ADAMHS Board for Montgomery County Benefit Plan

 

Montgomery County Agencies

The ADAMHS Board for Montgomery County (referred to as “Board”) contracts with in excess of 25 agencies in Montgomery County for behavioral health services to residents of Montgomery County.   http://www.adamhs.co.montgomery.oh.us/services/service-a.htm

 

Out of county Agencies

The board also contracts with over 50 agencies/corporations outside of Montgomery County so that our residents can obtain these services elsewhere in the state.  Services provided by agencies outside of the county are primary Medicaid reimbursable.  However, the board will pay for 72 hours of Mental Health crisis intervention and 72 hours of Alcohol and Drug services for non-Medicaid residents.

 

~~       In order to receive continued behavioral treatment from our agencies, residents are required to have a clinical and financial assessment.  In many instances residents may be eligible for public assistance for services based on the financial assessment.  When a clinical assessment is completed, residents can obtain a listing of agencies providing behavioral health services and select the appropriate agency for treatment/services.   ~~

 

Resources available for payment of  services for Montgomery County residents:

·        Insurance – Services may be partially or fully covered by insurance. 

·        Sliding Fee Scale – Those people who do not have Medicaid, Medicare, insurance, Title XX or covered by other payment sources are responsible for payment.  However, based on financial assessments performed by the agency/provider residents may be eligible to receive a portion or all of their services paid for by public funds.

·        Local Subsidy / Contract – The ADAMHS Board receives funding from different local sources (school systems, court, Montgomery County jail, Montgomery County) that in some instances pays for the services received by those who meet applicable criteria.

·        Medicaid – Those residents that have a current Medicaid card and having met any spend down requirements (where applicable), are provided Medicaid reimbursable services free of charge.  Link to Medicaid Providers

·        Medicare – Those residents that have a Medicare card that reimburse for behavioral services are responsible for payment of 20% of the allowable charge / rate of the provider.

·        Medicare/Medicaid – Those residents that have a Medicare/Medicaid card and receive services at an eligible Medicare provider have no financial obligations for services received.  LINK to Medicare Providers

 

 

Residential Services Fee Schedule

  • Independent Apartment – 40% of resident’s monthly net income
  • Adult Care Facility – 40% of resident’s monthly net income
  • Temporary Housing – residents are charged based on a sliding fee scale
  • Residential Care – residents are billed based on a sliding fee schedule

 

 

Free Services

  • Hotline            
  • Self-Help / Peer Support                     
  • Consumer Operated
  • Employment                
  • Social Recreation                     
  • Consultation
  • Information and Referral           Prevention: education, community based process, information dissemination
  • Outreach
  • Intervention

 

 

Should a Montgomery County Resident have problems accessing services, or with the quality of care or the amount of billed charges for services, the resident should contact the Residents Rights Advocate at the ADAMHS Board (443-0416).

 

Network provider and services information can be found at:

http://www.adamhs.co.montgomery.oh.us/services/service-a.htm