Medicare and Medicaid Behavioral Health in the FQHC: New Opportunities

September 21, 2022

In both the Medicare program and Medicaid programs, recent policy changes have resulted in improved access to behavioral health services, including in federally qualified health centers (FQHCs). In this half-day training, FTLF attorneys Susannah Vance Gopalan and Carrie Bill Riley will provide an overview of the recent policy changes, highlighting the behavioral health service delivery opportunities these changes have created in FQHCs. Two examples are recent amendments to the Medicare FQHC regulations to allow FQHCs to bill for mental health virtual services at the PPS rate, and the continuing expansion in Medicaid of the certified community behavioral health clinic (CCBHC) program – with CCBHCs being promising care coordination partners for FQHCs in underserved communities. 

The presenters will provide sample key terms for CCBHC Care Coordination Agreements, and highlight compliance concerns associated with billing public programs for (and in some cases contracting with outside vendors to procure) behavioral health services. In addition to Medicare and Medicaid billing and program integrity issues, they will address Section 330 scope of project concerns relating to behavioral health.

Target Audience

  • Health Center CEOs
  • CFOs
  • COOs
  • Revenue cycle managers and billing managers

Learning Objectives

After this training, you will be able to:

  • Explain the rules for billing Medicare virtual mental health FQHC visits
  • Develop strategies for your health center to use newer Medicare offerings such as virtual communication services and care management to optimize behavioral health services for Medicare patients
  • Learn about considerations relevant to FQHCs as they interact with Medicaid CCBHCs, including care coordination and designated collaborating organization (DCO) arrangements, and guidance on dually certified FQHCs/CCBHCs
  • Identify compliance hotspots in the behavioral health arena, such as how to bill for and maximize payment for behavioral health services rendered to dual eligible beneficiaries that are covered under your state’s Medicaid FQHC benefit, but not under the Medicare FQHC benefit
Course summary
Available credit: 
  • 3.75 Certificate of Attendance
Course opens: 
07/29/2022
Course expires: 
03/22/2023
Event starts: 
09/21/2022 - 11:00am EDT
Event ends: 
09/21/2022 - 3:30pm EDT
Cost:
$500.00

Agenda

Virtual Classroom
Wednesday, September 21, 2022
*Agenda times are all ET*
 
Wednesday, September 21, 2022
11:00 AM - 3:30 PM ET
11:00 am - 11:15 amOverview: What’s New in Behavioral Health for FQHCs
11:15 am - 12:00 pmVirtual Mental Health Visits in Medicare
12:15 pm - 12:30 pmBreak
12:30 pm - 1:00 pmHRSA Scope of Project 
1:00 pm - 1:45 pm

Behavioral Health Billing / Compliance Concerns 

“Incident to” Services

HHS OIG Medicare Behavioral Health Audits

1:45 pm - 2:15 pmBreak
2:15 pm - 2:45 pmOverview of the Medicaid CCBHC Demonstration Program and SAMHSA CCBHC Expansion Grants
2:45 pm - 3:30 pmFQHCs and CCBHCs: Care Coordination Arrangements, DCO Arrangements, and Dually Certified FQHCs/CCBHCs

FTLF'S VIRTUAL CLASSROOM

This live, interactive training will take place in FTLF's Virtual Classroom, hosted by Zoom.  Should you have any technical questions or would like more information, please contact us at learning@ftlf.com or 1-855-200-3822.

SUSANNAH VANCE GOPALAN

Susannah is a Partner in the firm’s health law practice group where she focuses on health care litigation and regulatory counseling, with a focus on Medicaid and Medicare payment, financing, and compliance issues. Susannah brings regulatory expertise to bear when advising clients and pursuing litigation on their behalf. She has experience negotiating Medicaid waivers and managed care arrangements on behalf of providers, provider associations, and governmental entities. She represented a group of providers in reaching a settlement in major Medicaid litigation. [Full Bio]

CARRIE RILEY

Carrie Riley is a Partner in the health law, non-profit and corporate law, and federal grants law practice groups. She counsels a wide variety of health care clients, including Title X grantees and subrecipeints, and other private and public health care providers, on contracting, regulatory compliance, fraud and abuse, and reimbursement matters. Carrie also provides counsel on transactional matters, including formation and agreements for multi-provider affiliations/joint ventures, general contracting, and residency training arrangements. Prior to going to law school, Carrie worked at a Title X regional training center for several years.  [Full Bio]

Brittney Rudolph

An Associate in the firm’s Health Care and Federal Grants practice groups, Brittney assists health centers, federal grant recipients, and other organizations on litigation matters and a range of transactional matters pertaining to contracting, regulatory compliance, fraud and abuse, and reimbursement matters. [Full Bio]

Participants can earn up to 4.00 CPE credits in Specialized Knowledge and Applications upon completion of all course requirements.

ADDITIONAL INFORMATION

  • Prerequisites: None 
  • Target Audience: Health Center CEOs, CFOs, COOs, Revenue cycle managers and billing managers
  • Advanced Preparation: None  
  • Program Level: All
  • Delivery Method: Group Internet Based

Feldesman Tucker Leifer Fidell LLP is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website www.nasbaregistry.org (formerly www.learningmarket.org).

Available Credit

  • 3.75 Certificate of Attendance

Price

Cost:
$500.00
Please login or register to take this course.

TRAINING IS RECORDED

This training will be recorded for later viewing, and attendees will receive a copy of the recording after the event and retain access for 180 days from the time the recording is made available.


Group Discounts

Bring your team! Discounts are available for groups of three (3) or more individuals from the same organization. Please contact us to process your registration.

Groups of 3 - 6
Groups of 7 - 10
Groups of 11 - 15
Over 15 attendees
10% off 15% off20% offCall us!

Registration Instructions

Each registration must be in the name of the individual(s) who will attend. This allows FTLF to communicate important course information to the actual attendee(s), add training materials and handouts to the right account, and properly assign certificates of attendance or CPE credits. 

To register for this training:

  • For yourself: login to your account and register with your personal information
  • For someone else: login with the ATTENDEE’S login information or create an account for the ATTENDEE and register from the ATTENDEE's account
  • For a group: email Learning@ftlf.com to complete group registration

If you encounter problems or have questions Contact us.


Payment

We accept payment by PayPal, credit card, and check. Payment for any live training is due upon registration. If payment is not received in full prior to the start of the event, FTLF reserves the right to cancel your order and deny you entrance to the training.


Cancellation/Transfer Policy

All cancellation or transfer requests must be received in writing at learning@ftlf.com. Requests for refunds or transfers for in-person events will be granted according to the following schedule:

  • 30 or more days prior to the event, requests for a full refund or a transfer, minus a $75 administrative fee, will be granted.
  • Between 11 to 29 days prior to the event, requests for cancellations will be granted a 50% refund and requests for transfers will be granted, space permitting and subject to a transfer fee.
  • Within 10 days of the event start date, no requests for refunds or credits will be granted. At FTLF's discretion, late transfers may be granted, space permitting and subject to a transfer fee.

If there are extenuating circumstances regarding your cancellation, please reach out to the FTLF Training Team directly at learning@ftlf.com.

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