Contracting with Behavioral Health DSWs: Key Considerations for Health Plans

Behavioral health long-term services and supports (LTSS), such as health navigation, peer support, and developmental therapy, assist members in maintaining independence by coordinating resources and care, serving as mentors and personal models of recovery, and integrating appropriate developmental supports.  As states expand managed LTSS for Medicaid enrollees to include those with behavioral health needs, you may need to incorporate behavioral health LTSS providers, such as direct service workers (DSW) into your network.  This will require your health plan, which may have considerable experience contracting for acute medical services, to negotiate agreements for behavioral health LTSS. 

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