A2 - Navigating the Medicaid/Title IVE Payer of Last Resort Dilemma to Ensure Access to Prevention Services for Families
Monday, May 1, 2023
10:30 AM – 11:30 AM
Location: 406 AB, Level 2, LACC
None of the planners/faculty, unless otherwise noted, for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
Relias, LLC and National Council for Mental Wellbeing guarantee this educational conference is free from bias.
Principal California Children's Trust Sacramento, California
The Family First Prevention Services Act (FFPSA) was designed to ensure that families at risk of child welfare involvement received prevention services to support them. The complexity of how Title IVE and Medicaid interact to fund these services has resulted in significant confusion regarding how services are provided, administered and billed that has put children and families at risk of not being able to access these services as intended and not meeting the vision for FFPSA. We will provide an overview of how these funding sources interact and offer opportunities for child-serving agencies to work together to integrate practice and funding efforts that increase access and discuss how these funding sources interact, what Federal Clearinghouse programs can be billed to Medicaid, the current conundrum of the payer of last resort rules and how agencies can integrate funding order to ensure maximum access to critical prevention services.
*NASBA Knowledge Level: Intermediate Prerequisites: Some knowledge of pay and production Advanced Preparation: None
Define federal rules regarding payer of last resort.
Describe the interaction between Medicaid and Title IVE services and claiming under FFPSA
Outline options that states and local agencies can utilize to ensure that funding is integrated and seamless in order to ensure access for families.