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The Department of Human Services (DHS) received approval for a State Plan Amendment (SPA) related to substance use disorder (SUD) treatment services with an effective date of July 1, 2024. The SPA introduces several key changes that will impact residential SUD treatment services:
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Residential ASAM Levels of Care: The amendment defines residential ASAM levels of care
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Unified Residential Treatment Rates: The SPA includes one rate for residential treatment providers for individuals covered by the Behavioral Health Fund or Medical Assistance
- DHS is currently updating the claims system to allow for payment of the higher rate for behavioral health fund clients back to July 1, 2024. Additional information will be communicated via e-memo and MNITs mailbox
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Daily Skilled Treatment Requirement: For high-intensity residential treatment (ASAM 3.5 and ASAM 3.3), a daily skilled treatment service is required; there is no longer a requirement to provide 30 hours of treatment per week for ASAM 3.5 and ASAM 3.3 levels of care
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Low-Intensity Residential Levels: The SPA outlines two levels of low-intensity residential treatment, one requiring at least five hours and the other at least 15 hours of skilled treatment services along with their respective rates
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Billing for Missed Services in Residential Levels of Care: Programs can continue to bill a per diem rate based on a client’s intensity level when a treatment service is missed. The reason for missing a service must be client centered; the program must document both the reason for the client’s absence and the interventions taken
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Holiday Scheduling Flexibility: Effective Aug. 1, 2024, service hours during a treatment week may be reduced to accommodate federally recognized holidays. This is applicable for outpatient services and ASAM 3.1 low-intensity residential treatment. High-intensity residential (ASAM 3.3 and ASAM 3.5) is still required to provide daily skilled treatment services.
The Department of Human Services (DHS) is actively updating forms and the SUD MHCP provider manual to reflect these changes. We will share updates as they become available.
If you have any questions regarding these policy updates, please contact us at sud.direct.access.dhs@state.mn.us.
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