SERIES TOPICS AND MATERIALS

MEET THE CONSULTANTS

ADDITIONAL RESOURCES

ABOUT THE SERIES

UCLA Integrated Substance Abuse Programs and the Pacific Southwest ATTC are partnering with Advocates for Human Potential to present the Getting Paid For Medications for Addiction Treatment (MAT): Sustainable Reimbursement Webinar Series. The series will be held the third Thursday from May-September 2020. Each month will feature a different topic.

Scuba Diver in the ocean

Deeper Dive Office Hours are offered on the 4th Thursday of each month by appointment from 12:00-2:00pm PT. Up to 2 hours of individualized consultation available per topic on a first come–first serve basis. Details and options for Deeper Dive participation provided upon registration. Contact nlawson@ahpnet.com to schedule a free consultation on your questions.

SERIES TOPICS AND MATERIALS

You must complete a separate registration for each event in the series.

Topic MAT providers will learn about

Getting Paid: MAT Services Delivered via Telehealth

When:
May 21, 2020
Noon-1p.m. PDT

Presenters:
Patrick Gauthier
Kathleen West

  • Reimbursement of telehealth for substance use disorder treatment and recovery support services, including Medications for Addiction Treatment (MAT) costs
  • Reimbursable services for addictive disorders: Medi-Cal beneficiaries, Medicare parts A-D and private insurers
  • Telehealth compliance: HIPAA, consents, confidentiality of patient information on substance use disorder services pursuant to CFR 42 Part B
  • Exceptions in effect for the duration of the COVID-19 pandemic public health emergency that apply to MAT; procedures for California providers
     

Getting Paid: Drug Medi-Cal and MAT Reimbursement

When:
June 18, 2020
Noon-1p.m. PDT

Presenters:
Patrick Gauthier
Niki Miller

  • Give an example of one or more types of clients and their expanded care needs that are better served by Drug Medi-Cal certified SUD agencies/providers
  • Describe at least 3 services that are part of the new Wellness & Recovery Program for Drug Medi-Cal providers
  • Identify the most common codes required to submit a clean claim
     

Getting Paid: Medicare, Opioid Screening, Intervention and Treatment and Older Adults

When:
July 16, 2020
Noon-1p.m. PDT

Presenter:
Niki Miller

 
  • The new Medicare opioid treatment benefit for NTP/OTPs serving two of California's covered populations at highest-risk
  • Medicare Parts A, B and C reimbursement of primary care providers for screening, intervention and treatment
  • Dual eligibles, billing, reimbursement for bundled services, and for individual treatment components
     

Getting Paid: Coverage for Underserved Populations: Who, What, How?

When:
August 20, 2020
Noon-1p.m. PDT

Presenters:
Patrick Gauthier
Niki Miller

 
  • Federal and state payors and coverage of opioid use disorder treatment and recovery supports for patients with complex needs
  • Efficient MAT practice: strategies that minimize the time required to meet the full range of patient needs
  • Increasing treatment adherence and improving outcomes: veterans, individuals preparing to re-enter communities after periods in custody, adolescents, women, Latino and African American adults, youth as well as clients of Tribal & Urban Indian Health Centers.
       

Getting Paid: Management of Medi-Cal Reimbursable Recovery Support Services

When:
September 17, 2020
Noon-1p.m. PDT

Presenter:
Niki Miller

 

Deeper Dive Office Hours:
September 24, 12-2PM

  • This webinar explores integration of peer recovery support services and the peer recovery specialist workforce into delivery of SUD services, with specific focus on delivery of MAT.
  • This webinar covers certification, training and supervision requirements for billable services.
  • This webinar outlines options for including peer recover support specialists in the pre-treatment, core treatment and aftercare continuum in ways that contribute to better outcomes and support engagement and retention in clinical care.
 

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About Advocates for Human Potential

AHP offers professional consulting services—also known as AHP Healthcare Solutions—to health, behavioral health, and social services businesses that need to stay competitive in the changing health care market, while staying true to their missions of helping people reach their full potential.

