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SSA and Medicaid refusing to pay for online groups during COVID-19

  • 1.  SSA and Medicaid refusing to pay for online groups during COVID-19

    Posted 04-06-2020 13:03

    Has anyone had any issues with SSAs, Medicaid, ACOs, or MCOs refusing to pay for online group therapy?  Have you been able to argue to reverse this policy?  If so, what arguments did you use that were the most convincing.

     

    Richard J. Nance, LCSW, Director

    Utah County Department of

    Drug and Alcohol Prevention and Treatment

    Suite 3200, 151 South University Avenue

    Provo, UT 84601

    801-851-7127

     



  • 2.  RE: SSA and Medicaid refusing to pay for online groups during COVID-19

    Posted 04-07-2020 09:43
    SC SSA is refusing to allow funds to pay for telehealth groups, although individual services are approved. We have been waiting on Medicaid to send out notification for our telehealth services for two weeks now. I was told by our SSA that it's a QA issue. Research is being done on states who have allowed and I'm be interested to see what type of QA is in place for these services in states who do allow.

    ------------------------------
    Laura Aldinger
    Executive Director
    Behavioral Health Services Association of South Carolina
    Columbia SC
    803-252-0268
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  • 3.  RE: SSA and Medicaid refusing to pay for online groups during COVID-19

    Posted 04-07-2020 21:31

    We had success by pointing out that many of our clients are court ordered for these services, and with the public health emergency this is the only way to continue treatment safely, complying with stay at home orders.

    We have active accountable care organizations that we work with for our Medicaid contract, and they listened to our concerns and approved services by phone and online. We're located in a rural/frontier part of Colorado, so internet is spotty for many of our clients.

     

    Good luck!

     

    Amie Adams, MA, LMFT

    Chief Administrative Officer

    Solvista Health

    (719) 275 2351

    amiea@solvistahealth.org