State health officials Thursday updated lawmakers on their plan to improve care at the Montana State Hospital and to apply for federal recertification in roughly 18 months.
Health officials expect the facility to be $38 million over budget this year as it deals with a heavy dependence on traveling staff and the loss of federal funding. The federal Centers for Medicare and Medicaid Services pulled certification following patient deaths, blocking Medicaid and Medicare reimbursements from flowing to the state hospital.
Diane Rafferty with the consulting firm Alverez and Marsal listed several recommendations to help the state hospital work toward recertification. Among them is closing down what’s known as the Spratt unit, which serves elderly patients with severe mental health conditions.
“When you look at the facility in Lewiston for the nursing care center, it’s built for and could maybe improve the care delivery if we move those Spratt patients to the nursing care center.”
Rafferty also noted that the Spratt unit building would need substantial repairs in order to be recertified by CMS. Rafferty added that the state needs to reduce its overall dependence on the state hospital to take care of people with mental health conditions. The hospital serves as the only psychiatric hospital for adults in the state.
“This is a lofty goal, but it is very important for your state and the citizens you serve to look at, what is a regional health care delivery system?”
The state health department is asking lawmakers to approve Gov. Gianforte’s $300 million budget request to reform the state’s behavioral health system. Health department director Charlie Brereton told lawmakers he envisions utilizing a little over $100 million of that behavioral health reform fund to build two regional mental health centers to provide care for up to 100 patients.
Those centers would provide a higher level of care than community mental health services can provide, while utilizing state hospital beds for patients who need the highest level of mental health care.
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A disability rights watchdog group is suing Anaconda-Deer Lodge County, saying it violated a Montana State Hospital patient’s right to vote.
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The state’s only psychiatric hospital for adults won’t apply for federal recertification for at least another year. Construction at the Montana State Hospital is holding up the process.
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State lawmakers declined to support two bills that would fundamentally change how Montanans are committed to the state psychiatric hospital.
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There is more turnover among Montana State Hospital leadership. This comes as the state prepares to apply for federal recertification. The state’s psychiatric hospital for adults has gone through a handful of leaders since it lost federal certification in 2022 due to patient deaths.
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Nearly two years after losing federal certification, the state’s adult psychiatric hospital in Warm Springs is facing leadership shakeups and turnover of medical providers and key staff.
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State health officials said they will pay community providers to do court-ordered mental health evaluations. Scam artists are trying to trick Montanans out of their money or sensitive personal information.
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Workers in state-run medical facilities will soon get a raise. This comes as the state struggles to hire permanent medical workers, but state health officials have a plan to recruit and retain more staff.
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State Health Department Director Charlie Brereton said his office plans to apply for recertification of the state hospital with the federal Centers for Medicare and Medicaid Services (CMS) by the end of the year.
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The state has announced its first plans for spending a $300 million pool of money created to boost Montana's ailing mental health and disability care systems.
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Families of former Montana State Hospital patients are suing the state. They say the state failed to prevent neglect, injuries and other issues at the psychiatric facility.