Financial Assistance Calculation and Disbursement Procedures. Calculation of Financial Assistance. The funds awarded for A&D 62 services are intended to be general financial assistance to the County for A&D 62 services with funds provided under this Agreement. Accordingly, the OHA will not track delivery of A&D 62 services on a per unit basis, so long as the County offers and delivers A&D 62 services as part of its CMHP. Total OHA payment for all A&D 62 services delivered under a particular line of Exhibit D-1, “Financial Assistance Award” shall not exceed the total funds awarded for A&D 62 services as specified in that line of the Financial Assistance Award.
Financial Assistance Calculation and Disbursement Procedures. OHA provides financial assistance for MHS 24 Services in two different ways, through Part A and Part C awards. The award type is set forth in Exhibit C, “Financial Assistance Award,” in MHS 24 Services lines in which column “Part ABC” will contain an “A” for Part A or “C” for Part C awards.
Financial Assistance Calculation and Disbursement Procedures a. Calculation of Financial Assistance. OHA will provide financial assistance to County for Housing Assistance Services identified in a particular line of Exhibit D-1, “Financial Assistance Award”, in an amount equal to the amount of cash assistance actually paid by County on behalf of the individuals for rent assistance, as described above, plus the costs incurred by County in providing housing coordination services, under that line of the Financial Assistance Award during the period specified in that line, subject to the following:
(1) Total OHA financial assistance for all Housing Assistance Services delivered under a particular line of the Financial Assistance Award shall not exceed the total funds awarded for Housing Assistance Services as specified in that line of the Financial Assistance Award;
(2) OHA is not obligated to provide financial assistance for any Housing Assistance Services that are not properly reported to OHA in the quarterly reports described above; and
(3) OHA will not provide financial assistance, under this Agreement, for more than 24 months of Housing Assistance Services for any particular individual unless approved in advance and in writing by OHA.
Financial Assistance Calculation and Disbursement Procedures. OHA provides financial assistance for MHS 36 Services in Part B (“Limitation”) Awards. The Award is set in Exhibit D-1, “Financial Assistance Award”, on MHS 36 lines in column one that contain “B” for Part B Award. The provider of the service needs to be enrolled as a Medicaid Provider and follow the procedures for billing OHA for Medicaid mental health services outlined in the Medicaid provider manual. OHA calculates the rates and the Part B limitation and the claims are processed through OHA’ Medicaid Management Information System (MMIS). OHA’ Division of Medical Assistance Programs (DMAP) disburses the payment directly to service providers on a fee-for-service basis. Rates are available on the OHA website located at xxxx://xxxx.xxxxxx.xxx/OHA/mentalhealth/publications/codebooks/mh0109rates.pdf. OHA will provide notice to County in timely manner if there is a change in rates. All Medicaid reimbursable service xxxxxxxx shall be in accordance with the OHA’ Mental Health and Developmental Disability Services Medicaid Payment for Rehabilitative Mental Health Services Rule as listed in OAR 309-016-0600 through 309-016-0755 and OHA’ AMH Mental Health and Chemical Dependency Medicaid Provider Manual available on the OHA website located at xxxx://xxx.xxxxxx.xxx/OHA/mentalhealth/publications/codebooks/manual.pdf, and as it may be revised from time to time. All Medicaid reimbursable service xxxxxxxx shall be in accordance with the OHA Mental Health and Developmental Disability Services Medicaid Payment for Rehabilitative Mental Health Services Rule as listed in OAR 309-016-0600 through 309-016-0755. Service Name: MHS SPECIAL PROJECTS Service ID Code: MHS 37
1. Service Description
Financial Assistance Calculation and Disbursement Procedures. Calculation of Financial Assistance for Non-Medicaid Funded Services: OHA will provide financial assistance for A&D61 Services identified in a particular line of Exhibit D-1, “Financial Assistance Award”, from funds identified on that line in an amount equal to the rate set forth in the special condition identified in that line of the Financial Assistance Award, multiplied by the number of units of A&D 61 Services delivered under that line of the Financial Assistance Award during the period specified in that line, subject to the following:
Financial Assistance Calculation and Disbursement Procedures a. Financial Assistance Calculation. OHA will provide financial assistance for A&D 82 Services identified in Exhibit 82-2, Procedure Code and Rate on a per diem basis.
