CCDTF e-Memo: Update on Request for CMS Approval for SUD Reform New Services

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e-Memo

#18-115

07/2/18

Update on Request for CMS Approval for SUD Reform New Services

The Behavioral Health Division has been working with the Centers for Medicare and Medicaid Services, but has not yet received approval to add comprehensive assessment, peer recovery support and treatment coordination to the Medicaid benefit set and to add Recovery Community Organizations, Counties and individuals in private practice as eligible vendors of certain substance use disorder services. The 2017 legislation identified the new services to be reimbursable July 1, 2018 or upon federal approval. Reimbursement for these services will not be available until CMS approval is obtained. 

Once the state receives approval for these new services, new vendors will need to enroll with the MN Health Care Programs and existing enrolled providers will need to update their assurance statement  prior to providing and billing for the new services. DHS will be amending its contract with the MCOs and providers who have contracts with Managed Care Organizations will need to amend their contracts, prior to billing for the new services. 

We will continue to provide prompt updates through e-Memo and by WebEx on the status of our state plan amendment request. We will have a WebEx presentation very soon after approval to provide an overview of ‘What you need to do next.’  The next SUD Reform WebEx is on July 12th.  If we do not have CMS approval by then, the Webex topic will focus on 2019 stakeholder engagement planning for the 2019 Legislative session as well as provide an update on SUD reform.

Registration for the WebEx is now available: CLICK HERE TO REGISTER

Thank you for your patience as we continue to work with CMS to obtain approval. 


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