Transcript Document

Division of Mental Health and Addiction
Services
Office of Care Management
March 14, 2013
What is SBIRT?
 Implemented in February 2013, the NJ Screening, Brief
Intervention and Referral to Treatment (SBIRT)
Project is a federal SAMHSA-funded initiative to
expand the existing addiction services continuum of
care by making evidence-based risk identification and
early intervention services available to reduce
substance use and its associated negative health
consequences.
What is SBIRT?
 The NJ SBIRT Project is a partnership between DMHAS
and the Henry J. Austin Federally Qualified Health Center
(HJA), serving the greater Trenton area. The HJA will
implement SBIRT services in a total of five project sites
located throughout the city of Trenton.
 SBIRT services will be fully integrated into existing primary
care services at each of the five project sites, affording
universal screening for substance use risk for all adult
patients seeking medical care.
 All five of the HJA NJ SBIRT Project sites will serve as
treatment referral sources for those patients identified as
needing substance use assessment and/or treatment
services
Who can provide specialty
treatment to SBIRT consumers?
 Participating NJ SBIRT Specialty Treatment Network
providers must be licensed to provide services in
Mercer County by the Department of Human Services,
Office of Licensure, under the Standards for Licensure
of Outpatient Substance Abuse Treatment Facilities at
NJAC 10:161 B, and agree to cooperate with the
monitoring requirements of DMHAS, including site
visits, on-site review of case files, review of
billing/fiscal records, and interviews of staff and
consumers to ensure compliance with initiativespecific procedures.
Who can provide specialty
treatment to SBIRT consumers?
 Agencies licensed to provide outpatient and intensive
outpatient services in Mercer County by the Department of
Human Services, Office of Licensure, under the Standards
for Licensure of Outpatient Substance Abuse Treatment
Facilities at NJAC 10:161 B that are currently contracted with
the DMHAS Fee-For-Service network are eligible to apply
for enrollment in the NJ SBIRT Specialty Treatment
Network Fee-For-Service Initiative at this time.
 Licensed agencies that are not currently contracted with
the DMHAS Fee-For-Service network will be eligible to
apply for enrollment during the next DMHAS open
enrollment period in the Spring of 2013.
SBIRT Specialty Treatment
Network Provider Requirements
 In addition to the General Service Requirements stated in the
DMHAS Standard FFS Network Annex A, the NJ SBIRT Specialty
Treatment Network providers shall comply with the following NJ
SBIRT specific requirements:
 All participating treatment providers shall be affiliated with the
Henry J. Austin Health Center (HJA) through which they agree
to accept referral of NJ SBIRT consumers from all of the five NJ
SBIRT project sites located in the city of Trenton.
 A signed, dated copy of the written affiliation agreement must be
on file at the DMHAS, Office of Care Management. At a
minimum, the affiliation agreement must include the specialty
treatment provider agency’s policy and procedures for accepting
a “warm handoff” from the NJ SBIRT project sites.
SBIRT Specialty Treatment Network
Provider Affiliation Agreement
Requirements
 All participating treatment providers must develop policy & procedures
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for accepting a “warm handoff” from NJ SBIRT project sites, including:
call receiving, intake appointment scheduling, completion of NJSAMS
DASIE+ and LOCI, and documentation of referral status in NJSAMS
Assurance that authorizations for services under the SBIRT Specialty
Treatment Network will occur when no other payer is available
Guaranteed acceptance that payment for services authorized under the
SBIRT Specialty Treatment Network is payment in full
Identification of primary contact for liaison with HJA NJ SBIRT project
staff
Verification of DHS licensure status as a substance abuse treatment
facility
SBIRT Specialty Treatment
Network Provider Requirements
 All participating treatment providers shall offer
NJ SBIRT referred consumers: income and
program eligibility determinations; assessments;
appropriate ASAM levels of outpatient care; and
enhancement packages to include clinical review
services and co-occurring services.
 It is recommended that participating treatment
providers schedule initial appointments within 2
business days of the NJ SBIRT referral.
SBIRT Specialty Treatment
Network Provider Requirements
 The participating treatment provider shall
document the disposition of all NJ SBIRT
referred consumers in NJSAMs to facilitate
follow-up and coordination of care by HJA,
including:
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Consumers who do not attend scheduled
assessment appointments;
Consumers who are assessed and admitted to
treatment at the participating treatment provider
agency; and
Consumers who are assessed and require a level of
care not available at the participating provider
agency.
SBIRT Specialty Treatment
Network Provider Requirements
 To be eligible for the NJ SBIRT Initiative,
consumers must:
 Be referred from one of the five NJ SBIRT
Project sites in the city of Trenton
operated by HJA
 Be 18 years of age or older
 Meet ASAM criteria for Level I or Level II.1
outpatient care
SBIRT Specialty Treatment
Network Provider Requirements
 Federal funding for treatment services provided to NJ
SBIRT Project consumers may be accessed as the payer of
last resort. Participating treatment providers must
document the income and program eligibility status of all
HJA-referred NJ SBIRT consumers using the NJSAMS
DASIE Plus module. Authorization or payment for services
should be obtained from other payers when another payer
is available.
 NJ SBIRT Specialty Treatment Network providers may only
request authorization for services provided to eligible
consumers through the NJ SBIRT FFS Initiative when no
other payer is available. Payment for services authorized
through the NJ SBIRT Initiative shall be accepted as
payment in full.
 Participating treatment providers shall participate in
meetings/trainings as requested by DMHAS.
Applying to enroll in the SBIRT
Specialty Treatment Network
 Currently contracted FFS agencies that wish to apply for
enrollment should prepare to submit the following
application documents for each site which the agency is
seeking to enroll in the SBIRT Initiative by 4:00 pm on
Thursday, March 28:
 Updated Annex A 1, Annex A2 noting application for
SBIRT enrollment and available levels of care at each site
 CRIS report summary for each site
 Agency NJ SBIRT Specialty Treatment Network Fee For
Service Initiative Provider Affiliation Agreement with
Henry J. Austin Health Center
Applying to enroll in the SBIRT
Specialty Treatment Network
 send the completed application to:
Overnight Delivery
New Jersey Division of Mental Health & Addiction Services
222 South Warren Street- 3rd floor
Trenton, NJ 08611
Attention: Nancy Hopkins
Postal Delivery
New Jersey Division of Mental Health & Addiction Services
P.O. Box 700 (note change in PO Box !!)
Trenton, NJ 08625-0700
Attention: Nancy Hopkins
Applying to enroll in the SBIRT
Specialty Treatment Network
 Applications received by the application deadline will
be reviewed by a committee of DMHAS for
completeness and fulfillment of contract application
requirements. Agencies will be notified of the status
of their application and admission to the SBIRT
Specialty Treatment Network upon completion of the
review process.