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BH Update - January 2018

Key Highlights This Month:  

  1. SUD Reform update:  The Department of Human Services continues to roll out information regarding SUD Reform through bi-weekly WebEx forums. The Minnesota Department of Human Services (DHS) is seeking a section 1115 waiver of Title XIX of the Social Security Act to provide Medicaid payments for services provided in an Institution for Mental Disease (IMD), as part of the state’s larger reform effort to ensure a continuum of care for people with substance use disorders, as provided under Minnesota Statutes, section 254B.15

-        MACSSA has recommended legislative and policy solutions in their 2018 Initiatives platform that address LADC shortages and and requirement restrictions negatively impacting counties.

-         Dakota County recently hosted an all-day forum with DHS and several other counties that discussed and reviewed county concerns regarding the SUD reforms and upcoming parallel chemical health assessment and Rule 25 process.  There is growing concern that it is not clear how this parallel process will be operationalized and how it will be communicated.  Also, what system is being put in place to educate providers and assure quality control around billing and funding practices.  It is felt that DHS needs to signal some level of commitment to engage in understanding and working with county operations to implement the SUD reforms.

-        There will be an opportunity to discuss further at the “Operational Priorities Deep Dive”.

  1. CRP and Direct Care and Treatment:  It is apparent that there will be an effort to change the process for Competency Restoration Program discharge.  Continued concern that another cost shift will happen in the next legislative session for CRP. 
  2. Commitment Statute:  NAMI held a stakeholder group meeting that is looking to change the language in the commitment law MN Statute 253B.  Hennepin was the only County representative at this meeting.  Counties will want to monitor through legislative session.

Requested Actions Needed From MACSSA:  

New Trends in This Area:  

Issues/Concerns Regarding This Topic:  

Legislative Impacts:  

Supporting Materials:  

Contact(s):  Melissa Huberty; Jerry Pederson

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125 Charles Avenue, St. Paul, MN 55103

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