Drug & Alcohol

Your feedback is greatly needed. The US Department of Labor (DOL) has issued its final overtime rule which increases the threshold related to the overtime exemption. This has caused great concern among RCPA members as there is no additional funding being proposed to cover the cost of this change. RCPA will be submitting testimony and testifying in front of the Senate Labor and Industry and Senate Appropriations Committees on Tuesday, June 21 regarding this issue. In preparation for this important Senate hearing, we are asking members to complete this SURVEY no later than Wednesday, June 15, so that we have data to present in addition to our concerns.

If you have already taken the survey, you do not need to provide feedback again. We appreciate your attention and input regarding this very important issue. Thank you.

Please contact RCPA Director of Government Affairs Jack Phillips with any questions.

The commencement of Certified Community Behavioral Health Clinics through Pennsylvania’s Department of Human Services, and the growing movement of individual providers to create medical homes to provide clients with co-located mental health and primary care providers in one facility, holds tremendous promise and opportunity for the coordination and enhancement of delivery of care to clients. These new provider relationships in shared office and facility spaces create new legal issues for providers under the federal Stark law and Anti-kickback statute. Providers must ensure that they do not inadvertently run afoul of these important federal fraud and abuse laws.

RCPA will offer a webinar presented by Renee H. Martin, JD, RN, MSN, a partner in the firm of Dilworth Paxson, LLP. This webinar will describe the legal requirements providers must be aware of under these federal laws and help to apply that knowledge in structuring financial relationships for use of these shared spaces. The webinar is intended for provider organizations’ executive staff, project planners, and legal counsel.

Stark Law and Integrated Health Care Webinar
Wednesday, June 29
12:00 – 1:00 pm
Register today

  • RCPA member registration is $25
  • Non-member registration is $40

Presenter: Ms. Martin exclusively practices health care law and advises both individual and institutional health care providers on regulatory and transactional matters. A significant portion of her practice centers on mental health and substance abuse law, including HIPAA, informational privacy, and fraud and abuse compliance. Ms. Martin has assisted in the formation of regional health information centers and mental health medical homes, working closely with federally qualified health centers and mental health providers.

RCPA will now distribute INFOS and ALERTS covering research, delivery and training models, policy issues, and other topics that will inform our members about collaborative, integrated, and co-located health care. To subscribe to this distribution list, select this link and check “Integrated Care.” This will add to your existing email preference selections.

The Department of Human Services has issued Bulletin 99-16-04, Enrollment of Co-Located Providers. This bulletin informs providers of the process for enrollment or revalidation of providers that are in co-location arrangements. The bulletin addressed the process for Medicaid enrollment and revalidation for service providers that are “using the same distinct street address as a different currently enrolled provider.” It also addresses situations in which a provider is located within another provider’s offices and is accompanied by the department’s Co-Location Attestation form.

To further support members developing or providing co-located service provider relationships in a shared office and facility space, RCPA will conduct a Lunch and Learn webinar on June 29, focused on the legal issues for providers under the federal Stark law and Anti-Kickback statute. This webinar will describe the legal requirements providers must be aware of under these federal laws and apply that knowledge in structuring financial relationships for use of these shared spaces. Look for webinar information and registration in an RCPA INFO.

For providers that may be adding behavioral health services to a primary care practice, you’ll need to be sure you’re getting reimbursed for these new services. That means knowing what you can bill for, learning a web of new codes and numbers, identifying which staff can be reimbursed for providing these services, and training staff to code services appropriately. National Council is inviting primary care providers and their behavioral health partners to join integration experts from primary care centers for a webinar on the practical ins and outs of billing for behavioral health services, to a variety of third-party payers, including Medicare and Medicaid.

Participants need to be ready to discuss the menu of billing options available that can match your center’s needs. After this webinar, participants will:

  • Identify billing options for integrated behavioral health services;
  • Ask questions to identify if Medicaid and Medicare numbers are appropriately linked to the mental health services provided; and
  • Employ tips for working with clinical and billing staff at the same time.

This webinar will be held on Monday, June 6, at 2:00 pm. Practitioners and providers can register here.

RCPA will now distribute information on integrated health care. RCPA INFOS and ALERTS will cover research, delivery and training models, policy issues, and other topics that will inform our members (and their physical health care partners) about collaborative, integrated, and co-located health care. To subscribe to this distribution list, select this link and check “Integrated Care.” This will add to your existing email preference selections.

The conversion from ICD 9/DSM 4-TR to ICD 10/DSM 5 has come and gone. Many RCPA members are reporting claims denials for billing codes related to the Schizophrenia NOS and PTSD NOS. The reason is that the DSM 5 only offers the Schizophrenia NOS code but the ICD 10 offers seven other choices for Schizophrenia and similarly for PTSD. Clinicians are using the DSM 5 for documentation and choosing the available option; however, when converted to ICD 10 for billing and payment, the person does not meet the criteria for Schizophrenia NOS – therefore, CMS is denying payment. And if you think you are out of the woods in the substance abuse arena, think again; those problems are forthcoming.

RCPA is pleased to offer this webinar: DSM 5/ICD 10 Troubles: Understanding and Rectifying Revenue Problems, by Lisette Wright of Behavioral Health Solutions, P.A. Wright is author of the published curriculum ICD-10 and DSM-5: Coding, Documentation and Clinical Diagnostic Criteria Training, and has trained close to 13,000 clinicians across the country. Her soon-to-be-published graduate level test is titled Coding and Documentation Compliance for the ICD and DSM: A Comprehensive Guide for Clinicians, Routledge, late fall 2016.

Wednesday, June 1, 2:00 – 3:30 pm
Member Registration: $25
Non-Member Registration: $40
Register here no later than Monday, May 30, 2016

OMHSAS will be marking Mental Health Awareness month with a program called PA on the M.O.V.E.,  Friday, May 13, 2016, in Strawberry Square. In addition, the 2016 PA CARES Training Summit – Promoting Wellness in the Reintegration Process: Enhancing the Lives of Service Members, Veterans and their Families will be held on Thursday, May 12 at Fort Indiantown Gap, Annville, PA. There is no charge for this program but registration is required by May 3.

The Pennsylvania Medical Assistance Transportation Program (MATP) wants to hear from you! The upcoming MATP Advisory Meeting will be held on Thursday, April 28, from 12:30 – 1:30 pm at the Commonwealth Tower (Strawberry Square), 303 Walnut Street, 6th Floor, Room 38, Harrisburg, PA 17105 or you can call in at 855-734-4390 with Conference PIN 693412.

The Office of Mental Health and Substance Abuse Services (OMHSAS) issued a new bulletin entitled:  OMHSAS-16-03: Revised Procedure for Waiver of Office of Mental Health and Substance Abuse Services (OMHSAS) Program Regulations and Standards. It is effective immediately and its purpose is to update and clarify the procedure for submitting and processing requests for a waiver of OMHSAS program regulations and standards that are used to license or approve behavioral health providers.