Center for Medicare and Medicaid Services (CMS) approves Enhanced Benefit Service Definitions
The NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services announced CMS approval of the Medicaid State Plan Amendment (SPA) that provides for new and enhanced services for individuals with mental illness and substance use disorders. The new Service Definitions will be effective as of March 20, 2006.
Link to new Service Definitions: http://www.dhhs.state.nc.us/mhddsas/
Link to updates of the new Service Definitions: http://www.dhhs.state.nc.us/mhddsas/servicedefinitions/updates/servimpdates.htm
State requires letters of notification for termination of Medicaid service
All Medicaid recipients must be notified in writing of the termination of any Medicaid service that results from the recently approved changes in service definitions. Notification must be made prior to March 20, 2006, the date for implementation of the changed definitions. In a memo issued February 28, the Director of the Division of Mental Health, Developmental Disabilities and Substance Abuse Services, Mike Moseley, and Dr. Allen Dobson announced the release of a series of Consumer Medicaid Notification Templates.
Link to The Guilford Center’s Letter to Providers:
TGC Provider letter on Def changes.pdf
Link to NC Division of MH/DD/SAS Medicaid Notification Memo:
Medicaid Notification Memo.pdf
Links to Notification Templates:
A1.Adults.ACTT.PSR.dot
A2.Adults.Not.Choice.ACTT.PSR.dot
B.Not.Child.Resid.Day.dot
C1.Not.Child.MHSA.CBS.caseman..dot
C2.Not.Change.Child.MHSA.CSS.dot
D1.Not.Adult.MHSA.CBS.caseman..dot
D2.Not.Change.Adult.MHSA.CSS-1.dot
E.Not.Adults.MRDD.CBS.dot
F.Not.child.MRDD.CBS.dot
G.Not.CAP.CBS.Adults.Child-1.dot