DISCUSSION ACTIONS AND WHO IS AGENDA OUTCOMES RESPONSIBLE ITEMS Advocacy on approved, SAI Rates (continued) Rates DFD will (continued) request the ability to pay providers the increase retroactively to July 1, 2016.] NJAMHAA continues to Ongoing NJAMHAA staff Medicaid Rates and Transition to Debra advocate and encourages and members Fee-for-Service (FFS): Wentz noted that DHS/Division of providers to advocate, as Mental Health and Addiction well. Services (DMHAS) are still outpatient service rates for both substance use and mental health. The group discussed the issue of It was agreed that the PAC: June 17, Alan Oberman, loss of funding for some issues of lost funding for 2016 [These Barbara (COD) treatment COD services; a request issues and Schlichting, Debra services that DMHAS currently to allow providers to questions were Wentz pays for, but Medicaid will not back bill for raised. See cover. It was noted that when services notes on the integrated licensure and regulations out the first quarter of responses from are developed, staff credentialing being in the FFS; and DMHAS staff requirements may become more questions about billing at the end of stringent. The DMHAS workgroup of two services in one these minutes.] that will develop these regulations day in outpatient DHS: July 12, Debra Wentz, which will include providers, caps in the new 2016 Board Members should be convening in July or substance abuse August 2016. initiatives and the sliding fee scale will be raised at the next meeting of the Advisory Committee (PAC). The issues of lost COD service funding, back billing and the sliding fee scale will also be addressed at next NJAMHAA’s meeting with DHS/ DMHAS leadership. NJAMHAA anticipates participating on the regulations and will advocate for not making the credentialing
AGENDA ITEMS DISCUSSION ACTIONS AND OUTCOMES WHO IS RESPONSIBLE Advocacy on Rates (continued) SAI Rates (continued) Medicaid Rates and Transition to Fee-for-Service (FFS): Debra Wentz noted that DHS/Division of Mental Health and Addiction Services (DMHAS) are still outpatient service rates for both substance use and mental health. The group discussed the issue of loss of funding for some (COD) treatment services that DMHAS currently pays for, but Medicaid will not cover. It was noted that when integrated licensure and regulations are developed, staff credentialing requirements may become more stringent. The DMHAS workgroup that will develop these regulations which will include providers, should be convening in July or August 2016. NJAMHAA continues to advocate and encourages providers to advocate, as well. It was agreed that the issues of lost funding for COD services; a request to allow providers to back bill for services the first quarter of being in the FFS; and questions about billing of two services in one day in outpatient caps in the new substance abuse initiatives and the sliding fee scale will be raised at the next meeting of the Advisory Committee (PAC). The issues of lost COD service funding, back billing and the sliding fee scale will also be addressed at NJAMHAA’s next meeting with DHS/ DMHAS leadership. NJAMHAA anticipates participating on the regulations and will advocate for not making the credentialing approved, DFD will request the ability to pay providers the increase retroactively to July 1, 2016.] Ongoing PAC: June 17, 2016 [These issues and questions were raised. See notes on the responses from DMHAS staff at the end of these minutes.] DHS: July 12, 2016 NJAMHAA staff and members Alan Oberman, Barbara Schlichting, Debra Wentz Debra Wentz, Board Members out
Addictionsminutes6-16-16.docx