(1) Providers of A&D 82 Services may not charge individuals whose A&D 82 Services are paid under this Agreement any co-pay or other fees for such Services;
(2) OHA is not obligated to provide financial assistance for any A&D 82 Services that are not properly reported as described or referenced in this Service Description by the date 60 days after the termination of this Agreement, termination of OHA’s obligation under this Agreement to provide financial assistance to County for A&D 82 Services, or termination of County’s obligation under this Agreement, to include the Program Area, in which A&D 82 Services fall;
(3) If during the term of this Agreement, County delivers less than the anticipated level of service upon which allotments were calculated, in a particular line of Exhibit D-1, “Financial Assistance Award”, OHA may unilaterally reduce the amount of the remaining financial assistance for services in that line.
(4) County is expected to reconcile encounter data reports and correct any errors within 30 days of receipt of encounter data report received from XXX’s management information system provider. Discrepancies must include apparent cause and remedy. Adjustments will be carried forward to the next month within the effective period of this Agreement.
Financial Assistance Calculation and Disbursement Procedures. The procedures for calculating and disbursing financial assistance from A&D61 funds included in the Financial Assistance Award are set forth below.
Financial Assistance Calculation and Disbursement Procedures. The procedures for calculating and disbursing financial assistance from A&D 66 funds included in the Financial Assistance Award are set forth below.
A) Calculation of Financial Assistance. OHA will provide financial assistance or A&D 66 Services identified in a particular line of the Financial Assistance Award from funds identified on that line based on the number of individuals to be served multiplied by the case rate per individual as specified in the special condition identified in that line of the Financial Assistance Award subject to the following:
1) Total OHA financial assistance for A&D 66 Services delivered under a particular line in the Financial Assistance Award shall not exceed the total funds awarded for A&D 66 Services as specified in that line in the Financial Assistance Award.
2) OHA is not obligated to provide financial assistance for any A&D 66 Services for individuals who are not properly reported through CPMS (or through other method permitted or required by this Service Description or an applicable Specialized Service Requirement) by the date 60 days after the earlier of termination of this Agreement, termination of OHA's obligation to provide financial assistance for A&D 66 Services, or termination of County's obligation to include the Program Area, in which A&D 66 Services fall, in its CMHP.
Financial Assistance Calculation and Disbursement Procedures. Special Conditions Apply for Participating Rural Counties-See Exhibit-A&D 81-1, Financial Assistance Calculation and Disbursement Procedures- Rural Counties
A. Financial Assistance Calculation. OHA provides financial assistance for A&D 81 Services identified in a particular line of the Financial Assistance Award at the rate of $89.00 (for purposes of this Service Description, one hour is no less than 50 minutes of direct face-to-face service) for individual treatment sessions (including individuals, couples and family sessions), $22.25 per hour for group sessions and $89.00 per hour for problem gambling assessment sessions for individuals, subject to the following:
1. OHA will not make multiple financial assistance payments for a single clinical activity, except for group therapy. For example, OHA will not provide financial assistance for an individual treatment session for both an individual and his or her spouse when the treatment was delivered in a single marital session.
2. For purposes of this Service Description, “session” or “treatment session” means A&D 81 Services delivered in individual, couple, family, or group formats. Treatment sessions must be reported by type (e.g., individual, couple, family or group) and length (time).
3. Services provided are limited to 12 months per individual client, inclusive of continuing care. This service limitation will count 12 consecutive months starting with the enrollment date. Clients must have been out of service for a minimum of ninety days prior to any re-enrollment in the state system.
4. Providers may request a waiver of the above service limitation. The request shall be in writing, email is acceptable. Request shall be sent to OHA at email address provided. Waiver shall include clinical need for waiver and treatment plan indicating the requested length of time to complete plan. Waivers will be for fixed periods and must be received in the Problem Gambling Services office 45 days prior to exceeding the twelve month service limitation period.
5. Providers of A&D 81 Services funded through this Agreement may not charge individuals whose A&D 81 Services are funded through this Agreement any co-pay or other fees for such Services.
6. Total OHA financial assistance for all A&D 81 Services delivered under a particular line of the Financial Assistance Award shall not exceed the total funds awarded for A&D 81 Services as specified in that line of the Financial Assistance Award.
7. OHA is not obligated to provide ...
Financial Assistance Calculation and Disbursement Procedures. 1. Financial Assistance Calculation. OHA will provide financial assistance for AD 81 Services utilizing a base rate method.
A. This Financial Assistance Award will be determined annually for Counties designated as Rural Counties in the special condition on that line of the Financial Assistance Award.
B. The County or Regional consortium must submit encounter data as if they were being reimbursed via that method. At the end of each fiscal year, if the encounter data is more than base payment, the County or Regional consortium shall receive the amount shown from the Encounter Data that was in addition to the Base Payments if funds are available.
