The New York State Office of Mental Health (OMH) issued a Request for Proposals (RFP) to find eligible applicants to provide behavioral healthcare coordination and/or related services to large urban populations. The funding of $3,200,000 is available to provide these services through the New York City “Care Monitoring Initiative” (CMI).
CMI monitors mental health services for consumers and was developed jointly by the Department of Health and Mental Hygiene (DOHMH) and the New York State OMH. CMI works directly with Medicaid claims and other secondary data to identify individuals with serious mental illnesses living in New York City who may be experiencing lapses in needed services.
When the Medicaid claims are reviewed, notification flags are used to:
• Identify individuals that have not received ambulatory mental health care or substance abuse services in the prior 120 days
• Identify individuals that have not had psychiatric medication prescriptions filled in the prior 60 days
• Identify individuals that have had two or more emergency room visits or psychiatric inpatient hospitalizations in the prior 120 days
The CMI staff reviews the monthly notification reports and establishes contact with the providers that last served the identified individuals. Then outreach and retention strategies are put in place to help individuals receive the services that they need. For example, “Return to Care” teams are being developed within the program and will work to locate and engage the identified consumers and their families on the importance and availability of support services.
RFP eligible applicants include public, private, non-profit, or for-profit entities. Preference will be given to applicants with the ability and/or history to provide services to individuals being served in a public mental health system.
The RFP was released January 28, 2011 with proposal submissions due April 1, 2011 with the anticipated contract start date to be July 1, 2011.
Go to www.omh.ny.gov/omhweb/rfp/2011/cmi/rfp.pdf for more information
