New Mexico Improves Its Medicaid Claims System to Help Pay for Youth Services

Posted August 30, 2023
Alex Briscoe, Director, Public Works Alliance; and Patrick Sutton, president, Optimas Services, Inc.

In a new webi­nar, Pub­lic Works Alliance, a grantee of the Annie E. Casey Foun­da­tion, describes how New Mex­i­co increased fund­ing for youth ser­vices by improv­ing the way it claims Med­ic­aid reimbursements.

Increas­ing Ser­vices for Young Peo­ple Through Med­ic­aid Claims Max­i­miza­tion details key steps child-serv­ing sys­tems can use to secure what could be mil­lions in unclaimed fed­er­al reim­burse­ment dollars.

New Mexico’s Chil­dren, Youth and Fam­i­lies Depart­ment increased its rev­enue by near­ly $4 mil­lion annu­al­ly using a reim­burse­ment claim­ing strat­e­gy designed and imple­ment­ed by con­sul­tants Pub­lic Works Alliance and Opti­mas Ser­vices, Inc. The pan­elists encour­aged par­tic­i­pants to see Med­ic­aid as an under­used resource and shared their expe­ri­ence of nav­i­gat­ing the com­plex­i­ties of track­ing and claim­ing admin­is­tra­tive activ­i­ties. By improv­ing prac­tices for claim­ing the avail­able fed­er­al reim­burse­ment for eli­gi­ble staff work, sys­tems can bet­ter sup­port the pop­u­la­tions they serve and expand com­mu­ni­ty-based behav­ioral health care ser­vices, the speak­ers explained.

Child wel­fare agen­cies are often oper­at­ing in resource-lim­it­ed real­i­ties, and Med­ic­aid can be a vital com­po­nent of a fis­cal strat­e­gy that ensures dol­lars are going as far as pos­si­ble to sup­port the well-being of chil­dren, youth and fam­i­lies,” says Sarah Mor­ris-Comp­ton, webi­nar mod­er­a­tor and senior asso­ciate with the Casey Foun­da­tion. Oth­er pan­elists included:

  • Alex Briscoe, direc­tor, Pub­lic Works Alliance; and
  • Patrick Sut­ton, pres­i­dent, Opti­mas Ser­vices, Inc.

Learn how Med­ic­aid can help child wel­fare systems

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