2022 Session

Budget Amendments - SB30 (Member Request)

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Chief Patron: Mason
Behavioral Health Rate Study

Item 304 #43s

Item 304 #43s

First Year - FY2023 Second Year - FY2024
Health and Human Resources
Department of Medical Assistance Services FY2023 $150,000 FY2024 $0 GF
FY2023 $150,000 FY2024 $0 NGF

Page 313, line 47, strike "$18,732,988,737" and insert "$18,733,288,737".

Page 340, after line 10:

"PPPP. The Department of Medical Assistance Services shall have the authority to work with its contractors, the Department of Behavioral Health and Developmental Services, and appropriate stakeholders to develop proposed service definitions, utilization review criteria, provider qualifications, and rates and reimbursement methodologies for behavioral health services that will support the ongoing transformation of the Medicaid service continuum. The services to be studied shall include any updates to enhanced services implemented in 2021, a universal rate for Comprehensive Needs Assessments, tiered school-based behavioral health services, evidence-based models of outpatient and in-home services for youth (to align with those being implemented through the Family First Prevention Services Act), High Fidelity Wraparound for youth, Coordinated Specialty Care (CSC) including Early Psychosis Intervention (EPI), Therapeutic Foster Care case management, and Peer Recovery Support Services for both ARTS and Mental Health. To address current barriers to residential care, the study shall also include a customized cost report template, rates study and recommended rates for ARTS residential providers (ASAM Levels 3.3, 3.5, and 3.7), periodic rate rebasing along with annual inflation adjustments for both ARTS residential providers as well as Psychiatric Residential Treatment Facilities for youth, as well as an improved IACCT assessment rate that also reflects enhanced activities required for compliance with the Family First Prevention Services Act legislation. The Department of Medical Assistance Services and Department of Behavioral Health and Developmental Services shall, prior to the submission of any state plan amendment or waivers to implement these changes, submit a plan detailing the changes in provider rates, new services added, and any other programmatic changes to the Chairs of the House Appropriations and Senate Finance and Appropriations Committee. The departments shall submit this report no later than December 1, 2023."


(This amendment provides funding for the Department of Medical Assistance Services to conduct a study of behavioral health rates.)