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OMHSAS Issues MATP Clarification
July 19, 2011

The Office of Mental Health and Substance Abuse Services (OMHSAS) has issued the following clarification regarding Medical Assistance Transportation (MATP) service for psychiatric rehabilitation services.

This email is sent on behalf of OMHSAS, Acting Deputy Secretary Sherry H. Snyder

TO:  HealthChoices Behavioral Health Contractors and County Administrators:

There has been some confusion over the recent actions taken by the Department regarding the transportation of consumers to Psychiatric Rehabilitation Services.  The following bullets were created to help alleviate said confusion.

  • The Department recently issued a memo to vendors under the Medical Assistance Transportation Program (MATP) confirming the Department’s long standing policy that it does not pay for transportation to Psychiatric Rehabilitation Services (PRS) - mobile, site-based, or clubhouse,  under the MATP.
  • The clarification was necessary because it was learned that some counties were providing transportation to PRS even though these services are not covered under the State Plan.
  • The Department will continue to pay transportation costs under the MATP for transportation to behavioral health services covered under the Medical Assistance State Plan approved by the Centers for Medicare and Medicaid Services (CMS).
  • To ensure a seamless transition for the individuals whose transportation may be impacted, DPW requested that the county MATP offices continue to coordinate trips to PRS until further notice.
  • OMHSAS is working with the affected counties and BH-MCOs to identify options for continuing transportation and using the most appropriate option(s) based on local resources.  OMHSAS is also working with county programs on PRS rate adjustments and reinvestment plans to cover the cost of transportation for PRS. MATP will reimburse counties in the interim.
  • OMHSAS has targeted close of business on July 31, 2011 as the date on which responsibility for PRS transportation will end for the MATP and coverage will begin for the effected county BH programs and BH-managed care organizations.  The goal is to ensure that services remain uninterrupted.
  • OMHSAS is requesting that the BH-MCOs and PRS providers coordinate efforts to insure that consumers impacted by these changes will know how they will continue to receive services.

Thank you for your ongoing support of this viable service.

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