Behavioral Health Partnership Oversight Council

Transition Subcommittee

Legislative Office Building Room 3000, Hartford CT 06106
860) 240-0321 Info Line (860) 240-8329 FAX (860) 240-5306
www.cga.ct.gov/ph/medicaid

Meeting Summary: November 29, 2005
Co-Chairs: Steve Larcen for Steve Fahey Susan Zimmerman
(Next Meeting: January 3, 2006 @ 11 AM in LOB RM 1A)

Attendance: Stephen Larcen & Susan Zimmerman (Co-Chairs), Rose Ciarcia, Mark Schaefer (DSS), Stacey Gerber (DCF), Judi Miller (Natchaug), Vickie Veltri (GHLA), Erin Clark (CCPA), Ed Hackett, Linda Russo & Hedi Warseck (Wheeler), Jody Rowell (Clifford Beers), Elizabeth Collins (YNHH), Tony DelMastro (Children's Center), VOI –Jennifer Pease, Lisa Carrico, VOI BH Subcontractor: David Glazer; Health Net: Janice Perkins, Colleen Chesney, Maggie Taylor; CHNCT –Kevin Colvin; WellCare/PONE- Chely Montesi, M. McCourt (Council staff).

Member Education on BHP Program

Key discussion issues:

Provider Network
Key areas of the discussion include:

Dr. Larcen stated that the number of MD and APRN level practitioners in the network are critical to medical management; an inadequate network of these practitioners often leads to appointment delays. Since many providers associate Medicaid with low reimbursement rates, it is important to educate providers that:

Subcommittee suggestions related to provider outreach included:

Claims/Appeal Process

BHP Claims Issues

The BHP Council's Transition Subcommittee will meet Tuesday January 3, 2006 in
LOB RM 1A.