Summary of Changes to CSB Fee-Related Documents


The CSB Board reviewed and approved the following Proposed Changes on September 24, 2014. The changes will become effective on December 1, 2014. 

Reimbursement for Services Policy 2120

Ability to Pay Scale

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

CSB Fee Schedule

  • Separated per diem fee for medical detoxification service from social detoxification fee. Link the contracted rate for medical detoxification service as the directly operated fee.
  • Updated all CSA service fees based on executed contracts.
  • Added 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.
  • Reestablished per diem fee subject to the Ability to Pay Scale and based on an averaged contract rate (what the CSB pays to the vendor) for several contracted Residential Treatment programs.
  • Linked the Multi-Family Group Counseling service fee with the regular Group Therapy/Counseling fee.
  • Changed the Release of Information copying charges for individuals to not be automatically subject to the Ability to Pay Scale. Apply a discount only if the client requests a waiver or pro-rate of the fee.

CSB Fee Regulation – Fee and Subsidy Related Procedures 2120.1

Section IV Eligibility

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.

  • Added 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 X Medicaid Services

  • Added the client’s right to choose to receive services from any Medicaid enrolled provider of services.

Section XII Services Provided at No Cost to the Individual

  • Removed reference to (D) Youth Substance Abuse Consultation, Screening, Drug Testing and Evaluation Services with the Fairfax County Juvenile Court Services.

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