The Missouri Primary Care Association (MPCA) is working in collaboration with the Missouri Coalition for Community Behavioral Healthcare (MO Coalition) for the alumni grant. The collaborative efforts will strive to further value-based, patient/client centered care in safety-net primary care and behavioral health organizations. The efforts will be focused on the creation of a single Independent Practice Association (IPA) to coordinate and create economies of scale for operational, financial, and legal aspects of value-based care and contracting. As value-based care and contracting efforts progress in Missouri, MPCA and MO Coalition are committed to working with our providers to ensure the care provided meets the needs of vulnerable Missourians served by the safety-net provider organizations and the care is equitable, identifies and addresses patient/client social determinants/drivers of health needs, and provided in trauma informed manner. In calendar year 2019, Missouri’s 29 federally qualified health centers served just over 606,000 unique patients for medical, dental, and behavioral health services. In fiscal year 2020, Missouri’s 30 behavioral health organizations made up of 15 Certified Behavioral Health Organizations (CCBHOs) and 15 Community Mental Health Centers(CMHCs)/Affiliate Psychiatric Rehabilitation Providers served 250,000 unique clients.
Missouri voters passed a constitutional amendment in August 2020 to expand the state’s Medicaid program with implementation go live of July 2021. It is estimated that over 200,000 additional Missourians will receive coverage under Medicaid expansion. MO Coalition and MPCA are participating in the implementation to ensure the voice and needs of the safety net providers and patients/clients is at the forefront. Medicaid expansion implementation is expected to impact MPCA and MO Coalition value-based care and contracting efforts.