The latest announcements and behavioral health items of note from the Mental Health and Substance Abuse Division are listed below. For information and announcements specific to either mental health or substance abuse, you may wish to visit the mental health announcement page or the substance abuse announcement page.
May 8, 2012
UPDATED: Request for Information on Proposed Substance Abuse Intervention Programs - Stakeholder Meetings May 11 in Austin
The Department of State Health Services (DSHS) Mental Health and Substance Abuse Division announces the expected availability of grant funds for the State Fiscal Year (SFY) 2014. This Request for Information (RFI) is intended to gather information for the upcoming competitive Request for Proposal (RFP) for Substance Abuse Intervention Services.
The following Scopes of Work are included in this RFI:
Rural Border Intervention (RBI)
Pregnant and Postpartum Intervention (PPI)
Human Immunodeficiency Virus (HIV) Early Intervention (HEI)
HIV Outreach Services (HIV)
This RFI will be used as a research and information gathering tool for preparation of the RFP. No contracts will be issued as a result of this RFI; however, awards will be made as a result of the future RFP. Do NOT submit a proposal based on this RFI.
Addenda 2 & 3: Stakeholder Meetings May 11 in Austin
DSHS will hold an informal RFI Stakeholder Meeting on the proposed substance abuse intervention services on May 11, 2012, from 9:00 am – 12:00 pm (or earlier if all questions and answers are completed) which can be attended in person or via teleconference.
DSHS will hold an informal RFI Stakeholder Meeting on the proposed substance abuse prevention services on May 11, 2012, from 1:30 pm – 4:30pm (or earlier if all questions and answers are completed) which can be attended in person or via teleconference.
The stakeholder meetings will both be held at 1100 West 49th Street (map enclosed), Room K-100, Austin, Texas. Map and Directions
Attendees should bring or have available the RFI document to reference.
Stakeholders wishing to participate in one or both sessions will have 2 options:
Stakeholder meeting will be held at DSHS Headquarters in room K-100. Seating is limited to 100. Up to 2 representatives per entity/organization will be admitted. DSHS is not accepting reservations for the stakeholder meeting. Seating will be based on first-come, first-serve basis.
Stakeholders wishing to listen-in via teleconference may call 1-877-820-7831. To access the teleconference enter 177891# to listen.
RFI and Addenda
May 4, 2012
Applications for the Local Authority Network Advisory Committee (LANAC)
DSHS is seeking applicants in the following stakeholder categories:
• Urban Government Officials
• Consumers
• Family Members
• Advocates
• Community Mental Health Service Providers (excluding private providers)
Application Due Date: June 1, 2012
The Department of State Health Services is seeking applications for the Local Authority Network Advisory Committee (LANAC) established pursuant to Texas Health and Safety Code §533.0351. The Health and Human Services Commission (HHSC) makes the final decisions on all appointments. The LANAC advises HHSC and the Department of State Health Services (DSHS) on technical and administrative issues that directly affect local mental health authority responsibilities. Currently there are vacancies in the categories listed above.
The application due date is June 1, 2012. If interested, please complete the application form below and return it, together with a current resume, to the address shown at the end of the form.
The application form, additional information about the LANAC, and committee member qualifications may be found at http://www.dshs.state.tx.us/mhcommunity/lanac/news.shtm. The LANAC web page is at http://www.dshs.state.tx.us/mhcommunity/LANAC/default.shtm.
May 2, 2012
Request for Information on Proposed Substance Abuse Intervention Programs
The Department of State Health Services (DSHS) Mental Health and Substance Abuse Division announces the expected availability of grant funds for the State Fiscal Year (SFY) 2014. This Request for Information (RFI) is intended to gather information for the upcoming competitive Request for Proposal (RFP) for Substance Abuse Intervention Services.
The following Scopes of Work are included in this RFI:
Rural Border Intervention (RBI)
Pregnant and Postpartum Intervention (PPI)
Human Immunodeficiency Virus (HIV) Early Intervention (HEI)
HIV Outreach Services (HIV)
This RFI will be used as a research and information gathering tool for preparation of the RFP. No contracts will be issued as a result of this RFI; however, awards will be made as a result of the future RFP. Do NOT submit a proposal based on this RFI.
SA/RFI-0507.1 - RFI for Proposed Substance Abuse Intervention Programs
Click on the link below to view the RFI and Addenda:
http://esbd.cpa.state.tx.us/bid_show.cfm?bidid=100005
April 20, 2012
Recovery Coach Training of Trainers
Applications Accepted April 23 - May 29, 2012
The Department of State Health Services (DSHS) is pleased to announce the Recovery Coach Training of Trainers (TOT). Those interested in receiving Recovery Coach TOT training may be able to attend one of four five-day trainings being offered in various locations in Texas.
Learn More
For complete information, including specific application deadlines, guidelines, and training locations, please see the Recovery Coach Training web page: http://www.dshs.state.tx.us/mhsa/sa/recoverycoach/
April 19, 2012
Mental Health Month 2012 Poetry Contest
In observance of Mental Health Awareness Month this May, the Texas Department of State Health Services Mental Health and Substance Abuse Division and the National Alliance on Mental Illness (NAMI) - Texas are holding a statewide poetry contest open to adults with or in recovery from mental illness and their adult family members.
For complete details, including guidelines and entry deadline, please see http://www.dshs.state.tx.us//mhsa/awareness/mh/poetrycontest2012/.
April 17, 2012
Announcement of Solicitation: Privatization of a State Mental Health Hospital
The request for proposal (RFP) for the privatization of one of the state mental health hospitals is available via the Electronic State Business Daily at http://esbd.cpa.state.tx.us/bid_show.cfm?bidid=99828.
