Key accomplishments during Dir. Brereton’s tenure include securing and investing a historic $300 million from the Montana Legislature to overhaul and rebuild the state’s behavioral health and developmental disabilities service systems; overseeing the successful negotiation and implementation of Montana’s Healing and Ending Addiction through Recovery and Treatment (HEART) 1115 waiver, which includes tenancy supports, contingency management, reentry services for incarcerated individuals, and authority for certain Medicaid services to be provided within Institutions for Mental Disease; implementing historic Medicaid provider rate increases with the goal of improving access to health care services statewide; redesigning statewide employment and training services for Montanans receiving public assistance to advance their self-sufficiency; building DPHHS’s data management, analytics, and research infrastructure; shifting social services contracts to novel pay-for-performance models to incentivize better outcomes for clients and ensure taxpayer return on investment; and reforming Montana’s system of state-run health care facilities for committed and difficult-to-place populations.
Charlie Brereton
Director,
Montana Department of Public Health and Human Services