Behavioral Health Provider Networks and Value-Based Payment Initiatives

Value Based Payment contracts link provider payments to improved quality of care. Benefits of these programs include:

Better care for individuals
Better health for populations
Lower costs

To help providers take part in value-based payments, OMH and OASAS created Behavioral Health Care Collaboratives (BHCCs).

BHCCs, and the newer Behavioral Health Independent Practice Associations (BH IPAs), are provider networks that work together, using data to improve value and quality care. Networks can use this data to engage in value-based payment arrangements.

Hospital Discharge Planning Initiative

(Pending CMS approval) Funding is for improving hospital discharge planning for high-risk individuals with mental health or addiction needs. The goal is to ensure they receive immediate access to outpatient care and services.

Appendix: Agency Submission Template

Hospital Discharge Planning Initiative - Frequently Asked Questions

eFMAP Initiative

In 2021, New York State allocated $20 million in American Rescue Plan Act enhanced Federal Medical Assistance Percentage (eFMAP) funding to BHCCs.

The eFMAP funding supports the BHCCs and BH IPAs to:

Increase access to behavioral health rehabilitation services
Increase integration of behavioral health and physical health
Increase implementation of value-based reimbursement strategies

Behavioral Health Value-Based Payment Readiness Program

In 2017, BH VBP program funds were awarded to selected networks of Behavioral Health Care Collaboratives. The main goals of the Readiness Program were to:

Prepare BH Providers to take part in VBP arrangements
Improve the integration of physical and behavioral health

The selected BHCCs used funds to enhance quality care and improve outcomes. This included clinical and financial integration and the use of community-based recovery support services.

Lead, Network and Affiliate Agencies