Mental Health Rehabilitation

Purpose

Mental health rehabilitation, or MHR, is one behavioral health provider type within the Medicaid system. Two of the services include community psychiatric supportive treatment (CPST) and psychosocial rehabilitation (PSR), which are home and community-based services. In 2019 and 2020, for approximately 18 months, the Office of Behavioral Health (OBH) collaborated with MHR providers and the five managed care organizations (MCOs) to develop and implement reforms to the MHR program. To facilitate conversations around these changes, OBH hosted monthly MHR Stakeholder Group meetings, including breakout sessions for focused discussions. One of the recommendations that came from the workgroup was a complete overhaul of the CPST and PSR services definitions.

Updates

The Louisiana Legislature passed Senate Bill 213 and Governor John Bel Edwards signed it as Act 503. The legislation renews the integrity and sustainability of the Medicaid MHR program by increasing distinction between CPST and PSR services and by expanding utilized provider types for CPST services. A recording of the All-MHR Provider Call from April 22, 2022, can be found in the MHR Stakeholder Presentations section below. 

For a summary of the changes to the CPST and PSR services, please refer to Information Bulletin 22-22. Additional guidance will be updated periodically within the Informational Bulletin.

 

MHR Stakeholder Presentations

• MHR Redesign Presentation 
• CPST PSR Definition Redesign Presentation - 12/06/2019
• CPST PSR Redefine Workgroup - DRAFT - 1/08/2020
• OBH Presentation on SB 213 by Senator Jay Luneau – 4/22/2022 

Resources

• MHR Treatment Planning Workgroup
• MHR Provider Group Monthly Meeting Agenda - 1/04/2019
• MHR Provider Group Monthly Meeting Agenda - 2/01/2019
• MHR Provider Group Monthly Meeting Agenda - 3/14/2019
• MHR Stakeholder Group Monthly Meeting Agenda - 4/05/2019
• MHR Stakeholder Group Monthly Meeting Agenda - 5/01/2019
• MHR Stakeholder Group Monthly Meeting Agenda - 7/15/2019
• MHR Stakeholder Group Monthly Meeting Agenda - 8/02/2019
• MHR Stakeholder Group Monthly Meeting Agenda - 9/05/2019
• MHR Stakeholder Group Monthly Meeting Agenda - 11/01/2019
• MHR Stakeholder Group Monthly Meeting Agenda - 12/06/2019
• MHR Stakeholder Group Monthly Meeting Agenda - 1/08/2020

Disclaimer

The Louisiana Department of Health strives to make the information on this webpage as accurate, complete, reliable, and timely as possible. The information is subject to change and to future revisions as the implementation and operations of specialized behavioral health services continue to evolve. Providers are responsible to ensure services are delivered in accordance with the version of the provider manual and any rules in effect on the date of service. Prior to inclusion of behavioral health services in the Medicaid Service Provider Manual in 2017, the Service Definition Manual version 9 (SDM v9) was in effect. 

LDH, its employees, agents, or others will not be liable or responsible to you for any claim, loss, injury, liability, or damages related to your use of or reliance upon this information.

This information is not intended to be a substitute for professional legal, financial, or business advice. This webpage does not create, nor is it intended to create, an attorney-client relationship between you and LDH. You are urged to consult with your attorney, accountant, or other qualified professional if you require advice or opinions tailored to your specific needs and circumstances.

Contact

Robyn McDermott
OBH Deputy Assistant Secretary
628 N. 4th Street, 4th Floor
Baton Rouge, LA 70802
Robyn.McDermott@la.gov