. It also improves collaboration with behavioral medicine, primary care, and other necessary services, and reduces costs and improves outcomes for commercial and non-disabled Medicaid clients that have provided more intensive community-based mental health services Succeeded.
In these demos, the investment amount is 0.38 dollars / person / month, and a health plan to manage the increase in risk due to some insurance reforms such as parity, definitions of legal definitions of medical necessity, court order treatment regulations A tool was obtained.
The state backed comprehensive coverage as it was provided to provide mental health and poisoning services in Minnesota as part of mainstream medical care. Minnesota mental health authorities and other holders need to move because of the need to change psychiatric disorders from historical treatment to diseases such as other diseases as social diseases. They wanted to promote previous interventions and not to move registrants between different programs to access specific services. In order to operate this change, we had to rethink the process that is common to the decision of medical needs, medical institution qualification, contract, procedure code and other private insurance plans.
How did you go through the political process?
Three factors contributed greatly to the political vitality of expanding benefits in the Minnesota State Care and General Assistance Medical Care program.
>> Minnesota Governor and the administration provided powerful leadership. The provisions for expanding mental health benefits in these institutions were part of the governor's mental health initiative formulated before the 2007 legislative meeting.
>> A very powerful coalition of stakeholders formed a mental health behavior group. This group co-funded by representatives of the human services department, including representatives of private insurance industry, organizational and knowledgeable advocacy and provider community.
>> There was strong support in the legislature on members of the Finance Committee of the house with schizophrenic son, expansion of Minnesota State Care and general aid medical benefits. The establishment of the mental health department at the Health and Welfare Policy Committee also helped to advance policy discussion.
Why does this approach to health care reform work?
Community Behavior According to a recent survey of health organizations, we found that an average of 42% of service refunds comes from private insurance companies. Although this represents the average, this survey found that the refund source had a considerable range. For regional action health organizations specializing in services such as self-assertive community treatment and case management, Medicaid is one of the main redemption sources, either service rent or managed care.
Refunds from private insurance and Medicaid management care are uniformly superior to Medicaid's service usage fee. In addition to higher rates, private insurance companies and Medicaid managed nursing care organizations offer special contracts for service packages for crisis management, hospital discharge and aftercare.
EmoticonEmoticon