The New Jersey Division of Mental Health and Addiction Services (DMHAS) has explored several models of integration, with the most prominent being the behavioral health home (BHH) initiative. In a partnership with the Division of Medical Assistance and Health Services (Medicaid) and the Department of Children and Families, DMHAS launched health homes in select counties in July of 2014. The BHH is a high intensity service targeting those with the most need.
Introduction
Health Homes is a Medicaid State Plan option that provides an opportunity to build a person-centered system of care that achieves improved outcomes and better services and value for the NJ Medicaid program. DMHAS has partnered with N.J. Medicaid to expand upon the existing behavioral health case management infrastructure to provide coordinated primary and behavioral health integration.
What is a Health Home?
A continuing standard of care that allows individuals to have all of their health care needs identified, addressed, and treated in a coordinated way. The same team of clinicians and practitioners either deliver, or coordinate the delivery of, all the necessary medical, behavioral, and social supports required for the individual, acknowledging the impact each area has on the others. It is not a residential program. It is a whole-person care delivery model.
What Services Will a Health Home Provide?
In accordance with guidance from the Centers for Medicare and Medicaid Services (CMS), a Health Home must have the capability to provide all of the following services, as warranted based on members' needs:
- Comprehensive care management;
- Care coordination;
- Health promotion;
- Comprehensive transitional care (including appropriate follow-up from inpatient to other settings)'
- Individual and family support;
- Referral to community and social support services;
- Use of health information to link services as feasible and appropriate.
|
It is expected that the use of a behavioral health home model will result in improved health outcomes for the consumer base, better quality of treatment, and improved cost effectiveness; improved consumer experience with care; and declines in the use of hospitals, emergency departments, and other costly inpatient care.
In What Counties are Health Homes Available?
Currently, Bergen, Mercer, Atlantic, Cape May, and Monmouth counties have been approved for the Behavioral Health Home Service. There are BHH providers in Bergen, Mercer, Atlantic and Monmouth counties.
When Will a Health Home Come to My County?
DMHAS plans to continue to expand the health home initiative based on resources and need.
How Does My Organization Become a Health Home?
DMHAS has a process to certify mental health agencies who wish to become a health home. Click here to gain an overview of the certification process.
Who Are the Providers of Health Home Services in My County?
Atlantic County
Behavioral Crossroads Recovery, LLC 205 West Parkway Drive Suites 1 & 2 Egg Harbor Township, NJ 08234 (609) 645-2500
Jewish Family Service of Atlantic and Cape May Counties 607 N. Jerome Ave Margate, NJ 08402 (609) 822-1108
Bergen County
CarePlus of NJ 610 Valley Health Plaza Paramus, NJ 07652 (201) 265-8200
Vantage Health System 93 W. Palisade Avenue Englewood, NJ 07631 (201) 567-0500
Mercer County
All Access Mental Health 819 Alexander Road Princeton, NJ 08540 (609) 452-2088
Catholic Charities Diocese of Trenton 383 W. State Street Trenton, NJ 08618 (609) 394-3202
Oaks Integrated Care 314 E. State Street Trenton, NJ 08608 (609) 396-4258
|
Monmouth County
CPC Behavioral Healthcare 1088 Hwy 34 Aberdeen, NJ 07747 (732) 842-2000 ext. 4221
Hackensack-Meridian Health Parkway 100, 1200 Jumping Brook Rd Neptune, NJ 07753 (732) 643-4400
Easter Seals New Jersey 1215-1217 Main St Asbury Park, NJ 07712 (732) 380-0390
Stress Care of NJ 500 Park Ave Manalapan, NJ 07726 (732) 679-4500 x8238
|
Who Pays for Health Home Services?
N.J. Medicaid is currently reimbursing providers for health home services for those individuals who are Medicaid-eligible and meet the requirements for services.
Click here for the eligible diagnosis.
What are Some of the Outcomes Expected From a Health Home?
Health home services are designed to improve health outcomes, reduce costs, and advance the overall wellness of the consumers being served. CMS requires each state to track and monitor specific outcomes. Click here for the required outcomes as identified by CMS.
A Guide to the Referral Flow Process for Integrated Care to the Medicaid Eligible Individual Released from County Jails and State Prison
Behavioral Health Homes and NJ Dept. of Corrections Webinar FAQs