Englewood, CO – Behavioral Healthcare, Inc. (BHI) announces that it has been awarded the prestigious honor of full Managed Behavioral Health Organization (MBHO) accreditation from the National Council for Quality Assurance (NCQA) on September 9, 2013. BHI is the only Behavioral Healthcare Organization (BHO) in Colorado to achieve NCQA accreditation. NCQA is a private, non-profit organization dedicated to improving health care quality, accrediting and certifying a wide range of health care organizations. Since its founding in 1990, the NCQA has been a central figure in driving improvement throughout the health care system, helping to elevate the issue of health care quality to the top of the national agenda. The MBHO accreditation consists of 60 standards in the following categories:
¨ Quality Management and Improvement
¨ Utilization Management
¨ Credentialing and Recredentialing
¨ Members’ Rights and Responsibilities
¨ Preventive Behavioral Health Care Services
“In our efforts to transform our organization into one that makes us better stewards of our members’ care, we have committed to meeting and exceeding NCQA MBHO standards,” says Roger Gunter, Chief Operating Officer at Behavioral Healthcare, Inc.
NCQA MBHO accreditation evaluates how well a health plan manages all parts of its delivery system —physicians, hospitals, other providers and administrative services—in order to continuously improve health care for its members. NCQA MBHO standards are intended to help organization achieve the highest level of performance possible, reduce patient risk for untoward health outcomes, and create an environment of continuous improvement. To achieve full NCQA accreditation, BHI was required to create and revise policies and procedures related to the standards, establish goals, and create interventions to meet those goals. BHI was also required to demonstrate how services are offered to members, analyze performance against access to care standards, and show availability of providers and provider selection criteria. NCQA’s review included rigorous on-site and off-site evaluations conducted by a team of physicians and managed care experts. Full Accreditation is granted for a period of three years to organizations that have excellent programs for continuous quality improvement and meet NCQA’s rigorous standards.
“BHI’s MBHO accreditation is proof that it’s an organization which works hard to coordinate care, provide access, and good customer support for members,” said Margaret E. O’Kane, NCQA President, “It’s a sign that BHI is focused on improving the behavioral health of its members.”
BHI was founded in 1994 as a private not-for-profit BHO for the Colorado Medicaid Community Mental Health Services Program for Adams, Arapahoe and Douglas counties, all of which make up the Colorado Metro East service area. Throughout this time, BHI has arranged for and managed the provision of a wide range of services including inpatient, residential, outpatient, medication management, psychosocial rehabilitation, and case management services for Medicaid recipients. Client-directed services include drop-in centers, peer specialist programming, family-run activities, and job training programs. To learn more about NCQA, please visit the website at www.ncqa.org.