BH IPA Hospital Discharge Planning Initiative

March 23, 2024

We wanted to make sure ALL NYS Council members have the information (below) that includes notice of a new funding opportunity and corresponding materials (3 docs attached) sent to BHCC/BH IPA leads yesterday afternoon.

See below and attached.
———- Forwarded message ———
From: VBP-Readiness <VBP-Readiness@omh.ny.gov>
Date: Fri, Mar 22, 2024 at 2:16 PM
Subject: BH IPA Hospital Discharge Planning Initiative
To: VBP-Readiness <VBP-Readiness@omh.ny.gov>

BH IPA Partners:

New York State is excited to announce the launch of a value-based funding opportunity, the BH IPA Hospital Discharge Planning Initiative, pending CMS approval. This initiative is intended to improve statewide hospital discharge planning and connection to community services in alignment with other NYS initiatives.

Please review the attached documents:

  1. March 2024 – Application – BH IPA Hospital Discharge Planning Initiative (Word document)
    1. Appendix A – Agency Submission Template – BH IPA Hospital Discharge Planning Initiative (Excel workbook)
  2. March 2024 – Program Guidance – BH IPA Hospital Discharge Planning Initiative (PDF document)

Please note: 

  • All BH IPAs are eligible to apply for this initiative, either individually or as a group.
  • To be considered for an award, BH IPAs, either individually or as a group, must meet or exceed a minimum Medicaid managed care recipient member attribution threshold. Applications below this threshold will not be funded. More details are available in the Program Guidance (attached) and will be discussed during the technical assistance walkthrough, registration linked below.
  • Eligibility and awards will not be made prior to the beginning of Performance Period 1, which starts April 1, 2024.

BH IPA Next Steps:

  • Completed applications are due May 3, 2024. Please submit application package to VBP-Readiness@omh.ny.gov, Subject: Hospital Discharge Planning Initiative Application: [Name of BH IPA or BH IPAs]
  • Register here for a technical assistance walkthrough, scheduled for Tuesday, April 2, 2024 at 9:30 AM.
  • Please confirm receipt by responding to this email. Please direct questions to VBP-Readiness@omh.ny.gov.

NYS BH VBP Readiness Team

From: VBP-Readiness <VBP-Readiness@omh.ny.gov>
Sent: Friday, February 16, 2024 1:33 PM
To: VBP-Readiness <VBP-Readiness@omh.ny.gov>
Subject: BH IPA Funding Opportunity: Update
Importance: High

BH IPA Partners:

This is a status update on the potential BH IPA funding opportunity: Hospital Discharge Planning Initiative (announcement attached). This initiative is intended to improve statewide hospital discharge planning and connection to community services in alignment with other NYS initiatives.

Although CMS approval has not yet been received, the application process for this potential funding opportunity will be available in the next few weeks. Eligibility and awards will not be made prior to the beginning of Performance Period 1, which starts April 1, 2024.  

Payment Arrangement Details:

• Payment 1 – comprised of 70% of total award released upon contract between awardee and MCO. To retain this payment, the awardee must improve from baseline for at least one performance measurement goal in at least one system (either mental health or addiction) during Performance Period 1 (PP1) April 1, 2024 – September 30, 2024.

• Payment 2 – comprised of 30% of total award. BH IPAs must retain progress within a NYS-defined range on at least one PP1 goal AND improve or retain progress from PP1 on at least one goal from the other domain (mental health or addiction disorder) to retain remaining 30% of award, during Performance Period 2 (PP2) October 1, 2024 – March 31, 2025.

Performance measures:

There are two substance use disorder and two mental health measures:

  1. Initiation of Pharmacotherapy Upon New Episode of Opioid Dependence (POD-N)
  2. Follow-up After High-Intensity Care for Substance Use Disorder (FUI) (7-Day Follow-up)
  3. 7 Day Follow-up after a Mental Health Hospitalization
  4. Engagement in Community Based Mental Health Care After a Mental Health Hospitalization

The State will release the Technical Specifications detailing the definition, numerator, and denominator for these four performance measures soon.

Upon release of application, NYS will provide technical assistance regarding funding structure, application, and program guidance.

Please forward any questions to the VBP Readiness mailbox, VBP-Readiness@omh.ny.gov

NYS BH VBP Readiness Team