Medicare and Medicaid Behavioral Health in the FQHC: New Opportunities
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.
- Health Center CEOs
- Revenue cycle managers and billing managers
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
Wednesday, September 21, 2022
11:00 AM - 3:30 PM ET
|11:00 am - 11:15 am||Overview: What’s New in Behavioral Health for FQHCs|
|11:15 am - 12:00 pm||Virtual Mental Health Visits in Medicare|
|12:15 pm - 12:30 pm||Break|
|12:30 pm - 1:00 pm||HRSA 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 pm||Break|
|2:15 pm - 2:45 pm||Overview of the Medicaid CCBHC Demonstration Program and SAMHSA CCBHC Expansion Grants|
|2:45 pm - 3:30 pm||FQHCs 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 email@example.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 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]
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.
- 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).
- 3.75 Certificate of Attendance
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.
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% off||20% off||Call us!|
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