Medicaid is the single largest payer for mental health services in the United States and is playing an increasingly larger role in the reimbursement of substance use disorder services and in developing effective strategies to combat the current opioid epidemic. We support our clients’ policy, reimbursement, auditing, and program integrity needs with a variety of mental health providers, including: individual professionals, such as psychiatrists, clinical psychologists, and clinical social workers; outpatient psychiatric hospital services, such as those provided by community mental health centers (CMHCs) and certified community behavioral health clinics (CCBHC); and inpatient psychiatric hospital services, such as services provided by psychiatric residential treatment facilities (PRTFs). Our firm supports states’ efforts to further expand and enhance behavioral health access, services, and integration.
Myers and Stauffer has extensive experience in assisting state Medicaid agencies with effectively designing, reimbursing, and overseeing medical, behavioral health, and long term services and supports to vulnerable populations with mental health or substance use disorders. Our key competencies include: reimbursement system modeling, development and process design; rate setting, analysis, and reporting; cost gathering, review and audit; provider appeals; stakeholder training; waiver consulting; and regulatory and state plan development and technical support.
We provide the following services: