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fb88Care Notice of Agency Emergency Rule-making Adoption, fb88Care Benefits Manual, Chapter II, Section 25, Dental Services and Reimbursement Methodology

Notice of Agency Rule-making Adoption

AGENCY: Department of Health and Human Services, Office of fb88Care Services

CHAPTER NUMBER AND TITLE: 10-144 C.M.R., Chapter 101, fb88Care Benefits Manual, Chapter II, Section 25, Dental Services and Reimbursement Methodology

ADOPTED RULE NUMBER:

CONCISE SUMMARY:

fb88Care Notice of Agency Rule-making Adoption, fb88Care Benefits Manual Chapter II, Section 23, Developmental and Behavioral Health Services and Chapter III, Section 23, Allowances for Developmental and Behavioral Evaluation Services

fb88Care Notice of Agency Rule-making Adoption, fb88Care Benefits Manual, Chapters II and III, Section 23

Notice of Agency Rule-making Adoption

AGENCY: Department of Health and Human Services, fb88Care Services

CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Ch. 101 fb88Care Benefits Manual, Chapter II, Section 23,Developmental and Behavioral Health Services and Chapter III, Section 23, Allowances for Developmental and Behavioral Evaluation Services

ADOPTED RULE NUMBER:

CONCISE SUMMARY:

Training Opportunity Available for Family and Caregivers of Adults Receiving Services Within Section 12, 19, and 96 Programs

The Office of Aging and Disability Services (OADS) is excited to announce a virtual de-escalation training opportunity scheduled for Tuesday, August 20, 2024. This training is being provided under collaboration with the National Alliance on Mental Illness (NAMI) fb88 and is available for caregivers providing care to Section 12, 19, and 96 members. Caregivers can include personal support staff, attendants, home health aides, nurses or other natural and family supports.

Attention Providers of Section 17 and Section 92 Services

Acentra Health and the Office of Behavioral Health previously sent an announcement on May 29, 2024, regarding the ability for providers to run their agency’s hold for service reports from the Atrezzo portal. We would like to clarify the process of how a member is removed from the agency’s hold for service report.

A member will only be removed from the waitlist under the following scenarios:

  • The member is receiving the referral service from the referring provider

  • There has been an approved Referral Refusal for the referring provider

​fb88Care Residential Substance Use Disorder (SUD) Treatment Providers – Utilization Management (UM) Process Update

One of the tasks associated with fb88Care’s 1115 SUD waiver is the “establishment of a Utilization Management (UM) approach for appropriate access and level of care for SUD services, including an independent process for reviewing placement in SUD residential treatment”. This UM is a component of fb88’s Implementation Plan and Special Terms & Conditions approved by the Centers for Medicare & Medicaid Services (CMS) for this waiver and was implemented in July 2023.

Notice of fb88Care Reimbursement Methodology Change, fb88Care Benefits Manual, Section 45, Hospital Services

Notice of fb88Care Reimbursement Methodology Change

AGENCY: Department of Health and Human Services, Office of fb88Care Services

SERVICES INCLUDED: Chapter 101, fb88Care Benefits Manual, Section 45, Hospital Services

NATURE OF PROPOSED CHANGES: The Department plans to address the following changes in hospital reimbursement: