 Director Cornyn Provides Update on Ohio's Wellness Workforce During Ohio Business Roundtable Government Relations Council Panel Discussion
Earlier this week, OhioMHAS Director LeeAnne Cornyn met with members of the Ohio Business Roundtable Government Relations Council where she provided an update on efforts to strengthen and grow Ohio’s wellness workforce. Director Cornyn participated in a panel discussion alongside other recently appointed state agency leaders, where she emphasized that the health and success of Ohio’s families and communities depends on our ability to recruit, train, and retain the best talent to ensure Ohio has the most robust behavioral health workforce possible. Learn more about our ongoing behavioral health workforce efforts HERE.
Medicaid Coordination of Benefits with New Medicare Behavioral Health Coverage
Beginning Jan. 1, 2024, the Medicare program began covering services provided to Medicare beneficiaries by marriage and family therapists (MFT) and mental health counselors (MHC), and Intensive Outpatient Program (IOP) services authorized under Sections 4121 and 4124 of the Consolidated Appropriations Act of 2023. These provisions are implemented as part of two recently published final rules:
As of Jan. 1, Medicare became the primary payer for Medicare-covered services furnished by MFTs and MHCs to individuals who are eligible for both Medicare and Medicaid. Additionally, Medicare became the primary payer for IOP services furnished to individuals eligible for Medicare and Medicaid by hospital outpatient departments, Medicare community mental health centers (CMHC), opioid treatment programs, rural health clinics (RHC), and federally qualified health centers (FQHC).
CMS recently provided guidance to states regarding coordination of benefits between Medicare and Medicaid and third-party liability under the Medicaid program. In accordance with this guidance, to allow providers time to complete the Medicare enrollment process:
- Ohio Department of Medicaid and MyCare Ohio plans will continue to pay claims for services to Medicaid enrollees with dual Medicare and Medicaid eligibility for impacted providers and services for claims submitted through June 30, 2024.
- Once practitioners are enrolled with Medicare, claims must be submitted to Medicare prior to seeking cost-sharing reimbursement from Medicaid, starting on the effective date of the provider’s enrollment with Medicare.
For any payments made by Medicaid (before or after June 30, 2024), including payments made by Medicaid managed care entities, if Medicare is later found to be the liable payor because the provider’s Medicare enrollment was active and the service was Medicare-covered, the Medicaid payment will be recouped as required by CMS.
To ensure secondary payments by Medicaid can be made, eligible practitioners that provide services to individuals who are eligible for Medicare and Medicaid should also be enrolled with Medicare. Eligible practitioners can apply to become Medicare providers through the Provider Enrollment Chain and Ownership System (PECOS) at Provider Enrollment Chain, and Ownership System (PECOS). The PECOS website offers tutorials regarding enrollment in Medicare.
Information on CMS’ coverage of these new Medicare providers is found below:
https://www.medicaid.gov/sites/default/files/2023-12/cib12142023.pdf
https://www.cms.gov/files/document/marriage-and-family-therapists-and-mental-health-counselors-faq-09052023.pdf
OCDP Invites Comment on Proposed Rules
The Ohio Chemical Dependency Professionals Board (OCDP) invites Prevention Certificate Holders, licensees, and CDCAs and stakeholders to submit comments regarding the proposed prevention requirements and scope of practice rule revisions, and one new rule regarding ethical conduct when using telehealth by March 13, 2024. Drafts of all the proposed rules in their entirety can be found on the OCDP website under About Us>Forms and Publications (page 3)>Proposed Spring 24 Rules, or by clicking HERE. Comments and questions can be directed to the Board at rules@ocdp.ohio.gov. Please cc: CSIPublicComments@governor.ohio.gov with any comments.
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Ohio Alcohol Conference — March 25
Prevention Action Alliance and OHLQ are teaming up to host the Ohio Alcohol Conference on March 25 from 9:00 a.m.-4:00 p.m. at the Quest Conference Center in Westerville. In addition to remarks from keynote speaker, David Jernigan, Ph.D., the conference will feature three breakout sessions, each offering attendees three choices from various topics. Presentations will delve into prevention strategies across the lifespan, effective health communication techniques, early intervention screening, and more. Cost is $50.
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Hancock County's 5th Annual Trauma Conference — April 23
The Hancock County Alcohol, Drug Addiction and Mental Health Services Board is partnering with the Northwest Ohio Trauma Informed Care Collaborative, and Family Resource Center to host the 5th Annual Trauma Conference on April 23 at the University of Findlay Winebrenner Theological Seminary. Cost is $45. Questions? Email adamhs@yourpathtohealth.org or call 419.424.1985.
In the News...
STARLight Center to be beacon on road to recovery SpectrumNews1, March 1, 2024
DeWine wants working group on issues for mentally ill Ohioans accused of crimes Statehosue News Bureau, March 1, 2024
Problem gambling on the rise in Ohio: Survey reveals alarming trends Scioto Valley Guardian, March 1, 2024
Agencies unite to fight valley suicides Youngstown Vindicator, March 1, 2024
Mental health board provides updates Tiffin Advertiser-Tribune, March 1, 2024
Ohio man revived with naloxone 9 times in 5 days: 'I couldn't stop dying' Columbus Dispatch, February 29, 2024
Alcohol-related deaths surge to nearly 500 a day, CDC says The New York Times, February 29, 2024
Norwood-based drug free coalition helping Cincinnati buck national trends in OD deaths WLWT-TV, February 29, 2024
Unhoused: How mental illness, addiction contribute to rising unsheltered homelessness WTVG-TV, February 29, 2024
Greene County now offering mail order fentanyl test strips WDTN-TV, February 29, 2024
'The great taboo': Agencies address suicide increase WKBN-TV, February 29, 2024
Hancock County Drug Task Force conducts blitz in coordination with treatment facility WTVG-TV, February 29, 2024
Mental health crisis fuels the post-pandemic rise in medication use USA Today, February 29, 2024
One state looks to collect multi-year data to address the mental health crisis Route Fifty, February 28, 2024
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