Gambling Addiction Treatment Reimbursement Network
The Maine Center for Disease Control and Prevention in collaboration with AdCare Educational Institute of Maine is pleased to announce an opportunity for treatment providers to become members of a Gambling Addiction Treatment Reimbursement Network. Individuals who have gambling disorder and their family members often do not have the financial resources available to get help and it is important to remove barriers. This network provides funding to pay for treatment for those individuals who can’t afford to pay for problem gambling treatment. In addition, any person in Maine is eligible for four (4) no-cost counseling sessions for the purpose of screening, discussing options, and planning next steps. If after four sessions it is determined that the individual would benefit from ongoing counseling and can’t afford to pay, their treatment would be covered under the terms of the Gambling Addiction Treatment Reimbursement Network MOU. Alternatively, if the client has insurance but can’t afford the co-pay, the provider may invoice AdCare for the co-pay, up to 12 visits per quarter.
Eligibility
Clinicians who are Licensed Clinical Social Workers (LCSW) or Licensed Clinical Professional Counselors (LCPC) are eligible to be reimbursed for gambling treatment. Professionals who hold only the Licensed Alcohol and Drug Counselor (LADC) credential are not eligible to participate (due to licensing regulations which places gambling addiction treatment outside of their scope of practice.) Clinicians must have at least 12 hours of gambling treatment training to be eligible. Frequent no-cost training is offered, usually in the form of webinars, and there are also on-demand, no-cost training modules to use at your own pace.
Network Membership
Being a member of the network means that you (as a private practice clinician) or the agency you work for, can receive reimbursement according to the terms of the Gambling Addiction Treatment Network MOU for clients for whom you are providing treatment for gambling addiction or for affected others. Your name and contact information will also be available through the helpline 211 Maine as a resource for those seeking gambling addiction treatment.
How to Apply
Please send your application to Lori Manson, AdCare Educational Institute of Maine, Ballard Center, 6 East Chestnut Street, Suite 101, Augusta, Maine 04330 or email at lmanson@adcareme.org along with verification of participation in at least 12 hours of gambling addiction treatment related training. (If your training was with AdCare Maine, we can access the records, so you don’t need to send copies). For this initial application for inclusion in the network, you may select and document gambling-related training which you completed at any point in your professional career. Treatment agencies that wish to have multiple clinicians approved for reimbursement should include the individual clinician participation form for each clinician in the agency along with verification of their training hours. Your application will be reviewed by Maine CDC and AdCare and if approved, individual clinicians will be sent a certificate of membership into the network. Anyone not approved for inclusion in the network would be notified of such. The agency or private practitioner that will be billing for services will be asked to sign a Memorandum of Understanding (MOU) with AdCare in order to be reimbursed. Forms for reimbursement will be provided once the MOU has been signed.
For questions about the network, contact Lori Manson at lmanson@adcareme.org.
How to Get Reimbursed
Each clinician is eligible to receive reimbursement for up to 48 units (12 hours) in any quarter per client (person with gambling disorder or affected other) at the rate of $25.73 per quarter hour. Alternatively, if the client has insurance but can’t afford the co-pay, you can invoice AdCare for the co-pay, up to 12 visits per quarter. As a result of a limited amount of funding for this network, reimbursement is dependent upon available funds.
Download the application to participate in the Gambling Addiction Treatment Reimbursement Network.
