Fall 2018 NAMD Conference

 

 

Thank you for visiting Beacon at the Fall 2018 NAMD Conference.

Beacon has more than 35 years of experience delivering specialty behavioral health services across the nation. We operate Medicaid and other publicly funded programs in 24 states and the District of Columbia, serving approximately 14 million members through direct-to-state contracts and health plan partnerships. We work with more than 40 health plans serving all segments of the Medicaid population.

Beacon helps payers integrate and manage mental health and substance use disorder treatment across all services and settings. We combine tailor-made solutions at the local level with a true understanding of the populations we serve: ABD/SSI enrollees, dual eligibles, persons with serious mental illness, people coping with addiction, people with intellectual/developmental disabilities, children involved in the child welfare or foster care system, Special Needs Plan members, the chronically homeless, and others facing complex challenges. Beacon is also the largest specialty payer for autism services in the country.

Programs Serving People with Intellectual/Developmental Disabilities

We are singularly focused on behavioral health services including support for addiction, anxiety, depression, and substance use disorders, which are especially important for persons with complex needs, like older adults and individuals with disabilities. We have extensive experience working with state agencies, counties, and Essential Community Providers to develop customized programs that meet the behavioral health needs of their Medicaid beneficiaries.

For example, in Arkansas, Beacon is part of a Provider-led Arkansas Shared Savings Entity, known as Empower Healthcare Solutions (Empower), that addresses the health care needs of Medicaid beneficiaries with complex behavioral health and intellectual and developmental disabilities (IDD) service needs. Under the Empower model of care, we help ensure individuals with IDD receive the right care, in the right setting, at the right time to improve health outcomes and manage total health care costs. We conduct comprehensive data analysis to identify all of the individual’s treating providers and include their input when developing the individuals’ person-centered care plan.

Functioning much like a health home, Empower’s Care Coordinators are the single point of contact across all the individual’s service providers, including medical, pharmacy, behavioral health, intellectual and developmental disability, and long-term support services. These Care Coordinators monitor integrated service delivery through regular contacts with the individual and ongoing communication with his or her providers, establishing linkages to family service agencies, community services organizations, the court system, schools, and other appropriate resources.

We also support Georgia’s public, integrated behavioral health and IDD services system as part of the Georgia Collaborative Administrative Services Organization (the Collaborative).  Working with the Georgia Department of Behavioral Health and Development Disabilities network of more than 600 providers, the Collaborative supports person-centered, whole-health, culturally sensitive supports and services to children, adolescents and adults. It is comprised of three partner companies: The Georgia Crisis and Access Line (GCAL), Beacon Health Options (Beacon), and Delmarva Foundation.

Beginning in January, Beacon will provide administrative service functions for the Lakeshore Regional Entity (LRE), a Michigan Prepaid Inpatient Health Plan. The LRE service population is comprised of approximately 257,000 individuals with mental illness, developmental disabilities, or substance use disorders who reside in the seven West Michigan counties. LRE members include five Community Mental Health Services Programs (CMHSPs) who are Essential Community providers. Together, we are implementing best-in-class managed care systems and services to enhance the public safety net system.

Through these programs and others, Beacon combines tailor-made solutions at the local level with a true understanding of IDD populations and the challenges they face in gaining long-term independence. We believe these individuals are best served in the least restrictive setting possible – preferably in their own homes and communities. Beacon makes this possible through a clinical approach that identifies and assesses the individuals’ behavioral health needs, strengths, and environmental setting. We treat members at the point of care where they are comfortable by applying a person-centered approach that incorporates shared decision-making, care integration, self-management, and wellness.

For more information about our specialty programs in Arkansas, Georgia, or Michigan or to learn how Beacon can help your organization, please email us at: development@beaconhealthoptions.com.