Connecticut 2020 Regular Session

Connecticut House Bill HB05232 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1
2	2
3	3	LCO No. 1626 1 of 3
4	4
5	5	General Assembly Raised Bill No. 5232
6	6	February Session, 2020
7	7	LCO No. 1626
8	8
9	9
10	10	Referred to Committee on HUMAN SERVICES
11	11
12	12
13	13	Introduced by:
14	14	(HS)
15	15
16	16
17	17
18	18
19	19	AN ACT CONCERNING A MINIMUM BASE RATE FO R METHADONE
20	20	MAINTENANCE TREATMEN T.
21	21	Be it enacted by the Senate and House of Representatives in General
22	22	Assembly convened:
23	23
24	24	Section 1. Section 17b-280c of the 2020 supplement to the general 1
25	25	statutes is repealed and the following is substituted in lieu thereof 2
26	26	(Effective July 1, 2020): 3
27	27	(a) For purposes of this section: (1) "Methadone maintenance" means 4
28	28	a chemical maintenance program under which an addiction to one drug, 5
29	29	including, but not limited to, heroin, is treated with the drug methadone 6
30	30	in a weekly program that includes on and off-site methadone 7
31	31	administration, drug testing and counseling; and (2) "chemical 8
32	32	maintenance provider" means a provider certified and licensed by the 9
33	33	federal Substance Abuse and Mental Health Services Administration 10
34	34	and the state Department of Public Health who meets all federal and 11
35	35	state requirements, including, but not limited to, requirements specific 12
36	36	to the provision of chemical maintenance services. 13
37	37	(b) The Commissioner of Social Services shall amend the Medicaid 14
38	38	state plan to provide a minimum weekly reimbursement rate of eighty-15 Raised Bill No. 5232
39	39
40	40
41	41
42	42	LCO No. 1626 2 of 3
43	43
44	44	eight dollars and fifty-two cents to a chemical maintenance provider for 16
45	45	methadone maintenance treatment of a Medicaid beneficiary, provided 17
46	46	no such provider receiving a higher rate shall have such rate reduced to 18
47	47	the minimum as a result of the implementation of a new minimum 19
48	48	reimbursement rate. 20
49	49	[(c) Notwithstanding subsection (b) of this section, on or after July 1, 21
50	50	2020, any reimbursement to a chemical maintenance provider for 22
51	51	methadone maintenance treatment shall be contingent upon meeting 23
52	52	certain performance measures as determined by the commissioner. Such 24
53	53	performance measures shall be developed in consultation with the 25
54	54	Department of Mental Health and Addiction Services and chemical 26
55	55	maintenance providers. Initial performance measures shall be 27
56	56	developed by September 30, 2019, including the means by which such 28
57	57	measures shall be evaluated. The initial evaluation period shall be based 29
58	58	on the claims data for the quarter ending March 31, 2020. The 30
59	59	performance measures and thresholds may be adjusted after the initial 31
60	60	evaluation period. Failure to meet department-identified standards on 32
61	61	performance measures shall result in a rate reduction of (1) up to five 33
62	62	per cent for the quarters ending September 30, 2020, and December 31, 34
63	63	2020, and (2) up to ten per cent beginning January 1, 2021. No provider 35
64	64	shall receive a rate decrease under this subsection that is more than a ten 36
65	65	per cent decrease annually.] 37
66	66	[(d)] (c) The Commissioner of Social Services, pursuant to section 17b-38
67	67	10, may implement policies and procedures to administer the provisions 39
68	68	of this section while in the process of adopting such policies and 40
69	69	procedures in regulation form, provided the commissioner [prints] 41
70	70	posts notice of the intent to adopt the regulations on the department's 42
71	71	Internet web site and the eRegulations System not later than twenty 43
72	72	days after the date of implementation. Such policies and procedures 44
73	73	shall be valid until the time final regulations are adopted. 45
74	74	This act shall take effect as follows and shall amend the following
75	75	sections:
76	76
77	77	Section 1 July 1, 2020 17b-280c Raised Bill No. 5232
78	78
79	79
80	80
81	81	LCO No. 1626 3 of 3
82	82
83	83
84	84	Statement of Purpose:
85	85	To eliminate requirements that payment rates be tied to performance
86	86	measures.
87	87	[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except
88	88	that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not
89	89	underlined.]
90	90