Behavioral Health Update - November 2018

Key Highlights in this topic/WORKGROUP for the PREVIOUS month:

SUD Reform: 

Withdrawal Management could potentially be delayed and not actually a billable expense 7/1/19.  The State Plan Amendment has not been submitted to CMS yet and will not be until possibly the end of the third quarter of 2019.  The delays with all aspects of SUD Reform seem to be due to different departments completing different pieces of the work and not wishing to move forward until the current step is finished.  This has drawn out the process. It has delayed provider enrollment, assurances and Withdrawal Management CMS approval.  There is a concern by counties of the impact on levy dollars and service.  The Behavioral Health Topic Group will be meeting with MACSSA leadership to discuss options on DHS meetings and need to increase urgency around SUD Reform. 

Julie Ellis and Brad Vold are preparing a survey that will go out to MACSSA again asking about their intent to provide care coordination and comprehensive assessments considering the current statutory requirements.  Telehealth could be a solution for rural counties but there is not a clear strategy of how to implement it statewide. 


Competency Restoration Program:

  • There is a plan to have another Forum on CRP in December. There continues to be confusion regarding CRP responsibilities as DHS moves forward with their changes. Hennepin having examples of State Operated Facilities notifying courts once a person has stabilized and they then appeal to the court to discharge them.   Where are these clients supposed to go?  And how will they be restored. Counties are not required by statute to pay these costs. 

Requested Actions needed from MACSSA in the next month:

SUD Forum time

CRP Forum time




Issues/Concerns regarding this topic this month:

SUD Reform Impact

CRP legislative cost shifts. 


Legislative Impacts:


Bulletins, Publications, or supporting materials to be included with this update:



Julie Ellis

Jerry Pederson

© Minnesota Association of County Social Service Administrators

125 Charles Avenue, St. Paul, MN 55103

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