1. Access & Funding for Traditional SUD Services
D. Scott Kelly
BASES Executive Direcotr

2. What resources are available?
Group activity at each table
12 different intervention options
Which is most intensive / intrusive vs. least intensive / intrusive
What resources are available?

3. What are the contributing factors?
Medical necessity – 30 days in jail no longer qualifies for inpatient
Client motivation
Availability of resources for this person
Accessibility of resources for this person
Roadblocks & Barriers
Complicating Factors
What are the contributing factors?

4. Funding & Financial Realities
Private Insurance
Where is this insurance accepted?
Public Insurance
Medicaid Healthy Michigan Block Grant
Income levels
200% of poverty is about $24,440 for 1 person / $50,000 for family of four
Household income?
Medicaid applications

5. Types of Providers Licensed substance abuse agency
Licensed private practitioner
Unlicensed private practitioner
Credentials
Areas of expertise
Years of experience
Costs for client
Availability & Accessiblity
Types of Providers

6. Provide the client with National Provider Identification Numbers (NPI)
Client calls insurance company and asks the following:
In-network or out of network
Coverage
Deductibles
Co-pays per visit
Maximum annual coverages
Write down these answers with date & time and who they talked with
Keep a copy of this information in the client’s file with signed agreements to pay
Private Insurance

7. Public Insurance Available providers NMRE provider panel members
Individual licensed providers
Health care facilities
Accessibility issues
Know the limitations
Public Insurance

8. Co-occurring disorder
Trained and credentialed providers
Experience level
Cooperative efforts
Medication oversight
Co-occurring disorder

9. Services for family, spouse/partner, child/adolescents?
Trained and credentialed providers
Experience level
Cooperative efforts
Services for family, spouse/partner, child/adolescents?

10. On-line resources & More
AA.org
SMARTRecovery.org
CharlevoixAlano.org to find 12 step meetings in northern MI
Learn how to access community resources so that you can make a warm referral based on facts
Making Alcoholics Anonymous Easier – pdf that provides AA overview
All Recovery Meetings – Thursday 8:00 pm Chx Alano
Secular / Free Thinkers AA Meetings – Sunday 7:00 pm Chx Alano
On-line resources & More

11. Memo to Self: Protecting Sobriety with the Science of Safety
movie by Dr. Kevin McCauley
William White papers .com
Recovery Oriented Systems of Care
How things are presented is sometimes more important that what is presented.
What works and why?

12. Know what resources are available and know how to access them across the continuum of care
Know your person seeking help
Accept the financial realities
Know the system to work the system
Quick Review

13. Contact Information
Questions?