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Medicaid

 

PowerPoint Presentation
April 2009

Medicaid Community Behavioral Health Services For Substance Abuse and Co-occurring Disorders
 
PowerPoint Presentation

Medicaid Made Friendly for Substance Abuse Treatment Providers: Exploring Revenue Maximization Opportunities and Strategies
Presentation by Mary Herkert, Central Florida Behavioral Health Network
 
PowerPoint Presentation

Medicaid HMO, PSN and Medipass Enrollment data (by county)
 
PowerPoint Presentation

New AHCA Training on Medicaid Substance Abuse Codes
(Medicaid Services for Substance Abuse: Community Behavioral Health Services Coverage and Limitations Handbook)

Medicaid Local Match Program

 
PowerPoint Presentation

County agreement with AHCA
 
PowerPoint Presentation

AHCA Training Presentation Slides
 
PowerPoint Presentation

Guide for completing a medicaid provider enrollment application
 
PowerPoint Presentation

Florida Medicaid provider enrollment application
 
PowerPoint Presentation

Match program recommended components
 
PowerPoint Presentation

Certification form
 
PowerPoint Presentation

Substance Abuse local match certification program, Provider Q&A Manual
 
PowerPoint Presentation

The Train-the-Trainer Program Manual was produced and used during the RWJ Resources for Recovery Grant in Florida.
This was a collaboration between USF-FMHI and Mary Herkert, presenter/consultant who worked for AHCA-Medicaid in the past and Central Florida Behavioral Health Network during the grant. Jim Winarski (FMHI) worked with Mary on the manual.

DCF System Redesign

 

PowerPoint Presentation


DCF System Redesign: Contracting with Community Managing Entities
  PowerPoint Presentation
DCF System Conversion and Medicaid Managed Care: The impact on provider contracting and reimbursement

Consultant Resumés

Barbara C. Corbett

  PowerPoint Presentation Consultant available with expertise in HMO/ PPO contract negotiation, Messenger Model negotiations for provider networks, Information Systems for provider organizations, establishing networks as Medicaid billing agents, and Tools for utilization management

Thomas Lucking

  PowerPoint Presentation Thomas Lucking has provided training and technical assistance to the State office, provider networks and local agencies in Florida over the past 10 years. He specializes in helping behavioral health systems and providers address the organizational dimensions of Transition. Areas of expertise include: network development, clinical pathway development, planning, marketing, and profitability improvement. Thomas Lucking has provided behavioral health consultation services in 28 states as well. Previously, he was CEO of a large provider agency in Michigan

Useful Links

 

PowerPoint Presentation

Contact information for Medicaid area offices (by county)
 
Medicaid Provider Handbooks

Medicaid Services for Substance Abuse

Community Behavioral Health Services
Presented by Mary Herkert

 

PowerPoint Presentation

Examination of general Medicaid rules, specific CBH services and requirements, and revenue maximizing strategies.

Managed Care Organizations and Provider Networks: Challenges and Opportunities

Neal Cash, CEO
Community Partnership of Southern Arizona
November 7, 2003

 
PowerPoint Presentation
An overview of the Arizona model of managed care and the challenges overcome to design the first public sector full-risk behavioral health care system in the United States.

Implementation of SB2404 : The Managed Care Time Table

 

PowerPoint Presentation


Review ofthe policy issues and provisions of the Florida Legislature's SB 2404.

Senate Bill 1258 - Key Provisions

 

PowerPoint Presentation

Summary of SB1258 in under three pages.

Florida HMOs & Medicaid Information

 

PowerPoint Presentation

FHA data brief that uses charts and graphs to illustrate HMO trends in Florida through March 31, 2004.

Medicaid Made Friendly for Substance Abuse Treatment Providers

Exploring Revenue Maximization Opportunities and Strategies

Mary Herkert
Central Florida Behavioral Health Network

 

PowerPoint Presentation

Presentation provides a wealth of information in easy to read charts, including funding sources and reimbursable services by episode of care.
 

PowerPoint Presentation

Supplemental houndouts provided by FADAA.

