NJAMHAA Applauds Increases to Medication Management Rates

(MERCERVILLE, January 31, 2017) - After many months of advocates calling for a state solution to Medicaid rates that were woefully inadequate to cover the costs of providing medication management services, the Division of Mental Health and Addiction Services (DMHAS) announced today increases to reimbursement rates which are approximately double the current rates for psychiatrists providing these services. A new rate for APNs has also been published, which is 80% of the psychiatrist rates; state rates remain 90% of the psychiatrist and APN Medicaid rates.

The difficulty in increasing these rates was always that the codes that were used for billing for medication management services were also used by physicians across all specialty areas; no separate code existed for behavioral health professionals to use. Though it has not been made clear how the new rates will be billed.

The New Jersey Association of Mental Health and Addiction Agencies (NJAMHAA) is grateful for all of the efforts at the DMHAS, and by others at the Division of Medical Assistance and Health Services, and within the Administration. NJAMHAA President and CEO Debra L. Wentz stated, "This great step forward in making the transition to fee-for-service more viable for providers of medication management services was the result not only of NJAMHAA and many of its members making their voices heard and echoed by other stakeholders, but by those voices being listened to and acted on by our colleagues at the various state offices." Assistant Commissioner Valerie Mielke, in her email to providers on these new rates, acknowledged "the attention, collaboration and cooperation of… agencies has been extremely valuable to the process".

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