Non-Medicaid Reviews

ADAMHS Board staff will be conducting “on-site” reviews in accordance with Board Policy #306 Non-Medicaid Contract Services Year-End Reconciliation to verify services reimbursed by the Board for FY 2012. The review period is July 1, 2011 through June 30, 2012. The review will focus on the following services and activities:

 • Non-Medicaid services (AoD Residential, Housing, Employment, consultation, Prevention, etc.) provided to Medicaid and Non-Medicaid eligible individuals and

• Medicaid eligible services (Behavioral Health Counseling, Case Management, CPST, Pharmacological Management, Medical Somatic, Assessment, etc.) provided to Non-Medicaid eligible individuals.

• Performance/quality improvement activities conducted during FY ’12. Board staff will conduct the “on-site” Non-Medicaid reviews during the months of July and August, 2013. Staff will use standard forms and checklists to verify the following:

• Montgomery County residency

• Documentation of billed service

• Qualifications of provider

• Medical Necessity of service

• Non-treatment service is included in the agency’s FY 2012 Application for Funding

You may access the Board Policy #306 Non-Medicaid Contract Services Year-End Reconciliation

Please contact Su-Ann Newport (937) 443-0416, ext. 114 email: snewport@mcadamhs.org by June 10, 2013 to schedule your organization’s review.

Once your review is scheduled you will receive email confirmation of your review dates. If you have any questions regarding this correspondence or review, please contact Jewel Good at (937) 443-0416, ext. 131 or via email: jgood@mcadamhs.org

We look forward to observing the work you do and appreciate your help in making this a smooth process for all

Click here for tips for the review process

 

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