Provider Meeting: FY 15 Contracting. March 11, 2014

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Agnes Spencer
3 years ago
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Is the Vice President's System Development Programs still being developed?
What form does Separate State Funding Fiscal form have?
What is the process that is used for the delivery of programs?

1 Provider Meeting: FY 15 Contracting March 11, 2014

2 Vision Statement We envision a city where people live and thrive in communities that promote and support behavioral health and wellness.

3 Mission Statement We are committed to enhancing behavioral health and wellness of individuals, families and communities through: o The promotion of behavioral health and wellness, prevention, early intervention, treatment and recovery, o The creation and leadership of an integrated network of providers that promotes universal access to comprehensive, data-driven services and, o Advocacy and leadership of behavioral health-related efforts to align resources, programs and policy.

The creation and leadership of an integrated network of providers that promotes universal access to comprehensive,

4 BHS Baltimore Legal merger - October 1, 2013 Integration of operations - ongoing

5 Program Operations Divisions Day-to-day operations of core programs and interface with the Administrative Service Organization (ASO) Prevention, treatment, rehabilitation, and recovery Christina Trenton, Vice President System Development Programs still being developed and evaluated, policy and planning, data Schools, criminal justice, integrated health, transition age youth (TAY) and seniors Crista Taylor, Vice President Finance & Administration Contracting, compliance & quality oversight of contracts, fiscal operations, IT Richard Greene, Vice President

evaluated, policy and planning, data Schools, criminal justice, integrated health, transition age youth (TAY) and seniors Crista Taylor,

6 Guiding Principles in Integrating Contracting Use combined resources to develop efficient and qualitative process Organize work flow to support larger volume Ensure good communication with providers Minimize the administrative burden for providers whenever possible so as to maximize resources allocated to programmatic work Timely contract execution Predictable and timely provider payments

providers Minimize the administrative burden for providers whenever possible so as to maximize

7 State Funding Continuation of separate funding agreements with ADAA and MHA for FY 15 FY 15 ADAA funding amount is not yet known ASO: RFP is out, much unknown in regard to how it will be operationalized Ongoing collaboration with the State to plan for changes that will happen in FY 15 and FY 16

much unknown in regard to how it will be operationalized Ongoing

8 Implications of Separate State Funding Fiscal reporting forms - same as for FY 14, which means substance abuse and mental health contracts will differ Payment schedules - same as for FY 14, which means substance abuse and mental health contracts will differ Possibility that ADAA-funded contracts will continue to be executed and paid by BSAS

9 Contract Teams Program Lead ensures funding used for intended purpose, collaborates with providers at system level Contract Administrator primary contact for contract issues/questions Grants Accountant budgets, budget mods, fiscal reports/invoices Compliance & Quality Administrator conducts programmatic site visits, investigates complaints for funded programs

issues/questions Grants Accountant budgets, budget mods, fiscal reports/invoices

10 Contracting Process (contracts w/ anticipated minimal funding changes: mental health, substance abuse prevention and recovery) 1. Letters of Award (LOA) in next couple weeks for contracts with anticipated minimal changes in funding requesting: Budget forms Other required contract attachments* FRAN form (only applies to substance abuse contracts) 2. Upon approval of all items in #1, contract documentation will be sent to provider 3. Goal: fully execute contracts by June 13 th

Letters of Award (LOA) in next couple weeks for contracts with anticipated minimal changes in funding requesting:

11 Contracting Process (contracts w/ anticipated change in funding level: substance abuse treatment) 1. Letters of Intent for all other contracts sent by end of March requesting: Required contract attachments* 2. Upon notification of ADAA funding level, LOAs will be sent requesting budget and FRAN form 3. Upon approval of items in #1 and #2, contract documentation will be sent to provider 4. Goal: fully execute contracts by June 13 th

Upon notification of ADAA funding level, LOAs will be sent requesting budget and FRAN form 3.

