On March 27, the Board of Trustees of the State Health Plan met and reviewed potential changes to the State Health Plan. One of the proposals reviewed by the Board is a proposal to include a State Health Plan autism spectrum disorder benefit. The goal of the proposed benefit is to cover treatment for autism spectrum disorder that will assist in maximizing independence and improving quality of life. LPCANC advocated for including LPCs in this proposal. We are pleased to announce that under the current proposal, LPCs are listed as providers in the category of behavioral health treatment for the proposed new benefit. We will continue to monitor this proposal and plan to announce when the State Health Plan has finalized its benefit changes for autism spectrum disorder benefits.
The March 27 presentation to the State Health Plan Board of Trustees can be found via the the following link: http://www.shpnc.org/library/pdf/board-materials/March-2014/3autism.pdf
The Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was released in May
2013. DHHS will implement DSM-5 coding requirements effective August 1, 2014. The DSM-5 codes will be
required for all dates of services beginning August 1, 2014. This timeframe gives clinical professionals
additional time to learn the diagnostic codes for service authorization requests.
DSM-5 changes will apply to:
• DMH/DD/SAS and DMA behavioral health services covered by the LME-MCOs; and
• behavioral health services authorized by Value Options and paid by NC Tracks for Health Choice
beneficiaries and 0-3 year olds.
LPCANC is offering focused trainings on DSM-5. See the website for more information.
Additionally, The ASAM Criteria: Treatment Criteria for Addictive, Substance–Related, and Co-Occurring
Conditions, Third Edition was published at the end of 2013.
As of August 1, 2014, all clinical policies, rules, protocols, etc. will be updated to reflect this new manual. The
use of ASAM is required for both DMH/DD/SAS and DMA in the determination of levels of care for substance
I heard yesterday from DMA that they have approved LPCAs to enroll in Medicaid, but it will take a couple of months to make this happen. This has been a problem with NCTracks, but the issue is resolved. A simple word change from Provisional License to Licensed Associate was what changed. MCOs do not have to wait for DMA to enable the changes, they can enroll LPCAs now. If you have difficulty enrolling with an MCO, please let LPCANC know; your professional association.
The NC Division of MH/DD/SAS has been working on addressing mental health issues through its Crisis Solutions Initiative. This is an opportunity for LPCs to get involved in this important initiative that will impact us all. Their March 31st newsletter describes their latest efforts and provides contact information. Newsletter
The U.S. Preventive Services Task Force posted today a draft Research Plan on primary care screening for depression in adults. The draft Research Plan is available for review and public comment from March 27 through April 23, 2014. To review the draft Research Plan and submit comments, go to
AMHCA Testifies in U.S. Congress on Medicare and Access Issues on Wednesday, March 26
Access details and live feed
The House Energy and Commerce Subcommittee on Oversight and Investigations will hold a hearing this Wednesday, March 26, 2014, at 10:00 a.m. EST. In “Where Have All the Patients Gone? Examining the Psychiatric Bed Shortage,” witnesses will testify about the impact of a severe shortage of psychiatric beds for persons with serious mental illness.
AMHCA Board Member-at-Large Dr. LaMarr D. Edgerson, LMFT, NBCCH, will testify on coverage limitations and Medicaid and Medicare problems that undermine early intervention for persons that need behavioral health services.
Access the live streaming link and Dr. Edgerson’s testimony
If you miss the live stream, you can access an archive video recording by entering “Where Have All the Patients Gone? Examining the Psychiatric Bed Shortage” in the search field on the left-hand side of the Energy and Commerce hearings page.
The Alternatives to Violence Project, a fun, engaging group process has been widely used in prisons, schools, traumatized cultures, government agencies, etc. for over 35 years and over 18,000 workshops facilitated by professionals and non-professionals. AVP has active programs in most states [and over 50 countries] and is being brought to North Carolina by Quaker House in Fayetteville, where they have been working with the military for years, most recently focusing on domestic violence. They are offering the Basic [April 4-6], Advanced [April 25-27]and Training of Facilitators [May 30-June 1] workshops this year. Each workshop offers 18 CEUs. The skills learned with this full immersion experiential workshop can be used in private practice, church groups and community groups; especially with youth at risk. FLIER