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Rule 25 will be extended for up to two years to allow members to choose between a comprehensive assessment and the Rule 25 process.
The Centers for Medicare & Medicaid Services (CMS) approved the Minnesota Department of Human Services’ (DHS) renewal waiver application for the Consolidated Chemical Dependency Treatment Fund (CCDTF) program, Apr. 14, 2020. This authority allows county and tribal workers to authorize treatment through the Rule 25 assessment process. The effective dates of this waiver are July 1, 2020, to June 30, 2022.
All treatment services are still required to have an approved service agreement and a completed DAANES admission to secure reimbursement, regardless of the method of client assessment for authorizing treatment services, until notified by DHS Behavioral Health Division. Individuals needing substance use disorder treatment can enter treatment following completion of either the Rule 25 process or a comprehensive assessment after system programming and system testing are completed, and DHS issues notification.
Managed care organizations may use either Rule 25 or comprehensive assessments to make level of care determinations until June 30, 2022.
Withdrawal management facilities licensed under Minnesota Statute 245F do not require authorization through a Rule 25 assessment and this message does not apply to them.
Participating 1115 waiver project providers will be required to assure admitted clients meet the project's admission criteria and all applicable rules and statutory requirements.
Contact Dominique Jones at Dominique.jones@state.mn.us for more information. (pub. 4/21/20)
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For more information about this e-Memo please feel free to contact us at youropinionmatters.dhs@state.mn.us
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