Please read more about this RFP at http://www.dshs.state.tx.us/mhsa/privatization/rfp/.
March 12, 2012
RFP for the Privatization of a State Mental Health Hospital
The draft RFP for privatization of one of the State Mental Health Hospitals has been posted to: http://esbd.cpa.state.tx.us/bid_show.cfm?bidid=99209
Open Date: 03/26/12 02:00 PM
Agency Requisition Number: 53700-2-0000103730
The State of Texas, by and through the Texas Health and Human Services Commission (HHSC), announces the release of draft request for proposal (RFP) # 53700-2-0000103730 for the Privatization of One of the State Mental Health Hospitals. The intent of the draft RFP is to receive and evaluate information that may be used to develop a RFP. The draft RFP provides an opportunity to review and comment on the draft RFP before formal release of any subsequent RFP.
Read more about the Draft RFP at http://www.dshs.state.tx.us/mhsa/privatization/rfp/.
February 28, 2012
MHSA Stakeholder Survey Results
In November 2011, stakeholders and service providers were asked about their experiences with the Mental Health and Substance Abuse division regarding communication. Below are the results of these surveys. Should you have questions or need further information, please contact Mimi McKay at mimi.mckay@dshs.state.tx.us.
February 7, 2012
Honoring Children of Alcoholics Week, February 12-18. 2012
An estimated 25 percent of all children in the United States are affected by or exposed to a family alcohol problem. The Substance Abuse and Mental Health Services Administration (SAMHSA) supports the National Association for Children of Alcoholics (NACoA) during its Children of Alcoholics (COA) Week. COA Week celebrates the recovery of the many thousands of children (of all ages) who have received the help they needed to recover from the pain and losses suffered in their childhood, and it offers hope to those still suffering from the adverse impact of parental alcohol and drug addiction.
During COA Week, we acknowledge the millions of children affected by a parent's substance use disorder and celebrate that there is hope and healing for these children now and throughout their lives. This week—and throughout the year—remember to ask, "What about the children?" when speaking about recovery from substance use disorders.
SAMHSA will release new findings during COA Week from the National Survey on Drug Use and Health about adolescents living with parents with alcohol use disorder. Watch for the announcement on the SAMHSA Newsroom.
Related Resources for Children of Alcoholics
Supportive Education for Children of Addicted Parents | Children's Program Kit (With DVD)
It Feels So Bad | Brochure
It's Not Your Fault (NACoA) | Brochure
January 12, 2012
Report on Privatization of a State Mental Health Hospital Now Available
The Department of State Health Services (DSHS) through the Health and Human Services Commission (HHSC) posted a Request for Information seeking certain information that would assist DSHS and HHSC in developing a Request for Proposal (RFP) and to assess the level of interest among private entities in operating one of the state hospitals currently managed by DSHS.
A public hearing was held and the feedback obtained from stakeholders and vendors is summarized in this report. DSHS is currently developing an RFP that incorporates the feedback received from the public hearing.
The report, which is available on the Report on Privatization of a State Mental Health Hospital web page, was created to notify the Governor and Legislative Budget Board on the progress to date in implementing Rider 63.
December 13, 2011
Update: Stakeholder Forums Regarding the Comprehensive Analysis of Public Behavioral Health System Required by Rider 71
Additional information on the recently announced Stakeholder Forums is now available on the Comprehensive Analysis of Public Behavioral Health System web page, along with a copy of the presentation by PCG that will be used at each Forum.
December 13, 2011
Request for Applications for Membership in the Council for Advising and Planning for the Prevention and Treatment of Mental and Substance Use Disorders (CAP)
Please submit your application by January 17, 2012
The mission of the Council ("CAP") is to assure that all Texans have safe and effective prevention, treatment, recovery and resilience support services for mental and substance use disorders.
The Council is now soliciting applications for membership. Qualifications for membership and additional details are provided on our application.
We seek to represent all Texans and all of Texas in our membership and encourage residents from every part of the state to apply. The full Council meets quarterly (most meetings are held in Austin) and travel expenses are reimbursed. The next quarterly meeting will be held in early March 2012 and applications must be submitted by January 17, 2012.
For more information and to download a copy of the application, please see the Council web page.
December 8, 2011
Adoption of New Chapter 411, Subchapter N, concerning Co-Occurring Psychiatric and Substance Use Disorders (COPSD)
Effective November 17, 2011, the Department of State Health Services has adopted a new Chapter 411, Subchapter N, concerning Co-Occurring Psychiatric and Substance Use Disorders (COPSD).
Notice of the proposed new Chapter 411, Subchapter N, was published in the April 29, 2011, issue of the Texas Register for public review and comment. A comment was received from Tropical Texas Behavioral Health of Edinburg. On October 25, 2011, the Commissioner of the Health and Human Commission approved the adoption of the amendments to the subchapter with changes to the text as proposed. Notice of the adoption was published in the November 11, 2011, issue of the Texas Register and is available electronically at the following Internet address: http://info.sos.state.tx.us/pls/pub/readtac$ext.ViewTAC?tac_view=5&ti=25&pt=1&ch=411&sch=N&rl=Y.
What’s different?
The preamble and final rule text, below, describe the amendments and repeals concerning the subchapter.
Reason for the New Subchapter
The amendments and repeals are necessary to reflect organizational changes that occurred in September 2004 when the Texas Department of Mental Health and Mental Retardation (TDMHMR) merged with several other agencies to form the Department of State Health Services. The amendments and repeals are also necessary to reflect changes in references to other rules.
Questions
Please direct questions concerning the subchapter by mail to Janet Fletcher, Program Services Unit, P.O. Box 149347, Austin, TX 78714-9347, by telephoning 512/467-5424, or by emailing MHSARules@dshs.state.tx.us.
