Section 17 (254B.05, subd. 5) requires the commissioner to establish a rate for high-intensity residential treatment services that provide 30 hours of clinical services each week for clients who have been committed to the commissioner who present complex and difficult care needs, and are a potential threat to the community. This section affects CARE sites, which will remain open, transition to 16-bed facilities, and capture federal funding for services. Senate only section. Related House provision in Article 9, section 4, prohibits the commissioner from closing the CARE program in Fergus Falls earlier than July 1, 2019. Section 18 (254B.12, subd. 2) strikes language requiring the commissioner to receive legislative approval before implementing the payment methodology under section 254B.05, subd. 5, or for chemical dependency services provided by a state-operated vendor. Senate only section. Section 19 (256B.0615, subd. 3) corrects a reference to intensive residential treatment services (IRTS) Senate only section. Section 20 (256B.0622, subd. 1) updates the name of the services to “assertive community treatment” (ACT) and “intensive residential treatment services” (IRTS). Senate only section. Section 21 (256B.0622, subd. 2) strikes an old reference, adds a definition for ACT, and strikes outdated language. Senate only section. Section 22 (256B.0622, subd. 3) modifies eligibility for ACT and IRTS by changing the reference to “two or more” inpatient hospitalizations in the past year, to “recurring or prolonged” inpatient hospitalizations in the past year. Senate only section. Section 23 (256B.0622, subd. 4) updates references to ACT and IRTS. Senate only section. Section 24 (256B.0622, subd. 5) amends the standards for ACT and IRTS providers by modifying when the functional Senate only section.
assessment must be updated, and when the individual treatment plan must be completed and refined. Sections 25, 26, 27, and 28 (256B.0622, subd. 7, 256B.0622, subd. 8, 256B.0622, subd. 9, 256B.0622, subd. 10) update references to ACT and IRTS, make changes to align with state plan, allow physician services to be delivered by telemedicine, strike obsolete references related to county rate setting due to the implementation of the statewide rate methodology, and add rate language for new programs. Senate only section. Section 29 (256B.0622, subd. 11) allows the commissioner to disburse grants directly to providers ACT and IRTS to maintain access to these services. Senate only section. Section 30 (256B.0624, subd. 7) clarifies staffing requirements for adult crisis stabilization services. Senate only section. Section 31 (256B.0625, subd. 45a) adds psychiatric residential treatment facility services for persons under 21 years of age to the services eligible for medical assistance coverage. The commissioner is required to develop admissions and discharge procedures and establish rates consistent with the guidelines from Centers for Medicare and Medicaid Services (CMS). The commissioner is required to enroll 150 certified psychiatric residential treatment facility services beds at up to six sites. The commissioner shall select the providers though a request for proposals (RFP) process. This section is effective July 1, 2017, or upon federal approval, whichever is later. Identical, except for effective dates. House section is effective July 1, 2016, and Senate section is effective July 1, 2017. Both are subject to federal approval. Sec. 10. Psychiatric residential treatment facility services for persons under 21 years of age. Amends § 256B.0625, by adding subd. 45a. Paragraph (a) provides MA coverage of psychiatric residential treatment facility services for persons under age 21. Allows persons who reach age 21 at the time they are receiving services to continue to receive services until the services are no longer required, or they reach age 22, whichever occurs first. Paragraph (b) defines “psychiatric residential treatment facility” as a facility other than a hospital that provides psychiatric services, as defined in federal regulations, to individuals under age 21 in an inpatient setting. Paragraph (c) requires the commissioner to develop admissions and discharge procedures and to establish rates consistent with federal guidelines.
Provides that this section is effective July 1, 2016, or upon federal approval which is later. Section 32 (256B.0625, subd. 48) amends the medical assistance benefit chapter of law, specifically the benefit that allows psychiatric consultation to primary care practitioners, to include medical assistance reimbursement for consultation done by licensed independent clinical social workers and licensed marriage and family therapists. Senate only section. Section 33 (256B.7631) increases by two percent the chemical dependency provider rate for services listed under section 254B.05, subdivision 5. Senate increases the provider rate by 2 percent. House increases the provider rate by 2.5 percent. Sec. 11. Chemical dependency provider rate increase. Adds § 256B.7631. Effective July 1, 2015, increases MA payment rates for chemical dependency services by 10 percent over the rates in effect on January 1, 2014. House only section. Sec. 12. Report to legislature; performance measures for chemical dependency treatment services. Requires the commissioner, in consultation with specified parties, to develop performance measures to assess the outcomes of chemical dependency treatment services. Requires the commissioner to report these measures to members of the health and human services policy and finance committees in the House and Senate, on or before January 15, 2016. Section 34 requires the commissioner of human services, in consultation with stakeholders, to develop service standards and a payment methodology for Clubhouse program mental health services to be covered under medical assistance, and seek federal approval. Upon federal approval, the commissioner shall seek and obtain legislative approval allowing MA coverage for Clubhouse services. Identical language except Senate language is mandatory (shall) and House language is permissive (may). Sec. 15. Clubhouse program services. Allows the commissioner of human services to develop service standards and a payment methodology for Clubhouse program services to be covered under medical assistance. Allows the commissioner to seek federal approval for the services and medical assistance reimbursement. Upon federal approval, requires the commissioner to obtain legislative approval to implement the services and payment system. Section 35 requires the commissioner to report to legislative committees on the progress of the Excellence in Mental Health demonstration project under section 245.735, and include any Identical except for technical difference in cross reference to the reform projects. (House deleted a subdivision in the Sec. 14. Excellence in mental health demonstration project. Requires the commissioner of human services to report to the legislature on the progress of the Excellence in