didactic education and case consultation to any primary care provider in Washington. Expand MCOs/BHOs providing telepsychiatry networks for contracted provider networks, by supporting options such as the model being developed by North Sound BHO. Consider removing the 100 patient cap for telemedicine. Continue support for psychiatrist training through the UW Integrated Care Training Program (through the UW AIMS Center), and consider expansion of this program to support all psychiatric prescribing providers (e.g., with a plan for ongoing investment in such training beyond 2018. 4-b. Expand telehealth reimbursement to include any site of origination and consultation services. Update telemedicine RWCs to allow access and reimbursement from any site of origin. Update telemedicine RCWs to allow reimbursement for consultation services. ACCOMPLISHED IN 2017 LEG. SESSION – ANY REMAINING RECOMMENDATIONS NEEDED? Opioid addiction treatment Collaborative for the Advancement of Telemedicine in WA Contact: Stakeholder: Chair 6. Increase the number of dually certified behavioral healthcare providers no specific recommendations from I. Opioid addiction treatment Educational programs – including to CDP in masters programs? Contact:? Stakeholders: Health Prof. Assoc. Anyone measuring impact of change in legislation to decrease time to CDP? Other? Topic 2 (cont.) Additional efforts underway related to the topic Opioid addiction prevention Relevant Activities Underway Contact Stakeholders to contact Bree Collaborative: Opioid Prescribing Guideline Implementation workgroup - managing acute dental pain. The guideline is available for through 5pm Friday, August 25. Ginny Weir: gweir@qualityhealth.org Committee Chair; Charissa Fotinos also on this one
new behavioral health professionals and paraprofessionals in their first year of practice. incentives for community mental health agencies and federally qualified health centers with existing training programs. 3-b. Increase the ability of behavioral health clinical training sites to accept students/trainees by incentivizing and supporting clinical training sites. Develop and implement a readiness assessment to support clinics in assessing their capacity and ability to implement long-term residency and training programs. Promote increased collaboration between universities/colleges and clinics for clinical training of behavioral health professions. Examine the approach used by Clinical Placements Northwest as a potential model for expanding coordination across the state. Consider legislative and funding support that provides financial incentives for current and potential clinical training sites to make up for time and money lost while training new healthcare workers. Review opportunities to provide additional incentives for clinical training sites to send their preceptors to get training as supervisors. Transformation Hub (re: readiness assessment) Contact: Selena Bolotin, Qualis Stakeholders: ? 3-c. Encourage payers (MCOs/health plans and BHOs) to contract with licensed community behavioral health agencies, as well as individual licensed clinicians. HCA could lead a process to work with payers to update/create contracts with licensed community behavioral health agencies in addition to individual licensed clinicians. Alternately, policymakers could direct HCA to move toward renegotiating the current contracts, and consider requiring future payer contracts to include licensed community behavioral health agencies, in addition to individual licensed clinicians. HCA sent memo to payers about this Contact: Alice Lind, HCA Stakeholders: ? Revisit with Rates and Reimbursement Workgroup (why not implementing?) Contact: Lindsey Gard Stakeholders?? 3-d. Increase funding to expand behavioral health One suggested approach would be for policymakers to create a grant program for universities with psychiatric ARNP programs in Washington state to apply for and receive funds to pay for faculty positions and preceptorship placement. A pool of $5 million would
5-e. Support continued funding for the state’s health professionals loan repayment program, and consider strategies to expand the program and its applicability to behavioral health occupations. The Student Achievement Council (WSAC), which administers the program, should be encouraged to increase outreach to sites and graduates to access the program. Expansion of loan repayment awards would require policymakers to increase the program’s appropriation. The Department of Health could consider convening a workgroup or task force to explore a new direct incentive program, since the current loan repayment program doesn’t directly target providers with educational debt. Loan Repayment Program summary contact: Stakeholders?? 5-f. Expand the state Work Study program. Policymakers would need to appropriate additional funding to the program. V Work study program Contact:?? Stakeholders?? 6. Increase the number of dually certified behavioral healthcare providers No recommendations at this time. Educational programs – including route to CDP in masters programs? Contact: ? Stakeholders: Health Prof. Assoc. Anyone measuring impact of change in legislation to decrease time to CDP? Contact: Stakeholders?? Other? Topic 5. Anything else? Possibly ACH optional projects “Transitional Care for Mental Health care transitions”, and “Diversion interventions” (such as “Law Enforced Assisted Diversion”) Specific recommendations & actions from Phase I related to workforce needed for Topic 5 Relevant State Activities Underway 2-c. Train and deploy providers Assistance with outreach to the behavioral health community to recruit for, and support, staff in the use of the apprenticeship and incumbent worker trainings once they are complete, assist with curriculum review level