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Rate increase announced for November 2015

Rate increase announced for November 2015

Publication Date: October 30, 2015

Sandhills Center, the organization responsible for public mental health, intellectual/developmental disability and substance abuse services in Anson, Guilford, Hoke, Harnett, Lee, Moore, Montgomery, Randolph and Richmond counties, has announced an increase in reimbursement rates for all Innovations services and for Inpatient services, by 5 percent. This rate increase is effective November 1, 2015.

“Both Innovations and Inpatient services fill an essential role in ensuring appropriate community care is available to all of our members,” said Victoria Whitt, Chief Executive Officer of Sandhills Center. “We hope that increasing our investment in these critical services ensures their continued availability for our members at a high quality level, and further illustrates our commitment to Innovations and Inpatient service providers.”

Innovations services are available to participants of the NC Innovations waiver, a funding resource offering supports and services to individuals with intellectual/developmental disabilities who are at risk for institutional care in an Intermediate Care Facility. For individuals who have received an Innovations funding slot through this Medicaid Home and Community-Based Services Waiver, an array of community-based services and supports that promote choice, control and community integration are available as an alternative to institutional care. These services include supportive services designed to meet the individual’s needs, including physical and/or medical needs.

Sandhills Center maintains contracts with 36 hospitals to provide Inpatient services for child, adolescent and adult members. Inpatient services provide treatment in a hospital setting, accessible 24 hours a day, by psychiatrists, physicians and other supportive medical professionals, when an individual cannot safely be served in a lower level of care. Inpatient services fill a particularly important community need for individuals who are being, or are actively considering being, harmful to themselves or others. Local Inpatient psychiatric beds funded through NC Department of Health and Human Services funding are funded through a different source and are not subject to this announced rate increase for Inpatient services.

Sandhills Center is committed to working collaboratively with community partners to continually improve access to, and the availability of, high quality behavioral health services. We will continue to explore opportunities to make adjustments to services, reimbursement rates and service delivery models to more effectively meet the needs of our members and will make additional service rate increase announcements when available.