The Section 298 Initiative is a statewide effort to improve the coordination of physical health services and behavioral health services. The Michigan Department of Health and Human Services (MDHHS) launched this initiative in response to legislative language in the Fiscal Year 2017 approved budget. The language, known as Section 298, calls upon MDHHS to form a workgroup ” to make recommendations regarding the most effective financing model and policies for behavioral health services in order to improve the coordination of behavioral and physical health services for individuals with mental illnesses, intellectual and developmental disabilities, and substance use disorders.”
Under Section 298, MDHHS and the workgroup must produce a report with recommendations for the Michigan Legislature. MDHHS has convened the 298 Facilitation Workgroup to assist with developing the recommendations for the report. The final version of the report will include recommendations on policy changes, models, pilots and benchmarks for implementation.
MDHHS and the 298 Facilitation Workgroup have also hosted a series of Affinity Group meetings across Michigan to help inform the development of the recommendations. The Affinity Group process engaged more than 1,113 Michiganders during 45 separate meetings in a discussion about the best strategies for improving the coordination of physical health and behavioral health services. The Affinity Group meetings included individuals, families, providers, payers and advocates. MDHHS and the 298
Facilitation Workgroup used the input, ideas and feedback from these discussions to inform the development of the recommendations.
MDHHS and the 298 Facilitation Workgroup have developed the following interim report to provide an update on the status of statewide discussions and the development of recommendations. The interim report reflects the progress of the workgroup to date. The interim report focuses on recommendations for policy changes; the final report will incorporate policy recommendations from the interim report as well as additional recommendations on models, pilots, and benchmarks for implementation.
The 298 Facilitation Workgroup has approved 70 policy recommendations for inclusion in the interim report. The recommendations address the following policy issues:
1) Coordination of Physical Health and Behavioral Health Services
2) Access to Services and Continuity of Services
3) Administration of Complaints, Grievances, and Appeals
4) Protections for Mental Health and Epilepsy Drugs
5) Self-‐Determination and Person-‐Centered Planning
6) Governance, Transparency, and Accountability
7) Workforce Training, Quality, and Retention
8) Peer Supports
9) Health Information Sharing
10) Quality Measurement and Quality Improvement
11) Administrative Layers in Both Health Systems
12) Uniformity in Service Delivery
13) Financial Incentives and Provider Reimbursement
The 298 Facilitation Workgroup also approved the following overarching recommendation for the Michigan Legislature. The overarching recommendation should be considered in conjunction with all other policy recommendations within the report.
If you would like to read this complete report, please CLICK HERE.