Report from DSHS. Mimi Martinez McKay Chief of Staff/Legislative Liaison DSHS/MHSA TIPSS Conference. DSHS Report. FQHC’s in Texas/Health Care Reform Drug Demand Reduction Advisory Committee (DDRAC) 2009 recommendations UPPL Workforce Substance Abuse Medicaid Benefit Current Status.
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Mimi Martinez McKay
Chief of Staff/Legislative Liaison
Opportunities for Behavioral Health Integration
Prevention and Wellness Programs:
Based on integration, which includes substance abuse services:
The Partners in Health Primary Care/County Mental Health Collaboration Toolkit offers an overview on the types of affiliation agreements that FQHCs can pursue for behavioral health care services, and can be found at:
Recommendation and Rational for Repeal
UPPL allows insurance companies to exclude medical coverage for injuries if patients are under the influence of alcohol or unprescribed drugs, thus creating a major barrier to screening and intervention.
Remove the exclusion clause for medical expenses from the UPPL.
Studies indicate that the chemical dependency counseling field is highly representative of persons in secondary careers. A bachelor’s or higher degree demonstrates educational accomplishment and the required 270 classroom hours of education provide the necessary subject matter expertise.
It is prohibitive for many people to wait 5-7 years to begin their CI status. By the time they qualify, most have found other employment and their passion for working in the field is abated.
Legislation to update Texas licensure law to reflect current IC&RC standards was introduced during the 81st legislative session but was not passed in the final days of the session
Reducing the waiting time to one year both provides the necessary distance from a treatment experience as well as one year in recovery to appropriately be employed in non-direct care positions with limited client contact.
Enrollment in peer assistance programs is a requirement for most professions and will lend additional credibility and professionalism to the field.
Requesting the Texas Workforce Commission (TWC) to designate LCDCs as an in demand occupation will allow access to federal dollars through programs such as the Workforce Investment Act (WIA) be used for re-training displaced workers as chemical dependency counselors.
Many facilities employ LMSW’s as QCCs and are faced with the decision to let them go because they cannot afford to keep them on staff without a QCC designation or afford to find and hire a LCSW.