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Regional behavioral‑health changes: jail meds reimbursement, 28E DAP proposal and elimination of IHH services noted
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Summary
Disability services representatives reported the ASO will reimburse jail mental‑health medication charges and discussed a proposed 28E agreement for a regional Disability Access Point (DAP); staff also flagged the elimination of some intensive case management (IHH) programs and potential service transitions to MCOs or DHS.
Representatives for regional disability services told the Jackson County Board of Supervisors Aug. 19 that a number of statewide and regional behavioral‑health changes are affecting local services, including confirmation that the Administrative Services Organization (ASO) will reimburse mental‑health medications provided in county jails and a regional proposal to create a Disability Access Point (DAP) with a 28E agreement.
Jack and Lene said the governing board reported the ASO is reimbursing jail medication costs related to mental‑health care effective July 1, and counties should submit bills for reimbursement. “They submitted their first bill to the ASO, and they've already reimbursed them at a 100%,” they said, noting that jails can currently use local pharmacies and submit for reimbursement but that future streamlining by ASOs or state contracts could change that practice.
They also described a proposed 28E agreement for the DAP that would give counties a seat on a regional governing board with oversight on personnel and grant approvals. County representatives said the position might be an unfunded extra duty unless the region funds it; they plan to request further information and may invite the DAP lead (Julie Davis referenced) to a future meeting to answer questions.
Disability services representatives raised a separate statewide policy change: the elimination of Intensive Home and Community‑Based (IHH) services for some clients and the possible transitional responsibility of Managed Care Organizations (MCOs) or DHS targeted case management. Officials said this could reduce the availability of high‑intensity case management at the local level and they plan to seek clarification at upcoming HHS Council meetings.
The regional governing board also reported a small reimbursement to Jackson County for previously underbilled Administrative Services Management funds. The disability services representatives asked to keep the Board informed as details about DAP implementation and IHH transitions become available.
