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Substance Use Disorder

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RCPA would like to thank Charles G. Curie, Principal, The Curie Group, LLC; Jennifer Black, Vice President of Business Development, Beacon Health Options; Michael Quinn, CEO, Chestnut Ridge Counseling Services; and Doyle Forrestal, Chief Executive Officer, Colorado Behavioral Healthcare Council, for presenting in Discussing Moving Beyond the Carve-out/Carve-in Debate webinar offered today. The materials from the presentation can be found here.

As a follow-up, RCPA will make available questions asked during the session along with corresponding answers/comments. Please submit any additional follow-up questions to Tina Miletic.

We thank you for your participation. Additional correspondence will be issued in the following week.

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RCPA is pleased to offer this webinar on Tuesday, January 25, 2022, at 1:00 pm to discuss moving beyond the Carve-out/Carve-in debate.

In an age of integrated care, specialty behavioral health care matters. For more than two decades, the debate of what to do in Medicaid managed care with physical health care (PH) and behavioral health care (BH) centered on the question: should a state carve-out BH from PH managed care contracts or carve-in BH to PH managed care contracts? This presentation will focus on the most current answers to that question. Please register here if you have not registered yet for this event.

Presenters include:

Panelists will review:

  • Pennsylvania’s Behavioral HealthChoices;
  • Discuss managed care models utilized in other States; and
  • Asses how the debate is changing from carve-out vs. carve-in to a focus on contractual standards and accountability.

Achieving whole-person care and addressing social determinants of health by doing specialty behavioral health care directly through various Medicaid managed care approaches will be considered. While there will be an opportunity to ask questions at the time of the presentation, we encourage you to submit questions in advance to Tina Miletic.

Please register here to attend this webinar. We look forward to your participation!

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Anthem Foundation is making up to $30 million available over the next three years to support substance use disorder programs that address an array of care and service options, including prevention and early intervention, crisis response and interventions, long-term intervention, and community resources and recovery supports.

Qualified nonprofit organizations with a history of proven, programmatic community initiatives are invited to apply for funding. Although Pennsylvania has not been specifically identified as a local area of focus, Pennsylvania providers can qualify under the National Programs of Emphasis category. More information about funding guidelines and eligibility is available. The deadline to submit applications is January 31, 2022.

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The Pennsylvania Department of Drug and Alcohol Programs (DDAP) announced today that Dr. Michael Lynch, UPMC Health Plan Medical Director of SUD Services, has been named Medical Director of DDAP. DDAP’s announcement follows last Wednesday’s announcement by RCPA of the creation of the new position.

Dr. Lynch, who will continue his full-time role with commercial insurer UPMC Health Plan, is board-certified in emergency medicine, medical toxicology, and addiction medicine.

In this position, Dr. Lynch will advise and assist DDAP in the development of policy and procedures related to medical best practice as well as advances related to substance use disorder (SUD) treatment, including:

  • Providing technical assistance to SUD treatment providers and physicians in PA’s system of care, including the application of the ASAM criteria;
  • Developing projects to improve delivery of care to individuals with SUD;
  • Researching and reviewing new technologies and procedures, reviewing pertinent medical literature, and presenting findings and recommendations to appropriate entities regarding SUD, opioid use disorder, and medication-assisted therapies;
  • Educating stakeholders and providers relative to medication-assisted therapies as well as drug, alcohol, and narcotic treatment regulations; and
  • Developing new workflows and processes to increase quality improvement measures for DDAP and treatment providers.

Dr. Lynch graduated from the University of Notre Dame and University of Pittsburgh School of Medicine before completing his residency in emergency medicine and fellowship in medical toxicology at the University of Pittsburgh. He is an assistant professor of Emergency Medicine and Pediatrics at the University of Pittsburgh and works in the emergency departments at UPMC Presbyterian and Mercy Hospitals. The toxicology service at UPMC is one of the busiest in the country, seeing patients at five Pittsburgh hospitals as well as providing inpatient addiction and telemedicine treatment. Dr. Lynch is the Medical Director of the Pittsburgh Poison Center and of SUD Services at UPMC Health Plan, and he continues to serve on the Boards of Directors for the PA College of Emergency Physicians and the American Association of Poison Control Centers.

UPMC Health Plan is the commercial insurance arm of UPMC. Community Care Behavioral Health, UPMC’s behavioral health managed care organization, is a sister company and the largest behavioral health Medicaid payer in the commonwealth. Both UPMC and Community Care Behavioral Health are RCPA members.

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