Meet the Consultants

Patrick Gauthier, BA

Patrick Gauthier, BA

Serves as Subject Matter Expert for the Series

Patrick Gauthier is Director of Advocates for Human Potential (AHP) Healthcare Solutions and a highly sought-after expert on the design and effective deployment of policies and programs that properly align the resources and incentives of health and behavioral health payers, providers, and consumers. Over the course of more than 25 years in the behavioral health field and managed care sector, Mr. Gauthier has held management positions in various treatment settings and served as chief operating officer and chief marketing officer for a national managed behavioral health care organization. His work includes tackling issues related to health care law, rules, and regulations; developing integrated delivery systems and provider networks; behavioral health business planning and implementation; Medicaid managed care plan operations; health informatics and analytics; and value-based reimbursement.

Natalie Lawson, BS

Natalie Lawson, BS

Serves as Program Associate for the Seriess

Ms. Lawson, a Program Associate at Advocates for Human Potential (AHP), graduated from Loyola University Chicago ('17) with a degree in Psychology, where she also published research about adolescent disability. Ms. Lawson began her career as an outreach social worker for low-income adults with severe mental illnesses (SMI) and substance-use disorders (SUD). This frontline exposure inspired an interest in policy analysis and technical assistance work, first at a small nonprofit in Chicago and now at AHP. Her professional interests are in the areas of mental health service delivery, trauma-informed care, mental health parity, and health policy (i.e. Medicaid and Medicare). In the fall of 2020, Ms. Lawson will be attending the University of Michigan to pursue her Master of Health Services Administration ('22).

Niki Miller, MS, CPS

Niki Miller, MS, CPS

Serves as Subject Matter Expert for the Seriess

Ms. Miller, a Senior Research Associate at Advocates for Human Potential (AHP), has more than 30 years of experience working with communities and systems to improve the lives of individuals with multiple vulnerabilities. She was the founding Executive Director of the New Hampshire Taskforce on Women & Recovery, nationally recognized advocates for the service needs of women and girls dealing with addiction, trauma, domestic violence, and justice system involvement. At AHP, she served as lead writer and content expert for the SAMHSA-funded Decisions in Recovery: Treatment for Opioid Use Disorders, a web-based shared decision-making tool on medication-assisted treatment, as part of SAMHSA's Bringing Recovery Supports to Scale Technical Assistance Center Strategy.

Zachary Stewart

Zachary Stewart

Serves as Webinar Producer for the Seriess

Mr. Stewart serves as a Virtual Solutions Associate for Advocates for Human Potential (AHP), supporting and producing virtual learning events from their registration through execution of the live event. Mr. Stewart's responsibilities include planning the events and liaising with AHP staff and the diverse number of presenters and organizations who participate in Adobe Connect and other event manager meetings. These meetings range from single-digit workgroups to large webinars and learning communities that draw hundreds to thousands of participants from multiple organizations and communities around the world. Mr. Stewart provides live event production support, advises on event engagement strategies, and series development support. He is responsible for pre-event coordination, including the promotion of event registration through creating event landing pages, building event-related quizzes, and facilitating technical dry-runs. During the live events, he works with presenters and attendees to address all technical issues promptly, ensuring a positive learning experience for participants. Additionally, he handles event post-production, remediating documents for AHP's 508 compliance team to the federal standards set in Web Content Accessibility Guidelines version 2.0, AA (WCAG 2.0 AA), and aids in the production of digital media products such as eLearning courses, podcasts, videos and websites.

