Behavioral Health Fund billing clarifications for SUD services in Minnesota jails

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Behavioral Health e-Memo

#22-38

11/28/2022

Behavioral Health Fund billing clarifications for SUD services in Minnesota jails


The Behavioral Health Fund can cover substance use disorder (SUD) treatment services provided to individuals in Minnesota jails if the county of financial responsibility determines that the individual is financially eligible and indicates coverage in MN-ITS by using major program code "OO." Managed care organizations, the Prepaid Medical Assistance Program and Medical Assistance are generally not allowed to pay for services while an individual is incarcerated. Individuals covered under these programs would be eligible for the Behavioral Health Fund to support payment for SUD services while an individual is incarcerated.

DHS recommendation

The Minnesota Department of Human Services encourages counties to complete eligibility determinations for the Behavioral Health Fund while an individual is incarcerated. Assisting with comprehensive assessments, peer support and treatment coordination can have significant benefits for the individual, as well as reduced overall costs to society. The county is responsible for determining financial eligibility for the Behavioral Health Fund and opening a case in MN-ITS with major program code "OO" for individuals seeking substance use disorder support. 

If you have questions please feel free to reach out to SUD.Direct.Access.DHS@state.mn.us.


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For more information about this e-Memo please feel free to contact us at youropinionmatters.dhs@state.mn.us.