December 6, 2011
MHSA Division Presentations from Recent DSHS Council Meeting Now Available
At a recent meeting of the DSHS Council, MHSA staff members gave presentations on the following topics:
- Suicide Prevention Initiatives
- This PowerPoint provides an overview of Suicide Prevention initiatives currently underway at DSHS with a focus of new social media strategies and how MHSA and Title V offices are working together. The social media information involves youth documentary style videos called “Real Stories of Help & Hope” being shown on YouTube, and two new Smartphone Apps for suicide prevention.
- View the Suicide Prevention Presentation (MS PowerPoint)
- Tobacco Prevention and Control
- The tobacco control PowerPoint provides a description of the impact of funding reductions to the DSHS Tobacco Prevention and Control Program for FY12 and FY13 and an overview of program strategies.
- View the Tobacco Prevention and Control Presentation (MS PowerPoint)
- Wellness Incentives and Navigation (WIN) - The Texas Medicaid Incentives for Prevention of Chronic Disease (MIPCD) Project
December 1, 2011
Announcement of Stakeholder Forums Regarding the Comprehensive Analysis of Public Behavioral Health System Required by Rider 71
Forums begin December 14, 2011 in Austin; Additional dates in January with details to be announced
The Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS) would like to announce the scheduling of six (6) public stakeholder forums to be conducted by Public Consulting Group (PCG) as part of the comprehensive analysis of the public behavioral health system. The study of the public behavioral health system is required by DSHS Rider 71, General Appropriations Act, 82nd Texas Legislature, 2011. PCG’s efforts will focus on two major components: (1) a comprehensive study of the current public behavioral health system in Texas and (2) short and long term recommendations for the Texas behavioral health system.
The six (6) stakeholder meetings will be used by PCG to provide stakeholders with an overview of the engagement and to gather stakeholder input on the current behavioral health system. Stakeholders will be encouraged to provide feedback on topics including, but not limited to, access to services, service delivery models, current service array, and funding for services. Attendees will also have an opportunity to provide input on general strengths and weaknesses of the current behavioral health system and thoughts on the future direction of behavioral health services in Texas.
All interested stakeholders are encouraged to attend one of the six (6) public stakeholder forums listed on the following web page: Stakeholder Forum Information. To receive an email notification when additional dates and locations are announced, please subscribe to receive email updates on this topic.
November 22, 2011
Adoption of New Chapter 411, Subchapter G, concerning Community Centers
Effective Date: September 22, 2011
Reason for the New Subchapter
The amendments and repeals are necessary to reflect organizational changes that occurred in September 2004 when the Texas Department of Mental Health and Mental Retardation’s services for people with an intellectual or developmental disability merged with the Department of Aging and Disability Services (DADS). The rules also accord with House Bill 2303, 81st Legislature, Regular Session, 2009, which amended Health and Safety Code, Chapter 534, to specify that a community center may provide health and human services and supports that are not identified in its local plan as provided by a contract with or a grant received from a local, state, or federal agency.
What’s different?
The preamble and final rule text describe the amendments and repeals concerning the subchapter:
Process
Notice of the proposed new Chapter 411, Subchapter G, was published in the April 29, 2011, issue of the Texas Register for public review and comment. A comment was received from Denton County Mental Health and Mental Retardation Center. On August 19, 2011, the Commissioner of the Health and Human Commission approved the adoption of the new subchapter with changes to the text as proposed. Notice of the adoption was published in the September 2, 2011, issue of the Texas Register and is available electronically at the following Internet address: http://info.sos.state.tx.us/pls/pub/readtac$ext.ViewTAC?tac_view=5&ti=25&pt=1&ch=411&sch=G&rl=Y. However, the rule text is not published in it entirety.
Questions
Please direct questions concerning the subchapter by mail to Janet Fletcher, Program Services Unit, P.O. Box 149347, Austin, TX 78714-9347, by telephoning 512/467-5424, or by emailing MHSARules@dshs.state.tx.us.
November 16, 2011
The Great American Smokeout is Thursday, November 17
The Great American Smokeout, sponsored by the American Cancer Society, is an annual event that encourages smokers to quit for at least one day in the hope they will be encouraged to stop permanently (1). The 36th annual event will be held on November 17, 2011.
Approximately two out of three smokers want to quit, and 52.4% of current adult smokers tried to quit within the past year (2). Health-care providers should routinely identify smokers and other tobacco users, advise them to quit, and assist those trying to quit (3). Getting help (e.g., through counseling or medication) can double or triple the chances for quitting (3).
Since 2002, the number of former smokers in the United States has exceeded the number of current smokers (3). But 19.3% of U.S. adults (about 45.3 million) still smoke. Additional information and free support for quitting is available online (http://www.smokefree.gov) or by telephone (800-QUIT-NOW [800-784-8669]; TTY: 800-332-8615).
Earlier this year, the U.S. Department of Health and Human Services launched the Million Hearts initiative, aimed at preventing 1 million heart attacks and strokes over the next 5 years. An estimated 26% of heart attacks and 12%--19% of strokes are attributable to smoking. Additional information is available at http://millionhearts.hhs.gov.
For information and resources specific to Texas, please visit DSHS Tobacco Prevention and Control online at: http://www.dshs.state.tx.us/tobacco/.
References
- American Cancer Society. Great American Smokeout. Available at http://www.cancer.org/healthy/stayawayfromtobacco/greatamericansmokeout. Atlanta, GA: American Cancer Society; 2011. Accessed November 3, 2011.
- CDC. Quitting smoking among adults---United States, 2001--2010. MMWR 2011;60:1513--19.
