Effective 28 Aug 2018

217.021. Community behavioral health program, purpose — department duties. — 1. The department shall establish and implement a community behavioral health program to provide comprehensive community-based services for individuals under the supervision of the department who have serious behavioral health conditions.

2. The department shall, in collaboration with the department of mental health:

(1) Establish a referral and evaluation process for access to the program;

(2) Establish eligibility criteria that include consideration of recidivism risk and behavioral health condition severity;

(3) Establish discharge criteria and processes, with a goal of establishing a seamless transition to post-program services to decrease recidivism; and

(4) Develop multidisciplinary program oversight, auditing, and evaluation processes that shall include:

(a) Oversight authority of program case management services through the department of mental health;

(b) Provider performance and outcome metrics; and

(c) Reports to the legislature and the governor on the status of the program as requested.

3. The department of mental health shall, in collaboration with the department of corrections:

(1) Contract for and pay behavioral health service providers under the program;

(2) Supervise, support, and monitor referral caseloads and the provision of services by contract behavioral health service providers;

(3) Require that contract behavioral health service providers:

(a) Accept all eligible referrals, provide individualized care delivered through integrated multidisciplinary care teams, and continue services on an ongoing basis until established discharge criteria are met;

(b) Accept reimbursement on a per-month, per-referral basis, and ensure that the payment schedule is based on a pay-for-performance model that includes consideration of identified outcomes and the level of services required; and

(c) Bill third parties for services.

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(L. 2018 H.B. 1355)