Geographic and Racial Disparities in Behavioral Health ...

Geographic and Racial Disparities in Behavioral Health Services in Michigan Medicaid

Federal rules require state Medicaid managed care programs to develop a quality strategy that includes a plan to "identify, evaluate, and reduce... health disparities based on age, race, ethnicity, sex, primary language, and disability status." This work may be delegated to managed care entities that might be technically and operationally unprepared to take it on. Without assistance, health care program leaders may have difficulty figuring out where and how to start. Using data from the Michigan Medicaid agency, four quality of care measures were stratified by race/ethnicity and county for measurement years 2018-2020. Results indicate that racial/ethnic disparities exist for most measures, in all counties, in all years. And although there are differences in performance across counties, there are also clear trends.

Click here to access the Quality Innovation Series registration page to register or review the full course content.

Learning Objectives

  • Discuss a framework for measuring racial and ethnic disparities across time and geography.
  • Examine racial and ethnic disparities in behavioral healthcare in the Michigan Medicaid population using select key counties to compare disparities over time.
  • Understand the value of investigating racial/ethnic disparities across the delivery system at the local level for facilitating local solutions.
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 ANCC
  • 1.00 Participation
  • 1.00 PCMH CCE
Course opens: 
Course expires: 

Jim McEvoy, MHSA

Jim McEvoy, MHSA, is currently a Principal with Health Management Associates. Mr. McEvoy is accomplished in architecting robust technology solutions for state agencies, health plans and service providers. He has served a variety of state and health plan clients at the connection point of data reporting, technical solutions and quality improvement. Specifically, he has built and executed Health Home measures for multiple state clients. Mr. McEvoy has independently built and developed multiple process and outcome measures to identify the efficacy of service quality, health disparities in behavioral health settings, accuracy and service quality of data. He believes that all data and technology solutions should be designed to support the quality improvement process. Mr. McEvoy earned his BS in Psychology from Michigan State University and his MHSA from the University of Michigan.


Monica Trevino, MA, CPHQ

Monica Trevino, MA, CPHQ, is Director of the Center for Social Enterprise at the Michigan Public Health Institute (MPHI). She has led projects around Medicaid, HIT/HIE, health equity and social determinants of health. Ms. Trevino administered an incentive program that rewards Medicaid health plans for performance on quality and consumer experience metrics, including the use of community health workers to address SDOH. She created the Michigan Medicaid Health Equity Project to identify and address racial/ethnic disparities in care and developed Michigan Medicaid’s first equity-based performance incentive program. Ms. Trevino was chair of the Public Sector Advisory Council of NCQA and is a member of NCQA's CHW Standards Advisory Panel and a Board Member for Ingham Community Health Centers. She earned her BA in anthropology from the University of Michigan and her MA in anthropology from Western Michigan University.


In support of improving patient care, the National Committee for Quality Assurance is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), the American Academy of Physician Assistants (AAPA), the American Psychological Association (APA), and the Association of Social Work Boards (ASWB) to provide Interprofessional Continuing Education for the healthcare team. 

This educational activity is approved for a maximum of 1.0 AMA PRA Category 1 Credit™. 

This educational activity is approved for 1.0 nursing contact hours.*

This live course grants 1.0 Continuing Education Unit (CEU) points for PCMH Certified Content Experts.  

* Please note – You must attend the entire program to be eligible for total number of contact hours.

Disclosure of Relevant Financial Relationships

The National Committee for Quality Assurance (NCQA) endorses the Standards of the Accreditation Council for Continuing Medical Education which specify that sponsors of continuing medical education activities and presenters at and planners for these activities disclose any relevant financial relationships either party might have with commercial companies whose products or services are discussed in educational presentations.

For sponsors, relevant financial relationships include large research grants, institutional agreements for joint initiatives, substantial gifts, or other relationships that benefit the institution.  For presenters or planning committee members, relevant financial relationships include the receipt of research grants from a commercial company, consultancies, honoraria, travel, or other benefits, or having a self-managed equity interest in a company; or having an immediate family member or partner with such a relationship.

Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation.

Relevant financial relationships exist with the following companies/organizations:

Jim McEvoy: None
Monica Trevino: None

Additional Planning Committee Members:
Crissy Crittenden: None
Lincoln Haynes: None

This program was developed in part by NCQA staff.

This program received no commercial support.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 ANCC
  • 1.00 Participation
  • 1.00 PCMH CCE


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