Kathleen West, MPH, DrPH

Kathleen West, MPH, DrPH

Serves as Project Director for the Seriess

Kathleen West serves as a Senior Program Manager at Advocates for Human Potential (AHP) and is a public health professional who works with providers and programs addressing at-risk families, intergenerational trauma, mental health, and addiction and treatment issues. In her career of 30+ years, Kathleen has worked closely with judicial, law enforcement, mental health, health, social services, and child welfare systems to help develop trauma-responsive policies, services and sustainable evidence-based practices that promote equity, well-being, and justice. Her focus has been on how various systems of human services work within communities to strengthen vulnerable populations and build resilience. Particular populations of interest include pregnant and parenting women with substance use disorders and their families, military, veterans and National Guard and their families, and underserved communities impacted by illegal drug distribution. Dr. West also teaches global health research methods and disaster/emergency response preparedness to graduate students at the USC Keck Medical School, Department of Preventive Medicine, and serves as a consultant with groups focusing on public mental health and treatment services, especially in the context of Collaborative Courts. She has also taught military social work at the UCLA Department of Social Welfare.

ADDITIONAL RESOURCES

Sources of Research & Guidance on Telehealth (From May 21 webinar)

  • The National Consortium of Telehealth Resource Centers: The 12 regional and 2 national Telehealth Resource Centers (TRCs) have been established to provide assistance, education, and information to organizations and individuals who are actively providing or interested in providing health care at a distance. Our simple charter from the Office for Advancement of Telehealth is to assist in expanding the availability of health care to rural and underserved populations in local communities. Because we are federally funded, the assistance we provide is generally free of charge.
  • The California Telehealth Resource Center (CTRC) is a leading source of expertise and comprehensive knowledge in the development and operation of telemedicine and telehealth programs. CTRC is nationally recognized as one of fourteen federally designated Telehealth Resource Centers around the country. CTRC offers extensive hands-on experience in telemedicine development. CTRC understands the larger healthcare delivery system and works with policy makers, corporate, and industry leaders, and community based organizations to develop an environment that will support the optimal use of telemedicine and telehealth. Learn more by clicking the button below to visit our website.
  • 50-State Survey of Telemental/Telebehavioral Health (2017 Appendix)
  • From California DHCS, Medi-Cal & Telehealth webpages:
    • Even in normal times, telehealth increases access to care by:
    • More options for patients & providers to connect
    • Decrease time between referrals & visits
    • Improves access care they need when they need it
    • 25% of Medi-Cal beneficiaries-difficulty finding specialists
    • Medi-Cal Managed Care
    • Covers most state Medi-Cal beneficiaries
    • MMC responsible for timely access to care
    • Utilization of telehealth to improve access?

Sources of Information in the Presentation:

Shore, J., Schneck, C. & Mishkind, M. (2020)P. Telepsychiatry and the Coronavirus Disease 2019 Pandemic—Current and future outcomes of the rapid virtualization of psychiatric care. JAMA Psychiatry. Published online May 11, 2020. doi:10.1001/jamapsychiatry.2020.1643

Torous, J. & Wykes, T. (2020) Opportunities from the Coronavirus Disease 2019 Pandemic for transforming psychiatric care with telehealth. JAMA Psychiatry. Published online May 11, 2020. doi:10.1001/jamapsychiatry.2020.1640

World Health Organization. (2016). From innovation to implementation: eHealth in the WHO European Region. Available online: http://www.euro.who.int/__data/assets/pdf_file/0012/302331/From-Innovation-toImplementation-eHealth-Report-EU.pdf

Jones. M., DeRuyter. F. & Morris, J. (2020) The digital health revolution and people with disabilities. Int. J. Environ. Res. Public Health 2020, 17(2), 381; https://doi.org/10.3390/ijerph17020381

Prentice, J. & Dobson, K. (2014). A review of the risks and benefits associated with mobile phone applications for psychological interventions. Can Psychol 2014;55(4):282-290.

Center for Connected Health Policy (2014). Fact sheet: Cost efficacy studies. National Telehealth Policy Resource Center, Center for Connected Health Policy. Available at: https://www.cchpca.org/sites/default/files/2018-09/HRSA_Cost_Efficiency_Studies.pdf

Smita, D. & San Bartolome, M. (2019) Advancing the integration of digital therapeutics into addiction management strategies: Engaging multidisciplinary stakeholders for optimal application in practice. On-Demand Webcast, Psychiatry and Behavior Health Network.