The Disease Management Project began as a a two year initiative in November, 2010 between the Department of Mental Health (DMH) and the MO HealthNet Division (MHD). The project targets high cost Medicaid recipients who have severe mental illness (SMI) and impactable chronic medical conditions. It is typically referenced as DM 3700 because that was the target number of individuals in the first cohort. These services and interventions have reduced costs to the state for providing care and treatment and have greatly improved outcomes for the identified clients. As a result of the success of the program, disease management was expanded in 2014 to individuals with high medical costs, chronic medical conditions, and substance use disorders (referenced as ADA Disease Management or ADA DM). Providers contracted with DMH have agreed to contact these identified individuals, provide outreach and engagement, enroll them in the Community Psychiatric Rehabitation (CPR) Program and/or Comprehensive Substance Treatment and Rehabilitation (CSTAR) Program, and provide necessary services with an emphasis on community support/case management to coordinate and manage their medical, psychiatric, and substance use conditions.