(1) Subject to available appropriations and to the extent permitted under federal law, the medical assistance program pursuant to this article 5 and articles 4 and 6 of this title 25.5 includes residential and inpatient substance use disorder treatment and medical detoxification services. Participation in the residential and inpatient substance use disorder treatment and medical detoxification services benefit is limited to persons who meet nationally recognized, evidence-based level of care criteria for residential and inpatient substance use disorder treatment and medical detoxification services. The benefit shall serve persons with substance use disorders, including those with cooccurring mental health disorders. All levels of nationally recognized, evidence-based levels of care for residential and inpatient substance use disorder treatment and medical detoxification services must be included in the benefit.
(2) (a) No later than October 1, 2018, the state department shall seek federal authorization to provide residential and inpatient substance use disorder treatment and medical detoxification services with full federal financial participation. Residential and inpatient substance use disorder treatment and medical detoxification services shall not take effect until federal approval has been obtained.
(b) Prior to seeking federal approval pursuant to subsection (2)(a) of this section, the state department shall seek input from relevant stakeholders, including existing providers of substance use disorder treatment and medical detoxification services and managed service organizations. The state department shall seek input and involve stakeholders in decisions regarding:
The coordination of benefits with managed service organizations and the office ofbehavioral health in the department of human services;
The most appropriate entity for administration of the benefit;
The provision of wraparound services needed during treatment and the provision ofrequired services following treatment that may not be covered through the medical assistance program;
The authorization process for approval of services; and
The development of a reimbursement rate methodology to ensure sustainability thatconsiders a provider's cost of providing care, including lower-volume providers in rural areas.
(3) (a) No later than January 15, 2022, the state department shall prepare and submit a performance review report to the joint budget committee and to the joint health and human services committee, or any successor committees, concerning the residential and inpatient substance use disorder treatment pursuant to this section, including, at a minimum:
The number of persons who received services pursuant to this section and the serviceprovided;
The length of time that services were provided;
The location where services were provided;
The effectiveness of the services provided, including the rate of relapse to substanceuse disorder following treatment; and
Any other information as determined by the state department that is relevant to thebenefit.
(b) After considering the state department's performance review report, the general assembly may enact legislation modifying or repealing the benefit.
Source: L. 2018: Entire section added, (HB 18-1136), ch. 373, p. 2269, § 2, effective June 5.