What are IMD facilities?

An IMD is defined as a hospital, nursing facility, or other institution of more than 16 beds that is primarily engaged in providing diagnosis, treatment, or care of persons with mental diseases, which includes substance use disorders (SUDs).

Who licensed mental health facilities in California?

The Mental Health Licensing (MHL) Section of DHCS is responsible for the licensing and oversight of mental health programs on a statewide basis, ranging from acute to long-term programs.

What does IMD stand for in mental health?

​The Department of Health Care Services (DHCS) has developed a list of Institution for Mental Disease (IMD) facilities according to the definition in the Centers of Medicare and Medicaid Services’ (CMS) Manual 4390 and Title 9, California Code of Regulations, Section 1810.222.

What is the IMD rule?

The IMD exclusion is a discriminatory federal rule that prohibits federal Medicaid reimbursement to states for adult patients receiving mental health or substance abuse care in a psychiatric or substance abuse treatment facility with more than 16 beds.

What is the IMD exclusion?

The Medicaid Institutions for Mental Diseases (IMD) exclusion prohibits the use of federal Medicaid financing for care provided to most patients in mental health and substance use disorder residential treatment facilities larger than 16 beds.

Are there mental health institutions?

Psychiatric hospitals, also known as mental health units or behavioral health units, are hospitals or wards specializing in the treatment of severe mental disorders, such as major depressive disorder, schizophrenia, and bipolar disorder. Psychiatric hospitals vary widely in their size and grading.

What does IMD stand for?

India Meteorological Department
The India Meteorological Department (IMD) is an agency of the Ministry of Earth Sciences of the Government of India.

What is an IMD exclusion?

What is PTRF?

A PRTF is any non-hospital facility with a provider agreement with a State Medicaid Agency to provide the inpatient services benefit to Medicaid-eligible individuals under the age of 21 (psych under 21 benefit). The State Medicaid Agency (SMA) is ultimately responsible for Medicaid program administration.

What is Section 1115 waiver?

Section 1115 Medicaid demonstration waivers offer states an avenue to test new approaches in Medicaid that differ from what is required by federal statute. They can provide states additional flexibility in how they operate their programs, beyond the considerable flexibility that is available under current law.

What is the California Department of Health care services IMD list?

The Department of Health Care Services (DHCS) has developed a list of Institution for Mental Disease (IMD) facilities according to the definition in the Centers of Medicare and Medicaid Services’ (CMS) Manual 4390 and Title 9, California Code of Regulations, Section 1810.222.1. that is published annually by MedCCC.

Can a Medi-Cal facility be an IMD facility?

The IMD exclusion applies only to Medicaid (called Medi-Cal in California and authorized under Title 19 of the Social Security Act) and does not apply to Medicare (Title 18 of the Social Security Act). IMD Definition. A facility is an IMD if it has over 16 beds, is primarily engaged in providing diagnosis, treatment or

How to check for IMD’s in your area?

IMD Lists are not exhaustive, nor do these lists relieve county mental health departments of any responsibility to check federal definitions to ensure there are not additional IMDs within their jurisdiction. If you’d like to apply for health coverage, please log on to CoveredCA or call (800) 300-1506.

Are there restrictions on the use of IMD?

For this reason, current law places severe restrictions and time limitations on the use of IMD residential services by regional centers for individuals with I/DD (Welfare & Institutions Code § 4648 (a) (9) (C)).