1 / 17

Behavioral Health Regulations: Workgroup Report

Behavioral Health Regulations: Workgroup Report. Department of Health & Mental Hygiene Alcohol & Drug Abuse Administration Mental Hygiene Administration May 2012. O verview. A workgroup was formed to examine State regulations addressing community mental

madeline-valdez
Télécharger la présentation

Behavioral Health Regulations: Workgroup Report

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Behavioral Health Regulations:Workgroup Report Department of Health & Mental Hygiene Alcohol & Drug Abuse Administration Mental Hygiene Administration May 2012

  2. Overview • A workgroup was formed to examine State • regulations addressing community mental • health and substance use disorder programs in • order to make recommendations for changes • needed to support an integrated (MH and SA) • community behavioral healthcare system.

  3. Workgroup Members • Brian Hepburn - MHA • Daryl Plevy - MHA • Sharon Olihaver - MHA • Stacey Diehl - MHA • Darrell Nearon – BH and Disabilities • Barbara Francis – OAG • Susan Tucker – Office of Health Services • Wendy Kanely - OHCQ • Sue Jenkins - ADAA • Lori Doyle - Provider • Tracy Schulden - Provider • Oleg Tarkovsky - Provider • Kathy Rebbert- Franklin, Chair - ADAA

  4. Guiding Principles • Address both system & service integration • Promote administrative simplicity • Facilitate & support use of evidence-based interventions • Promote person-centered approach

  5. Objectives • Create integrated regulatory system for providers serving those with substance use disorders and mental illness • Align BH quality control mechanisms with those applied to somatic health • Address regulations, not financing • Eliminate duplication with other regulations: Health Occupations Boards, FDA • Achieve consistency in service delivery

  6. New Approach Transition from reliance on State regulations to recognition of accreditation by nationally accrediting entity.

  7. New Approach – State’s Role • Requires & monitors accrediting status of providers. • Maintains regulations for activities not covered by accreditation standards. • Assists providers with transition to accreditation.

  8. Benefits of Accreditation • Providers expected to respond to one set of standards. • Providers able to apply greater focus to quality instead of compliance. • Providers will meet insurance reimbursement requirements. • State resources have increased capacity to follow-up on concerns/complaints and focus on non-reimburseable service development and provision.

  9. WHO will be required to be accredited? • Exemptions: • FQHCs • Hospital programs in regulated space • Licensed individuals in solo or group practice • Applies to: • All other mental health, substance use disorder & co-occurring treatment programs

  10. Different Models • Licensed individuals in solo or group practice: • Accreditation not required. • FFS payments only for individuals licensed to practice independently. • Licensed and Unlicensed in practice together: • Program must be accredited due to unlicensed practitioner(s) • Unlicensed staff in practice together: • Program must be accredited due to unlicensed practitioner(s)

  11. HOW will transition proceed? • Further analysis by Workgroup. • Additional & on-going opportunities to provide • feedback. • Accrediting entities must be approved by State. • State exploring methods to help facilitate • transition for providers.

  12. WHEN will transition occur? • July 2012 Final Workgroup Recommendations • January 2013 Legislation introduced & passed • July 2013 Legislation implemented • July 2015 Compliance with legislation required

  13. Additional Analyses • Review crosswalks of COMAR to accrediting standards. • Determine critical elements in State’s oversight and monitoring. • Survey other states for lessons learned. • Plan future relationships and communication channels between accrediting entities, OHCQ, and BH Administration • Evaluate ways to assist providers with accreditation process.

  14. Assistance with Accreditation • Currently large number of MH & SA programs licensed/certified (>2k). • Analyze needs of provider communities. • Evaluate various methods to assist with accreditation process.

  15. Current Licenses – Substance Abuse • 21 Education Programs • 263 Outpatient Programs • 95 Residential Programs • 11 Residential Detox Programs • 11 Non-Residential Detox Programs • 55 OMT Programs • 32 Correctional Programs • TOTAL = 488

  16. Current Licenses – Mental Health • 198 Outpatient Mental Health Centers • 4 Group Homes and 150 above • 54 Vocational Programs • 26 Mobile Treatment Services • 35 Partial Hospitalization Programs • 171 PRP for Adults • 109 PRP for Minors • 16 Residential Crisis Services • 743 Residential Rehabilitation Programs • 17 Respite Care Services • 21 Therapeutic Group Homes • 1 Therapeutic Nursery Program • TOTAL = 1,545

  17. Stakeholder Feedback • Ongoing: regulations_integration@dhmh.state.md.us • Forums: • MHA conference May 2 • MADC conference May 9 • Final Report and Recommendations

More Related