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Behavioral Health Update - July 2018

Key Highlights This Month:  

SUD Reform: 

  • *Health plans are aware of changes and contract amendments will be negotiated August/September and are expected to be finalized October with CMS.  Most likely will not pay for new services before this.
  • *$8.7 million available to MN for Opioid Crisis; DHS formulating a response to include potential funding for: 
    • -Increased access to MAT (potentially distribution in jail settings?)
    • -Funds to license current county Rule 25 assessors to enable them to do Comprehensive assessments.  Funds       would pay for the classroom training, tuition, mileage, supplies etc. 
    • -Peer Recovery Support Telephone Support (not MA reimbursable).
    • -The grant ends 9/20 and the response is due from DHS in August. 
    • Rule 24 eligibility will have a span in MMIS; some counties are considering having FW’s determine eligibility especially if they will have no Rule 25 Assessor/Comprehensive assessment.
    • DHS appears to be considering introducing legislation (2019) that would eliminate the need for providers to obtain a statement of need from a county when seeking initial licensure (or capacity change) of a detox service or SUD treatment.

 Behavioral Health Centers Bonding Update:

  • *Early fall (September) RFP should be published and will be open for 3 months.  A Bidders Conference will be scheduled early in the process and FAQ’s will be published on DHS’s website.  A review committee comprised of stakeholders and DHS will convene late fall and should make selections by the end of the year.  ANY county can respond to the RFP and there will be no special consideration for counties who helped introduce this to the legislature. 
  • *Construction/remodeling for these projects is expected to begin late spring/early summer of 2019.  An email will be coming out soon with the details.  The RFP is not expected to be overly prescriptive and consideration will be focused on sustainability of projects.  If a sufficient number of proposals (successful) are not received, the money ($30 million) can be carried over as the money is alive for 3 years in this bonding project.  Supported Housing is also included in the bonding money and is a separate project. 

Crisis Grant

  • *A preliminary conversation was held with Claire Wilson (Assistant Commissioner DHS).  She will be presenting in July as part of a MACSSA forum to address Crisis Grant concerns by Counties.  Hoping to find a productive Partner pathway forward for sustainable Crisis Service models.

 Potential Legislation/positions (very early ideas).

  • SUD Reform- Discontinuing of County share for Rule 24 funding.  Decrease Supervision requirements around Care Coordination.
  • Crisis Grant- Clarifying language on County role/costs for Crisis Services.
  • AMRTC/Direct Care and Treatment- Discharge planning and notice clarification-increase county role.
  • LMHA-County Contracts- aligning new contracting language with LMHA authority (how to have this conversation).
  • Children’s’ Residential Funding-Funds to cover new costs due to the IMD status change.

 Requested Actions Needed From MACSSA:  Possible forum time.

New Trends in This Area:  

Issues/Concerns Regarding This Topic:  

SUD Reform Impact
Ability for Counties to maintain sustainable funding around Crisis Services and opportunity around new Crisis Bonding Projects.

Legislative Impacts:  Starting discussions around Legislative positions.  County Directors and delegates should send positions and ideas to Julie Ellis and/or Jerry Pederson.

Supporting Materials:  Action Items for Counties to Consider in Preparation for SUD Reform.

Contact(s):  Julie Ellis, Jerry Pederson

© Minnesota Association of County Social Service Administrators

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