RCPA - Rehabilitation and Community Providers Association


Inpatient D&A Coverage Expands for OCYF Youth
June 3, 2009

Beginning August 1, the HealthChoices program will cover inpatient non-hospital and residential detoxification and residential treatment for substance abuse services for youth in the child welfare and juvenile justice systems (children in substitute care), regardless of service zone. Previously, HealthChoices behavioral health managed care organizations (BH-MCOs) were not required to manage or pay for non-hospital drug and alcohol (D&A) services provided outside the HealthChoices zone where the youth resided. This became a significant barrier to access to treatment for youth in substitute care administered by county children and youth or juvenile justice agencies. The Office of Mental Health and Substance Abuse Services (OMHSAS) has sent letters to all inpatient non-hospital and residential D&A programs licensed by the Department of Health to inform them of this change. Provider agencies will need to be credentialed and establish rates with all applicable BH-MCOs. OMHSAS encourages all eligible providers to begin the credentialing and rate negotiation process as soon as possible.


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