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Department of Health and Social Services Division of Substance Abuse and Mental Health. Challenges and Initiatives. USDOJ July 2011 . Settlement Agreement Terms of the Agreement Institutional and community balance Challenges Funding Program development
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Department of Health and Social ServicesDivision of Substance Abuse and Mental Health Challenges and Initiatives
USDOJ July 2011 • Settlement Agreement • Terms of the Agreement • Institutional and community balance • Challenges • Funding • Program development • Infrastructure issues – staffing, statute, funding
Funding Strategies • Parity • SPA and the MCOs • Medicaid Options • 1915i or 1115 demonstration waiver or BOTH
Substance Use ServicesFunding Strategies – SPA/Parity/ASAM • MCO Contracts 1/1/15 • Withdrawal Management • Residential • Ambulatory • IOP • Residential Services • Comprehensive Outpatient Services • Co-occurring, OP/IOP/OTP/OBOT Other SUD Issues: • Oxford House • 59 houses, more to come • Over 425 beds • Narcan Trainings – on top of everything else……. • Legal challenges, needle exchange, cost factors 4
Funding Strategies Medicaid Options 1915i or 1115 demonstration waiver or BOTH Promise Supported Employment - IESS (EBP) and Follow Along Benefits Counseling Peer Support Services Residential Tiers Non-medical transportation Nursing Services ADL/IADL 5
Contact Steven Dettwyler, Ph.D. Steven.dettwyler@state.de.us 302-255-9432 6