Summary of Proposed Changes to CSB Fee-Related Documents


Proposed Changes to CSB Fee Related Documents are posted for public review and comment. Written comments on the Proposed Changes to CSB Fee Related Documents will be accepted until 5 p.m., September 23, 2014 and should be addressed to: Ad Hoc Fee Policy Committee, Fairfax-Falls Church Community Services Board, 12011 Government Center Parkway, Suite 836, Fairfax, VA 22035-1105 or via email to wwwcsb@fairfaxcounty.gov Printed materials are available for review at the same address; if interested, please call 703-324-7000, TTY 711.

The CSB Board will review the Proposed Changes at its meeting on September 24, 2014. The changes will not become effective before December 1, 2014. 

Reimbursement for Services Policy 2120

Ability to Pay Scale

  • Updates to the Ability to Pay Scale using the Federal Poverty Levels with those issued by the federal government in 2014. 

CSB Fee Schedule

  • Adds Substance Abuse Case Management fee to replicate access to case management service for individuals with primary substance abuse issues. Separately reflects each case management service and fee.
  • Adds Transportation-Adult Partial Hospitalization (APH) fee based on the existing $100 Transportation fee but reflected per week (rather than per month) for individuals participating in this program.
  • Reestablishes per diem fees subject to the Ability to Pay Scale and based on an averaged contract rate (what the CSB pays to the vendor) for several of its contracted Residential Treatment programs
  • Separates per diem fee for medical detoxification service from social detoxification fee. Use the contract rate for medical detox.
  • Removes Multi-Family Counseling service and fee because staff have transitioned to using regular Group service/fee.
  • Changes the Release of Information copying charges for individuals to not be automatically subject to the Ability to Pay Scale. CSB Medical Records Administrator asked instead that a discount be applied if the client requests a waiver or pro-rate of the fee. 
  • Updates all CSA service fees based on calculated costs.

CSB Fee Regulation – Fee and Subsidy Related Procedures 2120.1

Section VII Implementation Procedures, D. Health Insurance Usage

New: Add the following four points to clarify the CSB insurance practice as it relates to the priority population, in-network and out-of-network statuses, and closed networks.

  • For individuals who meet the CSB Priority Population definition in the Guidelines for Assigning Priority Access to CSB Services, and have insurance with behavioral health coverage, but the insurance company has a closed network, unless seen for emergency services, the staff will refer the individual back to their closed network insurance company for behavioral health services.
  • For individuals who meet the CSB Priority Population and have insurance with behavioral health coverage, but their insurance company does not provide  behavioral health benefits/services recommended by the CSB, the CSB can serve the individual,  and set their fee using the Ability to Pay Scale.
  • For individuals who meet the CSB Priority Population definition, have insurance with behavioral health care coverage, and the CSB is an in-network (participating provider),  the CSB can serve the individual and accept payment from the insurance company. 
  • For individuals who meet the CSB Priority Population definition, have insurance with behavioral health coverage, and the CSB is an out-of-network provider, the CSB can serve the individual and accept payment as an out of network provider. However, if the individual does not want to use their out of network benefits at the CSB, the CSB will refer the individual back to their insurance company.
  • Section IV Eligibility.
    • New Item A the entire CSB guideline document for Assigning Priority Access to CSB Services
  • Section XI Medicaid Services.
    • Adds the client’s right to choose to receive services from any Medicaid enrolled provider of services.
  • Section XIII: Services Provided at No Cost to the Individual by:
    • Removes reference to (D) Youth Substance Abuse Consultation, Screening, Drug Testing and Evaluation Services with the Fairfax County Juvenile Court Services.

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