Rehabilitative Mental Health and Substance Use Disorder Services  

  • The Centers for Medicare & Medicaid Services (CMS) has requested that the Division of Medicaid and Health Financing (DMHF) include a bundled payment methodology for rehabilitative mental health and substance use disorder services.

    DMHF, therefore, is amending Attachment 4.19-B of the Medicaid State Plan to allow for a bundled payment methodology when rehabilitative mental health and substance use disorder services are provided through Assertive Community Treatment (ACT) teams, Mobile Crisis Outreach Teams (MCOT), and in substance use disorder (SUD) residential treatment programs with 16 or fewer beds.

    The Department estimates total annual expenditures to be about $597,700.

    This proposed change, if approved by CMS, becomes effective January 1, 2019.

    A copy of this change may be obtained from Craig Devashrayee (801-538-6641), or by writing the Technical Writing Unit, Utah Department of Health, PO Box 143102, Salt Lake City, UT 84114-3102. Comments are welcome at the same address. Copies of the change are also available at local county health department offices.