Strategies for Integrating and Coordinating Care for Behavioral Health Populations: Case Studies of Four States. A. Program Overview


The Louisiana Behavioral Health Partnership (LBHP) oversees statewide specialty mental health and substance abuse services for Medicaid-eligible and non-Medicaid-eligible adults and children. LBHP is led by the Office of Behavioral Health (OBH) and includes Medicaid, the Department of Children and Family Services (DCFS), the Department of Education (DOE), the Office of Juvenile Justice (OJJ), and Magellan Health Services as partners. State agencies that participate in LBHP pool funding into a single contract with Magellan to manage all behavioral health services. The pooling of funding is intended to leverage state general funds (SGFs) to appropriately obtain federal Medicaid matching funds, thereby freeing state funding to expand the delivery of services to non-Medicaid-eligible populations. This new arrangement represents a major transformation in the organization and reimbursement of services in Louisiana. LBHP is working to rapidly build the provider network and increase the availability of services, while also encouraging the integration of mental health and substance abuse services and the use of evidence-based and promising practices. Physical health services and behavioral health services delivered in primary care are covered through separate managed care arrangements. As described below, LBHP is undertaking a range of activities to develop the infrastructure necessary to expand the mental health and substance abuse treatment capacity within the state and to improve the quality of behavioral health care. Appendix Table A.1 summarizes the key features of the program.

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