12 Budgets Submit signed copy Budget forms same as for FY 14, which means substance abuse and mental health contracts will differ Will post forms on website on For Providers page

13 *Required Contract Attachments Debarment and Suspension Qualification Contact Information Assurance Certification Business Associate Agreement DHMH Certification or Letter of Good Standing/ Accreditation (substance abuse only) DEA Certification (substance abuse only - methadone & BBI providers) Insurance documents W-9

Certification or Letter of Good Standing/ Accreditation (substance abuse only)

14 *Scope of Service/Deliverables (Attachment A to contract) Scope of service Deliverables/required reports Consumer perception of care (mental health only): Submit summary of feedback received and specific action(s) taken as a result

perception of care (mental health only): Submit summary

15 Contract Types Cost Reimbursement Advance Basis (paid in advance of expenditures Actual Expenditures (paid based on actual expenditures) Fee for Service Substance abuse only Performance Based Residential substance abuse only Consultant

actual expenditures) Fee for Service Substance abuse only

16 Performance Based Contracts (substance abuse only) OP, IOP, OMT contracts will change to cost reimbursement advance basis Residential contracts that are currently performance based contracts will remain unchanged

reimbursement advance basis Residential contracts

17 SMART Statewide Maryland Automated Record Tracking No changes anticipated for FY 15 SMART will not be funded by the state for treatment services after they roll into the ASO. It will continue to be funded and required for: Drug Court 8505/8507s AVATAR Recovery services All other reporting will be through new ASO Funding for Baltimore City SMART Trainers ends June 30, 2014 Working with ADAA to determine who will provide technical assistance

18 Utilization Program (UP) (substance abuse only) No change in requirements at this time Currently evaluating

19 Program Report Due Dates Mental health 15 th day after end of reporting period Substance abuse (prevention and recovery contracts) monthly 10 th day of subsequent month

20 Fiscal Reports/Invoices/ Requests for Payment Mental health Quarterly fiscal reports (QFRs) due 15 th day after end of quarter Invoices due 15 th day after end of month Substance abuse Schedule for Requests for Payment and Expenditures Reports will be communicated in June

Invoices due 15 th day after end of month Substance abuse Schedule

21 To Receive Payment Must be in compliance, including being current with: Program reports Fiscal reports/invoices/requests for Payment Audit Insurance

22 Timeframe: Substance Abuse Payments Schedule to be communicated in June

23 Timeframe: Mental Health Payments Cost Reimbursement: Advance Basis 1 st business day of month Cost Reimbursement: Actual Expenditures Within 30 days of submitting an accurate and complete invoice Consultant Within 30 days of submitting an accurate and complete invoice

24 Contract Management System (CMS) Web-based Submission and approval of programmatic and fiscal reports, invoices Payment information Jackie Fitzgerald will provide user support, training and technical assistance

25 Site Visits Conducted by Compliance and Quality Administrators (CQAs) Scope of service/deliverables COMAR regulations Quality of service delivery Schedule: Quarterly for ADAA-funded treatment contracts Annually for other contracts

26 Key Differences for Substance Abuse Providers Existing contracts that will continue to be funded will not need to apply for grant funds contracting process No program narrative Contract teams Electronic submission of reports via CMS Business Associate Agreement Performance based contracts OP, IOP and OMT contracts to change to cost reimbursement

27 Key Differences for Mental Health Providers Invoice Only contracts to be called Cost Reimbursement Actual Expenditures, will continue to be paid based on invoice of actual expenditures New contract, not a renewal No contract renewal meetings Change in consumer perception of care deliverable Appendix A is now called Attachment A Reporting time frames have changed: 15 th of the month Contract teams Business Associate Agreement Annual Site visits

FAQ#1 * Updated for November 2014 Behavioral Health Administrative Services Organization Transition

FAQ#1 * Updated for November 2014 Behavioral Health Administrative Services Organization Transition Provider Enrollment and Registration How will providers register with the Administrative Services Organization

Provider Meeting: FY 15 Contracting. March 11, 2014

Is the Vice President's System Development Programs still being developed?

What form does Separate State Funding Fiscal form have?

What is the process that is used for the delivery of programs?