- Fiore MC, Jaen CR, Baker TB, et al. Clinical practice guideline. Treating tobacco use and dependence: 2008 update. Rockville, MD: US Department of Health and Human Services, Public Health Service; 2008. Available at http://www.surgeongeneral.gov/tobacco/treating_tobacco_use08.pdf . Accessed November 3, 2011.
November 14, 2011
Deadline Extended: Call for Presenters: 2012 Partners in Prevention Conference
The Annual Division of Prevention & Early Intervention (PEI) Partners in Prevention (PIP) Conference in Austin is a two‐day training opportunity for community‐based providers of child abuse prevention, juvenile delinquency prevention and professionals in related fields. Each year, a number of Texas state agencies collaborate to present this opportunity for providers and professionals to gather information that they can use to help strengthen families and improve communities. The 11th Annual Conference will be held April 11‐12, 2012 For complete information, please see the document below:
Applicaton Deadline Extended: Please Submit by December 2, 2011
November 8, 2011
Stakeholder Communications Survey
Responses are due by 5 PM on Wednesday, November 23, 2011
The Mental Health and Substance Abuse Division (MHSA) of DSHS is dedicated to maintaining a collaborative partnership with its diverse group of stakeholders. In the summer of 2010, we conducted a stakeholder survey to get input on improving communications to individuals engaged in various internal and external stakeholder groups coordinated by MHSA.
We have acted on many of the recommendations we heard at that time, and designed a follow-up survey to assess how well we're doing today and where we still need to improve. We welcome your unique perspective and hope you will choose to participate. Responses will be accepted until 5:00pm on Wednesday, November 23rd, 2011. A compilation of the survey results will be shared on our web site in early December at http://www.dshs.state.tx.us/mhsa-announcements/.
The survey should take an average of five minutes to complete, and can be accessed here: https://docs.google.com/spreadsheet/viewform?hl=en_US&pli=1&formkey=dHpEQ1dJbjJzTGRjUGpiOWZtTTU1c1E6MQ#gid=0
October 24, 2011
October 29th, 2011 is National Prescription Drug Take Back Day!
The purpose of National Take Back Day is to provide a venue for the public to dispose of unwanted and unused prescription drugs. The DEA, in conjunction with state and local law enforcement agencies throughout the United States, conducted the first ever National Prescription Drug Take Back Day last September. This effort was a huge success in removing potentially dangerous prescription drugs, particularly controlled substances, from our nation’s medicine cabinets.
There were approximately 3,000 state and local law enforcement agencies throughout the nation that participated in this event. The American public turned in more than 121 tons of pills on this first National Take Back Day, and due to the overwhelming success of the event, DEA held a second National Prescription Drug Take Back Day on Saturday, April 30, 2011.
The third National Prescription Drug Take Back Day will take place from 10am-2pm on Saturday, October 29th. To get more information and find a collection site near you visit: http://www.deadiversion.usdoj.gov/drug_disposal/takeback/
Law enforcement agencies that wish to host a collection site should call the Point of Contact for your area.
The Partnership for a Drug-Free Texas is dedicated to raising awareness about prescription drugs, which are now the second most highly abused drugs in the nation. For research, news and helpful links on prescription drug abuse please visit their resource page at: http://drugfreetexas.org/drugs/prescription-drugs/.
October 18, 2011
Call for Presenters: 2012 Partners in Prevention Conference
The Annual Division of Prevention & Early Intervention (PEI) Partners in Prevention (PIP) Conference in Austin is a two‐day training opportunity for community‐based providers of child abuse prevention, juvenile delinquency prevention and professionals in related fields. Each year, a number of Texas state agencies collaborate to present this opportunity for providers and professionals to gather information that they can use to help strengthen families and improve communities. The 11th Annual Conference will be held April 11‐12, 2012 For complete information, please see the document below:
Applications are due November 15, 2011 December 2, 2011
October 17, 2011
2012 Behavioral Health Institute: Call for Focus Group Participants
Registration Deadline: Monday, October 31, 2011
The Texas Behavioral Health Institute Program Committee will be conducting two focus group conference calls on the 2012 Institute.
Individuals who participate in the call will be asked to provide input on specific topics and questions that are critical to you professionally as well as the issues confronting your agency or organization.
The two conference calls will be 60 minutes in length. There will be an overview provided by a facilitator from the program committee followed by an open discussion.
Participants will then be asked to provide input on five questions:
What issues pertaining to behavioral health service delivery in our State are keeping you awake at night?
What kind of ‘how to’ workshops would you like to attend?
What topics would you like to have presented as longer, more in-depth training sessions (Marketing, Technology, Billing, Social Media etc.)
Would you attend and participate in roundtable discussions?
What topics should these roundtables focus on?
What elements have been missing from past Institutes that you would like to see included?
What speakers would you recommend present on these topics?
The two focus group dates are
Tuesday, November 8 at 2 pm
Thursday, November 10 at 10 am
Why Participate?
You will be sent a link to the focus group you are assigned to once you have completed the interest form at: http://www.formstack.com/forms/?1123151-3SyU9B0ixF
Deadline to sign up for focus groups: Monday, October 31, 2011.
October 17, 2011
2012 Behavioral Health Institute: Call for Presentations
The Department of State Health Services (DSHS) invites proposals for conference sessions at the 2012 Texas Behavioral Health Institute, the theme of which is Integration: Developing a Culture of Recovery and Wellness.
As part of its effort to communicate and educate on ways to partner with people in recovery from mental health and substance abuse disorders, DSHS encourages presentations on efforts that encourage integration of the behavioral health system.
