The Behavioral Health Providers’ Association of New Mexico is a professional membership organization working to ensure that behavioral health providers share a unified voice in advocating for their clients and services in New Mexico.
The NMBHPA is a non-profit professional association of behavioral health agencies providing publicly funded behavioral health care in New Mexico. The Association seeks to represent all New Mexico behavioral health providers in policy and legislative advocacy by expanding membership to all provider entities, including individual practitioners, group practice plans, and professional associations that serve publicly funded clients. Led by a 15-member Board of Directors and a staff Executive Director, the Association meets regularly with the Children Youth and Families Department, the Behavioral Health Services and Medicaid Divisions within the Human Services Department and the Centennial Care managed care organizations.
Early Work and Accomplishments (2014 – 2016)
NMBHPA members and the Executive Director have been very active since the formation of the organization in 2014. For a more complete list of their activities and accomplishments,.
- The NMBHPA created and hosted a web-based training on ICD-10 and DSM-5 Implementation. Over 400 behavioral health professionals completed the training.
- NMBHPA members participated on the following three HSD Behavioral Health Strategic Planning Committees:
- Workforce Development and Increasing Capacity
- Payment Reform
- Regulatory Reform
- CCBHC – Comprehensive Community Based Health Centers SAMHSA Planning Grant
- Five NMBHPA member agencies participated in the CCBHC Planning Grant
- The NMBHPA Executive Director was a member of the CCBHC Ad Hoc Advisory Committee
- Medicaid Advisory Committee: A NMBHPA member is a representative on the State’s Medicaid Advisory Committee and participated in the Medicaid Cost Reduction committees which crafted recommendations.
- State agency recognition of NM Behavioral Health Provider Association as principle representative of all behavioral health providers.
- The NMBHPA participates in monthly State (Collaborative) and MCO meetings to advocate for the resolution of multiple issues impacting providers. As a result, the following have been successfully resolved and standards have been established:
- Establishment of non-independently licensed and paraprofessional provider enrollment and billing standards;
- Revision and update of Target Population Criteria Checklists to reflect DSM-5 criteria and SED criteria to match Centennial Care MCO level 2 & 3 criteria;
- Critical incident reporting for all MCOs and providers;
- Standardization of MCO requirements, e.g., same day billing, level of care guidelines and utilization review forms;
- Expansion of H2010 medication management code to include RNs,
- Establishment of a case review venue in partnership with CYFD
The following issues are still being addressed:
- Identification of barriers to the provision of services including service definition limitations, inadequate reimbursement rates, unnecessary regulatory restrictions
- Standardized and uniform LCA (child) and DHI (adult) CCSS audit standards
- Evaluation of CCSS, MCO Care Coordinators and CSW access and outcomes
- Accessing regular utilization data reports
- Measuring and evaluating Access to Care data
- Clarification of Medicaid issued standards
- Simplification of claims resolution processes
If any of these issues are also your issues, Join Now and Add your Voice.
2017 Strategic Objectives
The NMBHPA plans to contribute to ongoing behavioral health system improvements in a leadership role. The following FY 2017 Strategic Objectives support current needs, future system changes, and builds influence from the strength of our membership:
- Membership In order to increase the reach of our membership, all providers and community members who provide behavioral health services are invited to join NMBHPA.
- Legislative Create legislative support and legal protections for providers.
- Workforce Increase workforce capacity in the publicly funded providers/agencies
- Behavioral Health System Develop a proactive and inclusive approach to solving system problems