2022 Session

Budget Amendments - SB29 (Member Request)

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Chief Patron: Barker
Complex Care Teams for ER High Utilizers

Item 320 #1s

Item 320 #1s

First Year - FY2021 Second Year - FY2022
Health and Human Resources
Department of Behavioral Health and Developmental Services FY2021 $0 FY2022 $1,000,000 GF
FY2021 $0 FY2022 $1,000,000 NGF

Page 161, line 5, strike "$115,766,786" and insert "$117,766,786".


(This amendment adds $1.0 million from the general fund and $1.0 million from nongeneral funds for the Department of Behavioral Health and Developmental Services to expand their current pilot program for complex care for high utilizer program of inpatient care to patients with six or more emergency department admissions and a behavioral health diagnosis. The funding will set up and staff teams across the Commonwealth, each responsible for managing a certain number of the estimated 225 enrollees per year, which could result in state savings. The program shall coordinate with the Emergency Department Care Coordination Program for data collection. A contractor could be used to coordinate efforts, including the Department of Medical Assistance Services, private payers and existing community resources, such as Unite US, a resource tool, with a focus on the following five areas of proven success with complex cases: (i) direct patient engagement, (ii) community resource coordination, partnering with Unite Us, (iii) customized care plan development using the current EDIE program of the EDCC, (iv) community multi-disciplinary team development, and (v) community controlled substance monitoring.)