Relating to reimbursement rates for providers of substance use disorder treatment services

This bill directs the department of human services (DHS) and the department of public health (DPH) to collaboratively establish Medicaid 1915(b)(3) waiver reimbursement rates for substance use disorder intensive outpatient and residential treatment services using a projected cost report agreed upon by the departments and the integrated provider network providers. The departments shall establish time frames for release of the agreed-upon projected cost report form to providers and the deadline for submission of the completed projected cost reports by providers to the departments, to allow sufficient time for review and the making of recommended adjustments to the Medicaid 1915(b)(3) waiver reimbursement rates for Medicaid integrated provider network providers. The reimbursement rates shall apply to providers under both Medicaid fee-for-service and Medicaid managed care administration. DHS and DPH also shall collaboratively establish an ongoing plan for regular review of reimbursement rates for providers of substance use disorder treatment services and provide information to the governor and the general assembly in a timely manner to allow for the provision of appropriate funding for any change in reimbursement rates.