Behavioral Health Redesign Evaluation

Ohio’s Behavioral Health Redesign is a transformative initiative aimed at expanding access to mental health and addiction treatment services. Under the leadership of the Governor’s Office of Health Transformation (OHT), the Ohio Department of Medicaid (ODM) and Ohio Department of Mental Health and Addiction Services (OMHAS) are collaborating to implement behavioral health reforms and enhance the quality of care delivered to Ohio residents. The primary goals of Behavioral Health Redesign are:

  1. Improved health outcomes through better care coordination;
  2. Consistency across Medicaid physical and behavioral health services; and
  3. Strengthened community mental health and addiction services and supports

Behavioral Health Redesign evaluation will study the impact and effectiveness of redesign and assess whether these goals were met. The evaluation will provide a comprehensive look into changes in behavioral health access and utilization, as well as provider characteristics, Medicaid Managed Care, and regional geography. It will also identify ways in which reforms and incentives have contributed to advancing the state’s Medicaid behavioral health goals and gaps related to individual service and support needs for Medicaid beneficiaries. Behavioral Health Redesign evaluation will gather lessons learned that may be related to opportunities for continuous improvement, policy and workforce, and strategies to support provider infrastructure, financing, HIT/HIE, continuous measurement, and monitoring.

Behavioral Health Redesign evaluation will consist of the following elements:

  1. Provider Network Strength and Adequacy
  2. Reimbursement& Claims Processing Operation
  3. Medicaid Expenditures/Service Spending
  4. Access to Services/Members Served
  5. Service Utilization
  6. Patient centered care
  7. Integrated Behavioral Health and Primary Care
  8. Health Outcomes and Population Health
  9. System Readiness and Sustainability