By ROGER AMSDEN, LACONIA DAILY SUN
LACONIA — Belknap County Commissioners on Wednesday named Commissioner Hunter Taylor (R-Alton) and Belknap County Administrator Debra Shackett as its committee members on the state's Delivery System Reform Incentive Program.
The initiative is in response to the New Hampshire Health Protection Program, which by expanding eligibility for Medicaid and providing benefits for substance abuse has increased demand for services in short supply. Currently, 92 percent of adults who require treatment for alcohol abuse and 84 percent of adults who require treatment for drug abuse go without it. At the same time, two of every three people with mental illness admitted to the New Hampshire Hospital spend more than one day waiting in an emergency room until a bed becomes available.
In January, the Centers for Medicare and Medicaid Services approved the state's request to fund transforming the system for providing mental health and substance abuse services. The so-called "transformation waiver" will provide $150 million over five years to apply toward offering integrated physical and behavioral health care, expanding capacity to address emergent behavioral health issues, and ensuring an unbroken continuum of care as patients pass from one provider to another.
The principal agents of the program will be seven "integrated delivery networks," or IDNs, one of which will consist of the Central and Winnipesaukee public health networks, consisting of Belknap County, 18 towns in Grafton County and three towns in Merrimack County. Altogether, some 16,000 people in the network are enrolled in Medicaid, 12,000 of them in the Winnipesaukee network.
The IDNs will organize and coordinate the providers within the network as well as receive and distribute funding to them. The partners in the networks must include primary care physicians, substance abuse providers, hospitals, community mental health centers, community and rural health centers, community organizations providing social services and county nursing and correctional facilities.
Last month commissioners agreed to become an affiliate member of the Community Health Services Network LLC, the umbrella IDN organization formed for the Central and Winnipesaukee region.
The Winnipesaukee Health Council has identified access to behavioral health care, including substance abuse treatment, as a high priority in the region. In January, the Community Health Services Network LLC was formed. The network includes LRGHeathcare, Speare Memorial Hospital, Genesis Behavioral Health, Horizons Counseling Center, HealthFirst, Lakes Region Partnership for Public Health, Lakes Region Community Services, Central New Hampshire Hospice and Visiting Nurse Association, Franklin Visiting Nurse Association and Community Action Program Belknap-Merrimack Counties.
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