Sessions should include: recovery issues; ways to build organizational partnerships; culturally-based services or competencies; and resources that include family and community support. Topics should address prevention and treatment solutions and relate to youth, family, judicial (legal, court, incarceration) and all populations impacted by mental health and substance abuse disorders.
For more information or to submit your proposal, please see http://www.texinstitute.com/.
Submission Deadline: November 18, 2011
October 13, 2011
Proposed 1915(b) Waiver: Selective Contracting of Medicaid Mental Health Rehabilitative Services
In an effort to ensure specialized mental health services are provided in a manner consistent with evidence-based best practices, the Health and Human Services Commission (HHSC) is pursuing a 1915(b) fee-for-service selective contracting waiver. This waiver would allow the State to selectively contract for the provision of Medicaid reimbursed Mental Health Rehabilitative Services. Provision for such a waiver is authorized under section 1915(b) of the Social Security Act (“the Act”), which permits the Secretary of Health and Human Services to waive provisions set forth in section 1902 of the Act for certain purposes. Providers will be required to provide medically necessary mental health rehabilitative services to eligible individuals.
Under the waiver, the Department of State Health Services (DSHS) will contract with local mental health authorities, who will be required to make periodic attempts to recruit and develop a network of qualified providers. In addition, each local mental health authority will be required to pay the full Medicaid rate to subcontracted providers.
Purpose of the Proposed Waiver
Certain consumers require multiple specialized mental health services to address needs associated with both severe and persistent mental illness (SPMI) and serious emotional disturbance (SED). The proposed waiver will help ensure that individuals receive the entire array of specialized mental health services to address needs associated with both SPMI and SED. These services include mental health rehabilitation, mobile crisis services, psychiatric services, medications, case management, and a variety of other services that would not be available to consumers from a provider that delivered only MH Rehabilitative Services. Furthermore, the proposed waiver would reduce service fragmentation insofar as the full array of services would be delivered within a closely coordinated local system of care.
Additionally, due to the cyclical nature of mental illness many individuals may lose and regain Medicaid eligibility over time. The proposed waiver will help ensure continuity of care when a person loses Medicaid eligibility through continued service provision through contracted local mental health authorities.
Coverage and Service Area
The Medicaid population to be served under the proposed 1915(b) waiver includes children and adolescents from three to 18 years of age who have serious emotional disturbance (SED) and adults age 18 and over who have severe and persistent mental illness (SPMI), and for whom a licensed practitioner has determined that mental health rehabilitative services are medically necessary.
The waiver covers the same population as is currently covered for Mental Health (MH) Rehabilitative Services, and will operate in all counties of the state with the exception of those counties that are currently operating under the NorthSTAR 1915(b) waiver (i.e., Collin, Dallas, Ellis, Hunt, Kaufman, Navarro, and Rockwall counties).
Waiver Timeline
HHSC issued a public notice of intent concerning the waiver in the December 17, 2010 Texas Register and held a joint public meeting with DSHS to solicit stakeholder input on March 4, 2011. HHSC and DSHS incorporated changes to the draft waiver based on stakeholder input.
HHSC submitted the waiver request to CMS September 22, 2011 and is requesting CMS approve the new waiver for the period beginning January 1, 2012, through December 31, 2013.
Questions
Should you have questions or comments about the proposed waiver, please write to contact.mh@dshs.state.tx.us.
October 10, 2011
Request for Comments: 25 Texas Administrative Code Chapter 447, Department-Funded Substance Abuse Services
Subchapter A, concerning Department-Funded Substance Abuse Prevention Services
Subchapter B, concerning Department-Funded Substance Abuse Intervention Services
Subchapter C, concerning Department-Funded Substance Abuse Treatment Services
Comments Due October 20, 2011
Reason for the Repeals and New Rules Chapter
The reason for the repeals and new rules is as follows:
- to provide a concise set of rules that are organized in one chapter designated for Department of State Health Services(DSHS)-funded substance abuse programs;
- to comply with Government Code, §2001.039, which requires each state agency to review and consider for readoption each rule adopted by DSHS;
- to comply with Health and Safety Code §461.0128, which requires that DSHS develop and adopt rules for model program standards for substance abuse services for use by each agency that provides or pays for substance abuse services; and
- to comply with H.B. 3126 (76th Leg. Reg. 1999), which requires DSHS, among other agencies, to establish by rule a uniform set of criteria for evaluating the effectiveness of a substance abuse prevention program.
Rules Being Repealed
This is a proposed repeal of 25 Texas Administrative Code (TAC) Chapter 441 General Provisions, Subchapter D. Measuring the Effectiveness of Substance Abuse Services §441.401 (Interagency Agreement), and Chapter 447, Contract Program Requirements, Subchapters A-G; and proposed adoption of Subchapters A-C of new Chapter 447 Department-funded Substance Abuse Services.
Changes Affecting the Chapter
The draft of each subchapter in Chapter 447 was reviewed by the Chapter 447 Steering Committee comprising the treatment services unit manager; team leads for prevention, intervention, and treatment services; and staff from quality management and contracting. Via email, the prevention draft was distributed September 18, 2009, the intervention draft was distributed October 12, 2009, and the treatment draft was distributed December 23, 2009. Another revision of the draft was sent out to stakeholders in July 2010.
The revisions from the July 2010 text have been reorganized and condensed. It is the intent of DSHS to shift as much language from rule to contract, while maintaining compliance with statutory requirements.
Next Steps
Comments received in response to this request for comment will be discussed by the Chapter 447 Steering Committee and the draft will be revised accordingly. The final draft will be reviewed by management staff and the Office of General Council.
It is anticipated the rules will be presented at the December 1, 2011, DSHS council meeting. The new chapter will be published in the Texas Register for 30 days. The rules are anticipated to be effective May 31, 2012.
