Mental Health can't bill for Medicare, Medicaid - KUAM.com-KUAM News: On Air. Online. On Demand.

Mental Health can't bill for Medicare, Medicaid

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by Ken Quintanilla

Guam - While the Department of Mental Health and Substance Abuse anticipates getting between $9 million to $12 million a year in revenue by implementing a new fee schedule, it won't be able to bill for Medicare and Medicaid clients. That means the department may only see about half of those figures. 

Mental Health deputy director Rey Vega confirms that the department is in the process of applying to be certified as a provider of service so that they can send invoices to Medicare and Medicaid. "We should be able to bill for clients under Selectcare, those with private insurance including MIP, he said.  "We have not finalized the financial class categories yet, but I would suspect that it would be more than 50%, which would be under Medicare and Medicaid."

Vega says the department will not discriminate providing the services based on a client's financial status.  He adds the department's application for certification is under review and if CMS approves, the mental health facility would be subject to survey to ensure they comply with all of the regulations required of a provider of service.

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