Community behavioral health program, purpose — department duties
Effective Aug 28, 2018(L. 2018 H.B. 1355)
- 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.
(L. 2018 H.B. 1355)