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Department of Health and Social Services Division of Substance Abuse and Mental Health

Explore the terms and challenges of the USDOJ settlement agreement focusing on funding strategies and program development for substance use services. Learn about Medicaid options, institutional balance, and strategies for addressing co-occurring disorders.

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Department of Health and Social Services Division of Substance Abuse and Mental Health

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  1. Department of Health and Social ServicesDivision of Substance Abuse and Mental Health Challenges and Initiatives

  2. USDOJ July 2011 • Settlement Agreement • Terms of the Agreement • Institutional and community balance • Challenges • Funding • Program development • Infrastructure issues – staffing, statute, funding

  3. Funding Strategies • Parity • SPA and the MCOs • Medicaid Options • 1915i or 1115 demonstration waiver or BOTH

  4. 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

  5. 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

  6. Contact Steven Dettwyler, Ph.D. Steven.dettwyler@state.de.us 302-255-9432 6

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