coordination as a treatment service for assurance methods for the enhanced those persons who present at a lower rate for culturally specific/special level of risk ratings in the dimensions on population services. Seek any necessary the Minnesota Matrix than would statute or rule changes to require that historically permit treatment services to clients seeking treatment services be be delivered. Early intervention via care screened for culturally specific needs coordination could address mild SUD and ensure that those requesting severity to prevent progression to culturally specific treatment services are moderate or severe SUD and avoid provided access to them. future, higher-intensity services. Funding for culturally specific *Peer support. Add peer support as a providers. Seek non-Medicaid funding reimbursable treatment service billable opportunities for culturally specific in 15-minute increments. Identify providers such as traditional healers or eligible vendors—such as Rule 31 and other unlicensed individuals who detox and withdrawal management provide cultural services to support a programs, recovery community client’s treatment goals. organizations, primary care clinics, Decrease disparities in outcomes. hospitals and other business Support the development of culturally to provide appropriate appropriate and effective treatment supervision of these services and the modalities that decrease disparities in individuals providing the service. Direct outcomes. reimbursement is not recommended for this service. Develop standards with stakeholders. Work with stakeholders Culturally Specific/Special to consider external standards that Populations could be undertaken to improve the quality and inclusiveness of a program. * Modify the enhanced rate Explore how culturally competent and requirements. Currently, to qualify as inclusive services could also be achieved a culturally specific/special populations through staff training requirements and program, at least 50 percent of specific attention to clients’ needs and treatment staff must be of the culture or desires. special population. We recommend legislation to modify the enhanced rate Workforce development. Work with requirements to allow non-treatment stakeholders to support workforce program staff to count toward the 50 development that increases the number percent when providing cultural of providers competent to provide services. culturally specific services and encourages a workforce with increased Stakeholder engagement. Conduct demographic diversity. meaningful stakeholder engagement that is transparent and committed to Prevention funding for honestly and persistently working underserved communities. Seek through conflicts and challenges. increased prevention funding to target underserved communities experiencing Quality assurance for enhanced disparities. Develop prevention efforts rates. Commit to ongoing stakeholder engagement to identify quality
coordination as a treatment service for those persons who present at a lower level of risk ratings in the dimensions on the Minnesota Matrix than would historically permit treatment services to be delivered. Early intervention via care coordination could address mild SUD severity to prevent progression to moderate or severe SUD and avoid future, higher-intensity services. *Peer support. Add peer support as a reimbursable treatment service billable in 15-minute increments. Identify eligible vendors—such as Rule 31 and detox and withdrawal management programs, recovery community organizations, primary care clinics, hospitals and other business to provide appropriate supervision of these services and the individuals providing the service. Direct reimbursement is not recommended for this service. Culturally Specific/Special Populations * Modify the enhanced rate requirements. Currently, to qualify as a culturally specific/special populations program, at least 50 percent of treatment staff must be of the culture or special population. We recommend legislation to modify the enhanced rate requirements to allow non-treatment program staff to count toward the 50 percent when providing cultural services. Stakeholder engagement. Conduct meaningful stakeholder engagement that is transparent and committed to honestly and persistently working through conflicts and challenges. Quality assurance for enhanced rates. Commit to ongoing stakeholder engagement to identify quality assurance methods for the enhanced rate for culturally specific/special population services. Seek any necessary statute or rule changes to require that clients seeking treatment services be screened for culturally specific needs and ensure that those requesting culturally specific treatment services are provided access to them. Funding for culturally specific providers. Seek non-Medicaid funding opportunities for culturally specific providers such as traditional healers or other unlicensed individuals who provide cultural services to support a client’s treatment goals. Decrease disparities in outcomes. Support the development of culturally appropriate and effective treatment modalities that decrease disparities in outcomes. Develop standards with stakeholders. Work with stakeholders to consider external standards that could be undertaken to improve the quality and inclusiveness of a program. Explore how culturally competent and inclusive services could also be achieved through staff training requirements and specific attention to clients’ needs and desires. Workforce development. Work with stakeholders to support workforce development that increases the number of providers competent to provide culturally specific services and encourages a workforce with increased demographic diversity. Prevention funding for underserved communities. Seek increased prevention funding to target underserved communities experiencing disparities. Develop prevention efforts
policy-recomendations-final.docx