Medicaid Institutes for Mental Disease Are Decisive in Delivering Inpatient Treatment for Individuals but Opportunities for Needed Access are Limited without Information Needed about Facility Obligations Act

To require the Medicaid and CHIP Payment and Access Commission to conduct an exploratory study and report on requirements applicable to and practices of institutions for mental diseases under the Medicaid program. 1. Short title This Act may be cited as the Medicaid Institutes for Mental Disease Are Decisive in Delivering Inpatient Treatment for Individuals but Opportunities for Needed Access are Limited without Information Needed about Facility Obligations Act Medicaid IMD ADDITIONAL INFO Act 2. MACPAC exploratory study and report on institutions for mental diseases requirements and practices under Medicaid (a) In general Not later than January 1, 2020, the Medicaid and CHIP Payment and Access Commission established under section 1900 of the Social Security Act ( 42 U.S.C. 1396 42 U.S.C. 1396 (1) A description of such institutions for mental diseases in each such State, including at a minimum— (A) the number of such institutions in the State; (B) the facility type of such institutions in the State; and (C) any coverage limitations under each such State plan (or waiver) on scope, duration, or frequency of such services. (2) With respect to each such institution for mental diseases in each such State, a description of— (A) such services provided at such institution; (B) the process, including any timeframe, used by such institution to clinically assess and reassess such individuals; and (C) the discharge process used by such institution, including any care continuum of relevant services or facilities provided or used in such process. (3) A description of— (A) any Federal waiver that each such State has for such institutions and the Federal statutory authority for such waiver; and (B) any other Medicaid funding sources used by each such State for funding such institutions, such as supplemental payments. (4) A summary of State requirements (such as certification, licensure, and accreditation) applied by each such State to such institutions in order for such institutions to receive payment under the State plan (or waiver) and how each such State determines if such requirements have been met. (5) A summary of State standards (such as quality standards, clinical standards, and facility standards) that such institutions must meet to receive payment under such State plans (or waivers) and how each such State determines if such standards have been met. (6) Recommendations for actions by Congress and the Centers for Medicare & Medicaid Services. such as how State Medicaid programs may improve care and improve standards and including a recommendation for how the Centers for Medicare & Medicaid Services can improve data collection from such programs to address any gaps in information. (b) Stakeholder input In carrying out subsection (a), the Medicaid and CHIP Payment and Access Commission shall seek input from State Medicaid directors and stakeholders, including at a minimum the Substance Abuse and Mental Health Services Administration, Centers for Medicare & Medicaid Services, State Medicaid officials, State mental health authorities, Medicaid beneficiary advocates, health care providers, and Medicaid managed care organizations. (c) Definitions In this section: (1) Representative sample of States The term representative sample of States (2) State The term State (3) Institution for mental diseases The term institution for mental diseases June 8, 2018 Committed to the Committee of the Whole House on the State of the Union and ordered to be printed

Summary: Medicaid Institutes for Mental Disease Are Decisive in Delivering Inpatient Treatment for Individuals but Opportunities for Needed Access are Limited without Information Needed about Facility Obligations Act or the Medicaid IMD ADDITIONAL INFO Act (Sec. 2) This bill requires the Medicaid and Children's Health Insurance Program (CHIP) Payment and Access Commission to report on information relating to services for Medicaid enrollees who are patients in institutions for mental diseases (IMDs), including: (1) the number and type of IMDs in each sampled state and associated coverage limitations, (2) services and processes provided at such IMDs, (3) applicable federal waivers and other Medicaid funding sources for such IMDs, (4) state requirements for such IMDs to receive funding, and (5) recommendations to improve standards and data collection for IMDs.