Evaluation of Florida's Medicaid Prepaid Mental Health Plans

Year 6 Report

David L. Shern, Ph.D. and the Evaluation Team
Louis de la Parte Florida Mental Health Institute
June, 2003

 
PowerPoint Presentation
For the past six years, under contract with AHCA, the Louis de la Parte Florida Mental Health Institute (FMHI), has conducted a series of integrated, multi-method evaluation projects designed to assess the effects of the Prepaid Mental Health Plan (PMHP) demonstrations on access, cost, quality, and outcomes of services relative to alternative managed care arrangements, and to the traditional financing arrangements that are in use in the rest of the state.

Evaluation Results of the Prepaid Mental Health Demonstration

Year 7 - Areas 1 and 6

David L. Shern, Ph.D. and the Evaluation Team
Louis de la Parte Florida Mental Health Institute
August 4, 2004

 

PowerPoint Presentation
Briefing for the Substance Abuse and Mental Health Corporation.

List of Florida Medicaid HMO's by Area

 

PowerPoint Presentation
Jan. 2004

A list of Florida Medicaid Health Maintenance Organizations compiled by the Bureau of Managed Health Care.

AHCA Managed Health Care Monthly Enrollment Reports

 

PowerPoint Presentation

Monthly enrollment reports composed of Excel spreadsheets and maps.

Analysis of Medicaid Enrollees and Substance Abuse Billings by Area

 

PowerPoint Presentation
March 2004

Medicaid enrollment and FY2001 Statewide Medicaid Billings (FMHI data).

New State Initiatives in Medicaid and DCF Financing & Contracting

 

PowerPoint Presentation


Evaluation of system changes mandated by the Florida Legislature, including MH/SA integration and inclusion of HMOs.

2004 Legislative Action Re- Medicaid Contracting

 

PowerPoint Presentation

Overview of how the new legislation affects Substance Abuse and Provider Networks.

Medicaid pre-paid plan RFP, District #1

 

PowerPoint Presentation

Released June 1, 2001 by the Agency for Healthcare Administration

Contracting with HMOs

 

PowerPoint Presentation

This Presentation summarizes the history of substance abuse versus mental health treatment and how current trends in treatment affect delivery of substance abuse services, including detox services and inpatient vs. intensive outpatient programs.

Medicaid Training Materials

Substance Abuse Medicaid Training: Listing of substance abuse codes and their requirements, analysis of current billing practices, and methods of maximizing services to Medicaid enrollees: Handouts from Training by Mary Herkert, CFBHN, December, 2004.

 
PowerPoint Presentation

Medicaid Billable Units
 
PowerPoint Presentation
Medicaid Revenue, Area 4
 
PowerPoint Presentation

Medicaid Revenue, Area 4(2)
 
PowerPoint Presentation

Medicaid Revenue, Area 7
 
PowerPoint Presentation

Medicaid Revenue, Area 9
 
PowerPoint Presentation

Medicaid CBHS Changes Section III; Florida Administrative Weekly

Transcript: Medicaid and Managed Care (FADAA Forum Chat)

 

PowerPoint Presentation
Nov. 2004

Transcript of an online chat featuring Thomas E. Lucking, a nationally-recognized management consultant.

Substance Abuse and Mental Health: Network Design

Celeste Putnam, Deputy Secretary
Substance Abuse and Mental Health, Department of Children and Families

 

PowerPoint Presentation

Summary of the benefits of an integrated system of behavioral health care for DCF clients and Medipass recipients.

Evaluation of Florida’s Mental Health and Substance Abuse System Redesign Strategies

Year 1 Report

Neil Jordan Ph.D.
Julienne Giard M.S.W.
Pat Robinson M.S.W.
Rebecca Larsen M.S.P.H.
Mary Rose Murrin, M.A.

 
PowerPoint Presentation
June 2004

Under contract with the Department of Children and Families (DCF) and in accordance with the requirements of Senate Bill (SB)1258, the Louis de la Parte Florida Mental Health Institute (FMHI), University of South Florida, is conducting an ongoing formative evaluation of the financing strategies authorized to be implemented by the legislation. The demonstration sites that were selected were DCF District 1, including Escambia, Okaloosa, Santa Rosa and Walton Counties and DCF District 8, including Charlotte, Collier, Glades, Hendry and Lee Counties. FMHI’s role is to help identify the most effective methods and techniques used to manage, integrate, and deliver behavioral health services as specified in the legislation. This report describes the progress achieved during fiscal year (FY) 2001-2002.

 



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