Special Notice

This notice was published in the December 15, 2018, issue (Vol. 2018, No. 24) of the Utah State Bulletin.

Special Notice: 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.

Additional Information

The Portable Document Format (PDF) version of the Bulletin is the official version. The PDF version of this issue is available at https://rules.utah.gov/publicat/bull_pdf/2018/b20181215.pdf. The HTML edition of the Bulletin is a convenience copy. Any discrepancy between the PDF version and HTML version is resolved in favor of the PDF version.

For questions regarding this notice, please contact Craig Devashrayee, by phone at 801-538-6641, by FAX at 801-538-6099, or by Internet E-mail at cdevashrayee@utah.gov