Montana Division of Addictive and Mental Disorders
In
1998 and 1999, DMA provided extensive assistance to the Montana
Department of Health, Addictive and Mental Disorders Division, to address
the implementation problems encountered by their statewide managed care
contractor, Montana Community Partners (MCP). Services included the
analysis of areas of non-performance, preparation of an operational plan
to address these problems, negotiations of a contract amendment with MCP,
including sanctions for non-performance, development of detailed
acceptance procedures for deliverables and training of state staff in
monitoring contractor performance.
Outcomes: A contract amendment was
successfully negotiated with the MCO, sanctions were levied and
performance improved, but MCP continued to lose money, leading them to
attempt to adjust rates and change the definitions of covered case
management services. The Montana legislature voted to cancel the
contract with MCP in the spring of 1999.
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