2024 Session

Budget Amendments - HB30 (Member Request)

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Chief Patron: Rasoul
Standardize MCO Practices for CSB Reimbursement

Item 288 #5h

Item 288 #5h

First Year - FY2025 Second Year - FY2026
Health and Human Resources
Department of Medical Assistance Services FY2025 $4,242,011 FY2026 $4,242,011 GF
FY2025 $4,242,011 FY2026 $4,242,011 NGF

Page 319, line 23, strike "$23,331,209,172" and insert "$23,339,693,194".
Page 319, line 23, strike "$24,879,038,632" and insert "$24,887,522,654".

Page 348, after line 43, insert:

"WWWW. The Department of Medical Assistance Services shall (i) work with the managed care organizations (MCOs) to standardize, to the maximum extent practicable, policies, procedures, and requirements that Community Services Boards/Behavioral Health Authorities (CSBs/BHAs) must follow to receive reimbursement for the cost of Medicaid services they provide, including documentation, training, and credentialing requirements.  The department shall report on the improvements made to MCO policies, procedures, and requirements to the Behavioral Health Commission no later than November 1, 2025."


(This amendment adds language requiring the agency to facilitate the improvement of Medicaid managed care organizations' practices and requirements in order to maximize Medicaid reimbursement for allowable services provided by Community Services Boards (CSBs). It also requires the agency to report on its actions by November 1, 2025 to the Behavioral Health Commission.)