SF 3066/HF 3432, the mental health practitioner bill, was introduced by Senator Julie Rosen and Representative Tony Albright. It was passed through all the committees of jurisdiction in the House and Senate during the 2018 session and signed by the Governor (as Chapter 128) on May 11th, 2018. Congratulations on everyone who helped make this MACMHP bill become law!
There is a shortage of mental health workers in Minnesota, especially in rural areas. In rural MN, for every one mental health provider there are 1,960 patients.
It is very difficult for a non-licensed professional to build a career in the mental health industry due to current restrictive educational & experience requirements, contributing to a shortage!
The Solution: Streamline & Expand Mental Health Program Staffing
Change the mental health workforce requirements without sacrificing quality of care!
Part 1: Streamline base definitions for certain non-licensing staffing positions
Part 2: Build service-specific qualifications within services (i.e. skills, training, supervision)
Part 3: Bridge the gap between staffing shortages and qualified personnel
Mental Health Providers Association of Minnesota (MHPAM)
2018 Legislative Agenda
Medical Assistance managed care rates floor for mental health services. Reimbursements for mental health services under MA are a growing concern over the years. One concern is the way payments are made under managed care, often non-transparent and inconsistent across managed care organizations. Recently, this was exacerbated when one managed care organization tried to drastically cut rates to MA mental health services. As one potential solution, MACMHP urges a reformed mental health service delivery and payment system, including a managed care rate floor. Under the rate floor mental health services’ payments must be at least equal to the published fee-for-service schedule.
Updates to the Civil Commitment Act. MACMHP, a member of the Civil Commitment Taskforce convening over the interim, supports advancements and updates to the Act. We continue to advocate for changing how civil commitment is carried out in Minnesota.
Health Care Access Fund (HCAF) and the Provider Tax. MACMHP supports a sustained HCAF and its funded programs.
Certified Community Behavioral Health Clinics (CCBHC) sustainability and expansion.
The Certified Community Behavioral Health Clinics (CCBHC) demonstration is a federal pilot of the Excellence in Mental Health Act. Minnesota is one of eight states selected for the pilot. Five (5) of the six agencies piloting the CCBHC model are MACMHP members.
MACMHP sees the CCBHC model as an opportunity for laying a new foundation in mental health services delivery in Minnesota and advocates for the expansion of the CCBHC pilot and options to sustain the program past the 2019 pilot end date.
Crisis Grants - Community-based crisis teams and services are critical to responding to mental health crises, saving lives and ensuring individuals receive the most appropriate levels of treatment at the time of need. Thus, bringing cost efficiencies to the system as the same time. This critical service is funded through state grant funds, not sufficient to meet the need or a sustainable funding mechanism. A majority of MACMHP member agencies responded to the system’s need and implemented crisis programs. In a time of increasing need and scarce resources, many have scaled their programs down and are very uncertain they can sustain the service.
MACMHP advocates for increased funding to the crisis grant program and urges the state to implement an alternative and sustainable path to fund crisis services.
Strengthening the Mental Health System. MACMHP continues to be an avid advocate for advancing the mental health service delivery system in Minnesota. These include:
- Strengthening governance of the mental health system
- Building a continuum of care in mental health – from in-patient to community-based services
- Use a cultural lens to reduce mental health disparities
- Develop the workforce in mental health
Increase investments to support and sustain services addressing non-medical and social needs (social determinants of health). MACMHP urges innovative, alternative funding sources to sustain and support necessary services addressing the non-medical needs of our clients – i.e. care coordination, housing supports, food access, transportation assistance, English as a Second Language support (ESL) - and recognition of the complexity of our clients, not otherwise reimbursable under Medical Assistance as community mental health services.