Dr. Earnest Airhia,




Thank you for your continued support, patronage, and time given to Greenpath International Inc. in serving you need in the previous years. Your relentless generosity, efforts, contributions, and referrals in 2020 have been nothing but stellar despite the challenges caused by the horrendous COVID-19 pandemic that crippled the nation’s economy and the globe in general. Despite the difficulties brought by the COVID-19 pandemic in 2020, Greenpath was still able to open its doors, preserving and fulfilling the mission and vision in supporting the community.

In light of the above circumstances, it is fair to say that Greenpath International Inc., like many other organizations, faced tremendous challenges that severely affected its financial viability and operations. Some other challenges accrued through the year 2020 include but are not limited to the diminishing Behavioral Health industry in Louisiana while Promoting new policies, Acts, and laws that became imbalance and unbearable to Behavioral Health providers and Medicaid recipients alike. Another challenge caused by the COVID-19 pandemic was implementing impromptu telemedicine telehealth services to clients and staff training, which became an unforeseeable problem. The issue described above derailed the efficacy of providing Mental Health and Substance Use D/O when the pandemic hit. Business doors were shut for some time, while the Telehealth services were performed by company field staff at their respective homes following the CDC and the state guidelines of such services.

After five years of contract with the Managed Care Organizations (MCOs) to manage the behavioral health care in Louisiana from the Louisiana Department of Health (LDH), Louisiana’s Mental Health rehabilitation problems are persisting. Several issues continue to impact providers directly and indirectly negatively, causing many to shut their doors for businesses and rehabilitation. Let me use this opportunity to highlight some of the continued problems providers face to date; delays in processing and denials of claims, credentialing, unnecessary audits, problems with prior authorizations (PAs) despite the promulgation to extend PAs automatically by the governor. Also, there are no clear definitions of the Community Psychiatric Support Treatment (CPST), Psychosocial Rehabilitation (PSR), and medical necessity, to mention a few.

Some of the problems faced by agencies include a lack of clinical staff to provide Behavioral Health treatments, including SUD sufferers, despite the continued influx of clients during the COVID-19 pandemic. Simultaneously, there are no clinical staff to handle such an increase in clients; thus, many individuals in and around Louisiana are suffering from record high symptoms of Anxiety and Depression.

Another considerable challenge faced by Greenpath in 2020 was the shortage of staff laid off at the beginning of the pandemic. When prompted to return after receiving the Paper check Protection Program (PPP) loan from the government, they refused to return. This was an abysmal failure, total lack of respect, and gross irresponsibility for the laid-off staff’s refusal to return to their respective duties and responsibilities. These problems themselves caused a crippling time-consuming and overutilization of the remaining office staff.

Based on the above-enumerated challenges and problems, Greenpath International Inc had no choice to re-strategize while eradicating money sapping and unsustainable programs. Such programs include the Functional Family Therapy (FFT), Anger Management, and the Domestic Violence programs were cut off from the arrays of services/programs provided by Greenpath.

Today, Greenpath International Inc’s door is still open for businesses providing the best quality of Mental Health and Substance Use Disorder (SUD) rehabilitation to its clientele while maintaining the program to the best capabilities. While simultaneously providing the best quality of treatment, ensuring sustainability in support for not only as a small business entity but also to the community Mental Health needs. However, Greenpath avers to continue to maintain the health, safety, and wellbeing of its clientele, stakeholders, and the community at large.

Other problems not enumerated above that have directly and indirectly negatively impacted Greenpath’s financial viability include problems associated with credentialing of staff with each MCO’s causing numerous delays in payments and an increase of denials since going from one MCO to five. Besides, there are different procedures for pre-authorization of services that are inconsistent across the MCO’s as to what level of pathology, diagnosis, risk of harm and functioning determines the medical necessity for what level of care. Moreover, the challenge of a lack of clinical staff to provide treatments for behavioral health sufferers is an epidemic in the state of Louisiana; thus, playing a role and hindering Greenpath’s financial viability.

Strategically, as we advance into 2021, Greenpath intends to follow its strengths, plans, and goals such as:

  1. Explicitly adhering to the CDC and the state guidelines
  2. Vaccinates staff when the vaccines are available
  3. Continues conducting COVID testing for clients and staff
  4. Open its doors to staff and client when instructed to do so
  5. Practice face to face and Telehealth services as required to clients
  6. Provide Zoom platform access to all services during the COVID-19 as required
  7. Continuous training to staff
  8. Continue to maintain and sustain the productivity of the services provided
  9. Co-ordinate with referral sources
  10. Provide friendly, warmth, and non-judgmental disposition as always

Interested Licensed Professional counselors, Substance Use Disorder Counselors, Licensed Social Workers, Psychiatrists, psychologists, and Nurses Practitioners seeking employment at Greenpath, you may receive a loan repayment at Greenpath as an approved Human Resources Services Administration (HRSA) site.

As we continue to maintain the strength and strategic planning, Greenpath will continue to have its program evaluated by an independent evaluator. This evaluation would help Greenpath sustain and advance its viability while guiding outreach through recommendations of our program outcomes measurement.

On behalf of the Board of Directors and all staff, we look forward to serving your needs one more time and building a healthier community. Thank you for your support, and looking forward to a prosperous 2021.