The Centers for Medicare & Medicaid Services (CMS) has approved the Pennsylvania Department of Human Services’ (DHS) proposed minimum rates for each ASAM level of care. The rates are effective Jan. 1, 2022. According to DHS, the behavioral health managed care organizations must increase the rate being paid to any provider currently below the minimum. Providers being paid above the minimum will not be reduced to the minimum.
The rates have been posted and can be accessed through DHS’ website under “Behavioral HealthChoices Provider Resources.”
RCPA will share any additional information on the minimum rates as it becomes available. Please contact RCPA Drug and Alcohol Division Director Jason Snyder with any questions.