DMHSAS Info Memo 2010-06
STATE OF WISCONSIN
Index Title: Changes in CMS Certification of the Adult Assessment and Treatment Unit at Mendota Mental Health Institute
From: John Easterday, Ph.D, Administrator
Subject: Changes in CMS Certification of the Adult Assessment and Treatment Unit at Mendota Mental Health Institute
Effective June 2, 2010, the Adult Assessment and Treatment Unit (AATU) at Mendota Mental Health Institute (MMHI) is no longer certified by the Centers for Medicare and Medicaid Services (CMS). The two remaining MMHI civil units, the Civil Secure Treatment Unit (CSTU) and the Geropsychiatric Treatment Unit (GTU), continue to be CMS certified.
In response to recent survey findings, CMS has ruled that the treatment being offered on AATU is not in compliance with the Special Medical Record Requirements for Psychiatric Hospitals. CMS' primary concern related to active treatment. Specifically, though treatment groups and activities are being offered every day on AATU, the surveyors identified a need for more patient participation in groups versus individual treatment activities.
Consequence for Federal Reimbursement
The Medicare and Medicaid programs will not make payment for inpatient hospital services provided to AATU patients admitted on or after June 2, 2010. Accordingly, for patients admitted to AATU on or after June 2, 2010, the county that approves the admission will be billed the daily rate until discharge or transfer to a unit with CMS certified beds. For patients admitted or transferred to AATU prior to June 2, 2010, payment may continue to be made for up to 30 days of covered services furnished on or after June 2, 2010. Federal reimbursement for AATU's patient population primarily relates to those patients under age 22 and over age 64.
MMHI intends to make changes to AATU's programming and apply for recertification of the AATU beds as soon as possible. In the meantime, AATU and Mendota Mental Health Institute will continue to receive patients; and counties may also choose to utilize other facilities for inpatient hospitalization such as Winnebago Mental Health Institute.
For further information, please contact the Civil Program Director, Paul Lane at (608) 301-1143.
Greg Van Rybroek, Director
Thomas Speech, Director
Last Revised: September 13, 2010