Substance Abuse Prevention and Control

Fiscal & Operational Efficiency

As of the implementation of behavioral health payment reform in July 2023, DMC-ODS services are reimbursed via fee-for-service (FFS) instead of being reimbursed via cost reconciliation (reconciling to the lesser of costs or charges), and there are practitioner-level rates for outpatient services. This effectively means that once a claim has been approved and paid, there will be no other reconciliations or payments involved for that claim. This change brings significant opportunity if agencies optimize their fiscal and operational efficiencies by ensuring that enough appropriate treatment services are delivered to generate sufficient revenue to cover operational costs. This component of Capacity Building is focused on making investments to support this optimization.


3A. Accounting Infrastructure: Systems and Capacity
Provides funds to invest in new accounting systems and/or strengthening existing accounting systems and organizational capacity with summary of investments due with Invoice 2 on 12/31/23.

3B. Expenditures and Revenue: Assessing and Enhancing Financial Health
Public Health has made reasonable efforts to provide accurate translation. However, no computerized translation is perfect and is not intended to replace traditional translation methods. If questions arise concerning the accuracy of the information, please refer to the English edition of the website, which is the official version.
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