Comments
Please submit your comments and questions concerning the draft 25 TAC Chapter 447 rules via US mail to Laura Czepiel, 1100 W 49th Street T608.3, Austin Texas 78751 (512) 458-7111 ext 3314, or by emailing MHSARules@dshs.state.tx.us with “Chapter 447 Comments” in the subject line.
September 22, 2011
Announcement for Public Hearing Pursuant to Rider 63, Request for Proposal to Privatize a State Mental Health Hospital
Rider 63 for DSHS, General Appropriations Act, 82nd Legislature, requires DSHS to develop a request for proposal (RFP) to privatize one state mental health hospital by September 1, 2012. Rider 63 also requires that DSHS take into account feedback from internal and external stakeholders when developing its plan for the oversight of the privatization of the hospital.
Participants are invited to provide feedback to assist DSHS in developing this proposal, to include:
- Strategies to minimize adverse effects on hospital residents,
- Strategies to minimize adverse effects on potential or future residents,
- Strategies to minimize adverse effects on staff,
- Strategies to determine which hospital to privatize and other feedback as pertinent.
Rider 63 requires that the approved contract will generate at least a ten percent savings annually compared to FY 2011 levels and be for a minimum of four years.
For additional information about this public hearing, please contact Kerry Raymond at kerry.raymond@dshs.state.tx.us.
July 15, 2011
Stakeholder Survey - Service System Priorities
Responses Due July 27, 2011
The Mental Health and Substance Abuse (MHSA) Division of the Texas Department of State Health Services is seeking stakeholder input regarding service system priorities for persons with Severe Mental Illness, Serious Emotional Disturbances and/or Substance Use Disorders. Feedback from this survey will be used for planning of the Mental Health and Substance Abuse combined Block Grant Application.
The service system outlined in the survey is from the Substance Abuse Mental Health Services Administration’s (SAMHSA) “Description of a Good and Modern Addictions and Mental Health Service System”. An expanded explanation of the system is available at: http://www.samhsa.gov/healthreform/docs/good_and_modern_4_18_2011_508.pdf
Please take a moment to complete the survey BY JULY 27, 2011 at http://www.surveymonkey.com/s/YTDBW3B
This survey may be forwarded to anyone that may want to provide input on the Mental Health and Substance Abuse Services System.
July 12, 2011
Stakeholder Forum - Request for Comment: FY 2012 Block Grant
On Thursday, July 21, 2011 at 5pm at the Austin Convention Center, DSHS is hosting a forum to receive stakeholder comments on the mental health and substance abuse block grant application process for FY 2012.
Through the Federal Register, comments on the block grant process continue to be accepted through July 18 . This event is your opportunity to comment on the process in Texas. While the forum takes place at the Texas Behavioral Health Institute venue, it is open to both registered and non-registered attendees.
Contact: Mimi Martinez McKay
June 27, 2011
Post-Traumatic Stress Disorder (PTSD) Awareness Day
Today, June 27th 2011, is PTSD (Post-traumatic stress disorder) Awareness Day. Please join us in promoting awareness of PTSD and sharing links to resources to help those in need of services by visiting: http://www.ptsd.va.gov/about/ptsd-awareness-day/together_increasing_ptsd_awareness.asp
June 24, 2011
SAMHSA Releases Revised SAPTBG and MHBG Applications
On April 11, SAMHSA posted a Federal Register Notice (FRN) to obtain comments on a proposed Substance Abuse Prevention and Treatment Block Grant (SAPTBG) application and Mental Health Services Block Grant (MHSBG) application. The initial 60-day comment period on the proposed application for the Mental Health Block Grant (MHBG) and Substance Abuse Prevention and Treatment Block Grant (SAPTBG) closed on June 9th. In response SAMHSA received 772 comments from 522 individuals or organizations. Based on the comments SAMHSA received, the application and reporting sections have been revised. The application has been posted again in the Federal Register (http://www.gpo.gov/fdsys/pkg/FR-2011-06-17/pdf/2011-15070.pdf), and SAMHSA is accepting comments until July 18, 2011. More information may be found at http://samhsa.gov/grants/blockgrant.
June 9, 2011
TRAINING: Webinar Training on Medicaid Substance Use Disorder Benefits
June 17, 2011 at 9 AM
Meeting Site:
Health and Human Services Commission
Brown-Heatly Building
4900 North Lamar Blvd.
Conference Room 5357
Meeting Participation Instructions (PDF)
There have been a number of changes to the Substance Use Disorder benefits since they were originally implemented September 1, 2010 (Phase I) and January 1, 2011 (Phase II), and HHSC is conducting a comprehensive webinar training for providers that includes recent changes.
Overview of Legislative History
Overview of Benefits
Overview of Wrap-Around Coverage for Women and Children Residential Services
Prior Authorization Requirements
Special Considerations Related to Adolescents
Billing Information
Eligibility verification (including overview of new Your Texas Benefits Card)
Overview: TMHP web portal for claims and new online prior authorization process
Target Audience: Billing staff, clinic director, lead clinician for chemical dependency treatment facilities licensed by the state of Texas, as well as providers offering medication assisted therapy.
June 1, 2011
Reflecting on Mental Health Month
The Mental Health and Substance Abuse Services Division here at DSHS thanks all those who support and enhance the mental health service delivery system in Texas every month and through the years.
Although we have reached the end of National Mental Health Month for 2011, our web page dedicated to the observance of Mental Health Month remains online throughout the year and features information and resources, including our annual series “Perspectives on Mental Health” with this year’s essays on supported employment, outpatient competency restoration, peer support, the Family Partner program, the SUPPORT program, and children’s mental health.
