Reimbursement for crisis management services provided in a behavioral health receiving center -- Integration of payment for physical health services.
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(1) As used in this section:
(a) "Accountable care organization" means the same as that term is defined in Section 26-18-408.
(b) "Behavioral health receiving center" means the same as that term is defined in Section 62A-15-118.
(c) "Crisis management services" means behavioral health services provided to an individual who is experiencing a mental health crisis.
(d) "Managed care organization" means the same as that term is defined in 42 C.F.R. Sec. 438.2.
(2) Before July 1, 2020, the division shall apply for a Medicaid waiver or state plan amendment with CMS to offer a program that provides reimbursement through a bundled daily rate for crisis management services that are delivered to an individual during the individual's stay at a behavioral health receiving center.
(3) If the waiver or state plan amendment described in Subsection (2) is approved, the department shall:
(a) implement the program described in Subsection (2); and
(b) require a managed care organization that contracts with the state's Medicaid program for behavioral health services or integrated health services to provide coverage for crisis management services that are delivered to an individual during the individual's stay at a behavioral health receiving center.
(4)
(a) The department may elect to integrate payment for physical health services provided in a behavioral health receiving center.
(b) In determining whether to integrate payment under Subsection (4)(a), the department shall consult with accountable care organizations and counties in the state.
Technically renumbered to avoid duplication of section number also enacted in HB214, Chapter 187, HB38, Chapter 159, and HB219, Chapter 188.