2011-05-16_14.00_Person_Centered_Health_Homes.doc

Lara hoken ph thank you and larry the next question

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LARA HOKEN (ph): Thank you. And, Larry, the next question is for you. Could you talk a little bit about the training that is offered and whether or not the training credential peers deliver services if that is reimbursable in some states? [1:20:12] LARRY FRICKS: Well each state sets up its training and certification. And so 23 states currently are able to bill Medicaid for peer support services and we’re aware that many of other states are in the process of attempting that. In fact our center is involved in working with NAFTID (ph) to support states that want to add language for peer support services. So when we come in and do this training, the only way it could be considered to be a state certification training is if the state said it was. And I see it more as an advanced training. I think it would be much better for your state to have you go through your core training for certification and this could be an advanced training. But we are hopeful that many states will begin to add language to the state plans so the peer workforce can do whole health. LARA HOKEN (ph): Great, thank you Larry. Next question is again in relation to state plan options. Because of your requirements or the mention of the individual has the requirement of having two or more chronic conditions, is it possible that an individual with a mental illness and substance abuse disorder that that would count as two or more chronic conditions together? [1:21:57] LARRY FRICKS: The guidance said that, again, mental health condition and substance abuse disorder, asthma, diabetes, heart disease and obesity, are all those things that you have to have two of those. It doesn’t specify the combination. As well, CMS is also open to states proposing other chronic illnesses, chronic health conditions to include. So the first answer to the question is yes, a co-occurring mental illness and substance use would meet the two-disorder requirement. LARA HOKEN (ph): Great, thank you. And we will go ahead and address one more question. There was a number of interest or questions that came in surrounding the social component or the social determinant of health, if you will, that might be related to those who are being served in the health home model and where that might fit in, what role does that play, and is that something that the case managers would be taking care of or would be responsible for? How would those services outside of treatment specifically really fit into the health home model? CHUCK INGOGLIA: Well, I guess there would be two ways that I’d want to answer that. One is obviously as the state is considering putting together its plan, it wants to think about this requirement to provide referrals to community based and social support services and how will they meet that. But again I think the other consideration also is that health home services don’t replace other services that you offer in your state or in your system. So that you also want to be thoughtful about what things are included as part of ______________________________________________________________________________________ 25193ea6062d74eaa1fb4080b67349c6a7de8baf.doc Page 19 of 20
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  • Fall '19
  • Center for Integrated Health Solutions, Teah, LARA HOKEN, Mr. Chuck Ingoglia

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