We look forward to National Minority Mental Health Awareness Month in July and next year’s National Mental Health Month as well as other awareness events throughout the remainder of 2011.
May 24, 2011
Statewide Training for Adolescent trauma: Understanding the Links Between Adolescent Trauma and Substance Abuse – “A Toolkit for Providers”
The Department of State Health Services (DSHS) will offer a half day training on Understanding the Links Between Adolescent Trauma and Substance Abuse – “A Toolkit for Providers.” This training is open to all DSHS-funded Substance Abuse Treatment Contractors, credentialed staff, and clinical directors.
The half-day training will be held from 9:00 a.m. to 12:00 p.m. on June 14, 2011, June 27 and June 28, 2011. The June 14th training will be held in Corpus Christi at the Council on Alcohol and Drug Abuse facility, June 27th the training will be held in Austin at the Health and Human Services Commission (HHSC) Public Hearing Room, Austin and June 28th training will be held at the Rio Grande Valley Council in Pharr, Texas.
Three continuing education units (CEUs) are available for credentialed staff. At the end of this training participants will:
- Gain an understanding of the relationship between traumatic stress and substance abuse among youth and recognize the importance of addressing co-occurring disorders
- Be able to recognize, identify, and assess symptoms of traumatic stress
- Be able to identify potential treatment strategies for children who have co-occurring disorders
- Effectively implement the Toolkit
Trainer will be Dr. Susana Rivera. Dr. Susana Rivera is a Licensed Professional Counselor with extensive experience providing treatment for children and adolescents who have experienced sexual abuse, traumatic grief and other traumas. Dr. Rivera is also a Trauma-Focused Cognitive Behavioral Therapy Trainer, and has been responsible for disseminating the model to clinicians across the state of Texas. In addition to child traumatic stress, her research interests include the effects of culture on the provision and outcomes of mental health treatment for Hispanic children and families. Dr. Rivera is the Program Director for the Border Traumatic Stress Response Center at Serving Children and Adolescents in Need, Inc. and is also an Adjunct Professor at Texas A&M International University in Laredo, Texas. Dr. Rivera also serves as co-chair of the National Child Traumatic Stress Network’s Child Sexual Abuse Committee and is a member of the National Child Traumatic Stress Initiative Evaluation Steering Committee.
Training Dates and Locations
Training will begin at 9:00 a.m. and end at 12:00 p.m. daily
Corpus Christi - June 14, 2011
Alcohol and Drug Abuse Council
1801 South Alameda Street, Suite 150
Corpus Christi, Texas 78404.
Austin - June 27, 2011
ASH
Hearing Room, Building 2
909 W. 45th Street
Austin, Texas 78756
Pharr - June 28, 2011
Rio Grande Valley Council
5510 N. Cage Blvd., Suite E
Pharr, TX 78577
Training Registration Instructions
The registration deadline for this training is the close of the business day one week prior to the training. Be sure to indicate which training site you are registering for: Corpus Christi, Austin, or Pharr. Send this information with your first and last name, mailing address, name of your organization, email address, and contact phone number to: Laura.Czepiel@dshs.state.tx.us.
Confirmation of the training registration will be sent by DSHS within 48 hours of email submission. For questions or further information regarding this training, please contact Laura Czepiel at Laura.Czepiel@dshs.state.tx.us, (512) 458-7111 ext 3314.
May 23, 2011
2011 Texas Behavioral Health Institute
Registration for the 2011 Texas Behavioral Health Institute is now open!
The conference will be held at the Austin Convention Center July 18-22, 2011.
The early registration rate of $375 will end on June 1st so be sure to register today!
Please review the detailed conference brochure before beginning your registration process so that you can select your schedule for the event. You can view the brochure by clicking on this link or visiting the conference website at www.TexInstitute.com.
May 17, 2011
2011 Campaign for Social Inclusion Awards Now Available
The Substance Abuse and Mental Health Services Administration (SAMHSA) recently announced the availability of the 2011 Campaign for Social Inclusion Awards, which fund selected state-wide peer-run organizations across the United States to promote social inclusion on State and local levels and to counter the negative perceptions, attitudes, and beliefs associated with mental health and/or substance use problems. This year, SAMHSA will award six $20,000 grants for statewide and community-based efforts that promote and expand the “What a Difference a Friend Makes” campaign.
Proposed activities must target 18- to 25-year-olds and provide a detailed plan to increase awareness of behavioral health issues and of mental health and addictions recovery among young adults – in particular those from diverse populations including Hispanic/Latino, African American, Asian American/Pacific Islander, and American Indian populations. Proposals are also encouraged that address young adults who have experienced trauma. With its unique ethnic composition, Texas has the challenging opportunity to reach a diverse population that is 12 percent Black, 39 percent Hispanic, and five percent other non-Caucasian races. Three federally-recognized tribes partner with the State. In addition, Texas has a larger proportion of youth (28 percent) than the national average (25 percent).
The deadline for submitting applications for the 2011 Campaign for Social Inclusion Awards is June 6, 2011.
The comprehensive Project Guide, which fully describes the project focus, eligibility requirements, application requirements, and other important information, is available at http://promoteacceptance.samhsa.gov/CSI/awards/2011awards.aspx.
For questions on this application, please contact: Mimi Martinez McKay at mimi.mckay@dshs.state.tx.us.
May 3, 2011
National Children's Mental Health Awareness Day
Part of National Mental Health Month and Children's Mental Health Week, National Children's Mental Health Awareness Day seeks to raise awareness about the importance of children's mental health and its significance in a child's healthy development from birth. For more information about children's mental health, including information specific to Texas children, please visit our spotlight page at www.dshs.state.tx.us/mhsa/awareness/childrensmhweek.shtm.
