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Behavioral health managed-care launch generated system configuration costs and early payment problems, department says
Summary
Department officials told lawmakers that Idaho's new Idaho Behavioral Health Plan required larger system changes than previous contracts and that vendor onboarding and payment timing caused early payment problems that are mostly resolved; the department has assessed liquidated damages and placed the vendor on corrective action.
Director Alex Adams and Deputy Director Juliette Sharon answered questions about the launch and early operations of Idaho's behavioral health managed-care contract (IBHP).
Sharon said the new IBHP contract, which began July 1, expanded scope relative to historical contracts: it brought services into managed care that had previously been paid fee-for-service and services previously managed by the Division of Behavioral Health. "The scope of this contract as many of you know was significantly larger than the historical IBHP contract that we've had," she told the committee, and the department needed additional system configurations and interfaces to collect utilization and enrollment data required by federal regulators and for state oversight.
Those configuration and onboarding costs are part of a…
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