Excellence In Mental Health Act (EMHA)

Finally, the last problem identified is the need for HCCH to widen its scope.  If HCCH applied for a federal change in scope, from a health care facility for the homeless to one addressing community wide needs, this would allow HCCH to report this full client base to the government for increased funding.

The Mental Health Services Act is a monumental proposition that has helped many people for more than a decade. In California alone, close to 1.2 million adults and around 422,000 children live with a serious mental illness (State 2010). Without the proper treatment, suicide is the leading cause of death for a person battling an untreated mental illness (State 2010). With over thirteen billion dollars raised so far, MHSA has been the root of funding for mental health in California (Williams 2015). MHSA is still a work in progress. The act is nowhere near perfect, as a recent audit has shown, but it is certainly a step in the right direction.

The Texas Health and Human Services Commission (HHSC) is required by federal law to ensure federally qualified health centers (FQHCs) are reimbursed no less than their Prospective Payment System (PPS) rate for services provided in the Medicaid and CHIP programs (42 U.S.C. 1396a).

The California Black Health Network was established in 1978 by African-American health professionals in San Diego, California. Initially their vision and passion was advocating for access to quality and affordable health care. In addition, their mission was to improve the health status of people of African American descent in California and eliminate health disparities through legislative, administrative and media advocacy (cbhn.com). This effort awarded the organization in 1980 to hold their first statewide conference. CBHN co-founded other ethnic networks such as the California Pan-Ethnic Network (CPEHN) and they were also instrumental in creating the office of multicultural health. Initially CBHN was made up of six chapters and two affiliate organizations.

HCPCs is a collection of codes that represents the procedures, supplies, products, and services that may be provided to Medicare and Medicaid and to individuals enrolled in private health insurance programs. HCPCs are necessary for Medicare and Medicaid providers to provide healthcare claims that are managed consistently to get payment. Some of the settings you would use HCPCs codes would be in home healthcare, laboratory services, and dentist.

Policy analysis of mental health care under the ACA as well as description of how mental health care/service are organized under the ACA from federal to local levels.

The Mental Health Parity and Addiction Equity Act (MHPAEA) applies to organizations with fifty or more employees that offer group health insurance

The Primary Care Cliff is set to leave it’s biggest mark on Community Centers in October, that is when the funding for the Health Center Graduate Medical Education program runs out. The Teaching Health Center Graduate Medical Education (THCGME) addresses the need for primary care doctors in rural and underprivileged areas. Physicians doing their residencies in a This is only one area of the ACA funding that was created to enhance primary care physicians in an already primary care shortage that included funding residencies and expanding reimbursement for primary care providers. Given that the U.S. Congress is unlikely to expand these fundings due to its deep division on funding healthcare, local communities may need to take on this issue to keep their local health centers active. With over 120 Community Health Centers and FQHCs in the city of Chicago alone, losing funding would be disasterous. Local stakeholder groups that would support a funding shift or flex funding to continue the THCGME would be based on an interest in continuing community centers,

Opening an additional RHC will provide many community health benefits. For instance, it will result in a more appropriate use of healthcare services, improve patient safety, and expand service availability (HHS, 2010). However, its feasibility is questionable. Only after examining PMH’s mission, vision, and goals, assessing stakeholder support, identifying environmental

CSHS provides comprehensive primary health care services throughout three Michigan counties and has 25 locations. Three of the fixed locations are school-based health centers in low income communities. No patient is turned away due to inability to pay. In addition to its fixed locations, CSHS has a mobile vision/dental clinical that serves 70 schools. The Grand Rapids Public School system alone has a total of 63 schools with 17,000 students, with three of the poorest high schools served by CSHS school-based health centers. As a whole, CSHS sees 65,000 patients per year and 32% of the service area is below 100% of the federal poverty level and are Medicaid eligible. Approximately 16% or 2,720 will have at least one chronic condition (Rezaee & Pollock, 2015).

First Choice Community Healthcare has applied for a grant from the Brindle Foundation to allow for the creation of an early childhood hub at the South Valley Health Commons. First Choice will build upon its existing patient-centered health services that meet children’s nutrition, medical, and oral health needs by providing targeted outreach to pregnant and parenting individuals and facilitating access through the hub to early literacy, parenting education, child abuse prevention and other community resources.

Currently, DOE makes all their payments through a third party system FAMIS that does not link to FMS. The Office of Community Schools will pilot an effort to make payments via the City’s new Health and Human Services (HHS) Accelerator System. The Accelerator System was built to streamline the process for providers’ interface and enhance management of procurement and financial data throughout agency contracts. The Accelerator system was used to manage the Community Schools RFP. As part of the initiative, DOE will pilot the procurement portion and financial component of the Accelerator system. This system will offer a systematic way of distributing payments to CBO providers.

The backbone of the health care system in California is the California Department of Health Care Services. Every single day, this agency assists millions of disabled and low-income California residents. The agency 's mission is providing residents with affordable and high-quality health care. This includes long-term services and support as well as substance abuse services, mental health, dental and medical care. The agency 's vision is to improve the mental and physical health of all residents of California. The Mental Health Services Division serves children and youth, adults, military veterans and the California community. The county mental health departments can be found at this agency 's web site. The agency 's web site is very informative and easy to navigate. DHCS is a California state department staffed by committed and talented staff members who work hard to deliver high-quality care to the residents of the state of California.

I’ve experienced some functions of the PCMH model with my PCP, however, most functions are better seen with PCMH and public/community care facilities. We have a few in the Raleigh area and they focus on the five functions of the PCMH model: comprehensive care, patient-centered, coordinated care, accessible services and quality and safety. These facilities provide services to the insured but focus on low income families that has government insurance and are self-pay. They provide numerous services, such as, comprehensive, allergy testing, ECG, Dermatology, nutrition, Musculoskeletal Care and lab work. The main goal is to provide quality care without the high healthcare cost.

The Government Accountability Office (GAO) reviews HUD programs that encourage resident self-sufficiency. Findings shows a lack in data as it relates to the success of the FSS program for both PH and HCV program recipients. “Without complete participation data, HUD lacks key information to effectively manage and evaluate its programs and Congress lacks data needed to oversee the programs,” the GAO report states (2013).