April 15, 2011
Request for Comment – SAMHSA Block Grant Changes
Comments are due to SAMHSA by June 9, 2011
Currently SAMHSA’s Mental Health Services and Substance Abuse Prevention and Treatment block grant programs (grants given to States to allow States to address their unique behavioral health issues) have been administered somewhat differently by SAMHSA, and States have had differing structures for accepting, planning and accounting for these grants. In an effort to streamline the application and reporting procedures for these programs, SAMHSA has developed a uniform application and reporting process to promote consistent planning, application, assurance and reporting dates across both block grants. Among the changes to the block grant application is the expectation that States will:
- Take a broader approach in reaching beyond the populations they have historically served through block grants.
- Conduct a needs assessment and develop a plan that will identify and analyze the strengths, needs and priorities of the State’s behavioral health system – painting a fuller picture of the States behavioral system that we previously did not have.
- Design and develop collaborative plans for health information systems—grants and other funding.
- Form strategic partnerships to provide individuals better access to good and modern health services.
- Focus more on services in support of recovery from mental health and substance use problems.
- Focus their block programs on improving accountability for quality and performance of services they provide.
- Description of tribal consultation activities.
The draft document proposed by SAMHSA, along with additional information, is now available at http://www.samhsa.gov/grants/blockgrant/. The applicable portion of the Federal Register may be viewed at http://www.gpo.gov/fdsys/pkg/FR-2011-04-11/pdf/2011-8520.pdf (PDF).
In addition to providing comments directly to SAMHSA by June 9, 2011 (which should be submitted to summer.king@samhsa.hhs.gov), Texas residents are encouraged to send their comments on the proposed changes to DSHS at contact.sa@dshs.state.tx.us.
April 14, 2011
Request for Informal Comment: Chapter 414, Subchapter A - Protected Health Information
Comments Due Wednesday, May 4, 2011
The subchapter was adopted by the former Texas Department of Mental Health and Mental Retardation to facilitate compliance with state and federal regulations and statutes including, but not limited, to 45 CFR Parts 160 and 165 (Health Insurance Portability and Accountability Act (HIPAA)) and 42 CFR, Part 2 (concerning Confidentiality of Alcohol and Drug Abuse Patient Records).
Government Code, §2001.039, requires each state agency to review and consider for readoption each rule adopted by that agency pursuant to the Government Code, Chapter 2001 (Administrative Procedure Act). Sections 414.1-414.8 have been reviewed by Department staff. It is the opinion of the Department that reasons for adopting the sections no longer exist because covered entities (e.g., state hospitals, LMHAs, and some contractors) are required to comply with these regulations and statutes regardless of the Department’s rules concerning protected health information.
The Department intends to address in contract, as applicable, the following:
- compliance with federal and state laws and regulations, including a list of applicable provisions;
- provision of training for employees and volunteers;
- retention of any copies of complaints for quality management review;
- notification of contract manager regarding any confirmed violations resulting from complaints ; and
- notification of contract manager of any breach in security.
The State Hospital Section will implement more detailed internal processes concerning protected health information and confidentiality for entities under their purview.
Please review the subchapter below and exhibit and submit your recommendations on whether to retain them via email to mhsarules@dshs.state.tx.us with the phrase “PHI (414-A) 1/04 Informal Comments” in the subject line or by US mail to Janet Fletcher, Department of State Health Services, P.O. Box149347, Mail Code 2018, Austin, TX 78714.
Call Janet Fletcher with questions or concerns at 512-206-5982. Thank you.
February 28, 2011 • Stakeholder Input Meeting – Mental Health Rehabilitation Services
Meeting to be held March 4, 2011 – 9:30 AM – 12 Noon
The Social Security Act authorizes multiple waiver and demonstration authorities to allow states flexibility in operating Medicaid programs. Each authority has a distinct purpose, and distinct requirements. The State of Texas recently drafted a proposal for a Section 1915(b) Managed Care Waiver (also referred to as Freedom of Choice Waivers). These waivers are generally used for four purposes, in order to:
- Mandatorily enroll beneficiaries into managed care programs, although States have the option, through the Balanced Budget Act of 1997, to enroll certain beneficiaries into mandatory managed care via a State Plan Amendment.
- Create a "carveout" delivery system for specialty care. For example, a Managed Behavioral Health Care Plan.
- Create programs that are not available statewide.
- Provide an enhanced service package. This allows the State to provide additional services to Medicaid beneficiaries via savings from managed care product.
Below are the proposed waiver application and spreadsheets for the 1915(b) Mental Health Rehabilitation Services. The Department of State Health Services (DSHS) and Health and Human Services Commission (HHSC) value your input into this process. You are cordially invited to attend a stakeholder input meeting scheduled for March 4, 2011 from 9:30am-12:00pm. The meeting will be held at the DSHS Moreton Boardroom, which is located on the 7th floor of the Moreton Building on the DSHS main campus at 1100 W. 49th Street, Austin, TX 78753. Directions and parking information are available at: http://www.dshs.state.tx.us/visitor/parking.shtm.
We encourage you to share this information with other stakeholders. Please feel free to contact us with further questions or comments, and we hope you are able to participate on March 4. We will also be accepting comments on this waiver application in writing both at the meeting and via the contact information below.
contact.mh@dshs.state.tx.us
Texas Department of State Health Services
Mental Health and Substance Abuse Services
Mail Code 2083
909 W. 45th St.
Austin, TX 78751
August 23, 2010
MHSA Stakeholder Survey Results
Stakeholders and providers were recently asked about their experiences with the Mental Health and Substance Abuse division regarding communication. Below are the results of these surveys. Should you have questions or need further information, please contact Mimi McKay at mimi.mckay@dshs.state.tx.us.