5160-27-02 Coverage and limitations of medicaid community mental health services.

 

 

 

 

FEDERAL MEDICAID NOTICE AND PUBLIC HEARING NOTICE OHIO DEPARTMENT OF MEDICAID

 

DATE:                       May 15, 2014

TIME:                        10:00 AM - 11:00 AM

LOCATION:               Ohio Department of Medicaid, 50 W. Town Street, Room A401 Columbus, OH 43215

 

Pursuant to section 5164.02, Chapter 119. of the Ohio Revised Code and 42 C.F.R. 447.205, the director of the Department of Medicaid gives notice of the department's intent to consider the amendment of the rules as identified below and of a public hearing thereon.

 

Rule 5160-27-02, entitled "Coverage and limitations of medicaid community mental health services" is being proposed for amendment to implement policy directives from the Department of Medicaid. This rule sets forth the Medicaid covered Ohio Department of Mental Health and Addiction Services administered mental health services and related limitations. The change to the rule is new language to clearly define those eligible for health home services and to implement a requirement that health home providers must disenroll clients within three business days of a request by the client or client's parent or guardian. The Department estimates no fiscal impact as a result of this amendment.

 

Rule 5160-27-05, entitled "Reimbursement for community mental health medicaid services" is being proposed for amendment to implement policy directives from the Department of Medicaid. This rule sets forth the Medicaid reimbursement policies for Ohio Department of Mental Health and Addiction Services administered mental health services. The change to the rule is to describe and implement the reimbursement methodology for health home providers participating in phase two of the health home project. An appendix stating the health home reimbursement base rates is added. The Department  estimates  the  fiscal  impact  of  this  amendment  to  be  approximately

$45,120,000.00 for SFY 2015.

 

A copy of each proposed rule is available at the address listed below and without charge, to any person affected by the rule(s) and at the county departments of job and family services. The proposed rules are also available on the internet at  http://www.registerofohio.state.oh.us/. A public hearing on the proposed rules will be held at the date, time, and location listed at the top of this notice. Either written or oral testimony will be taken at the public hearing. Additionally, written comments submitted or postmarked no later than the date of the public hearing will be treated as testimony.

 

Requests for a copy of the proposed rules or comments on the rules should be submitted by mail to the Ohio Department of Medicaid, Office of Legal Counsel, 50 West Town Street, 4th Floor, Columbus, Ohio 43218, by fax at [phone], or by e-mail at  [e-mail]. Comments received may be reviewed upon request.