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4 | 4 | | LCO No. 1566 1 of 2 |
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5 | 5 | | |
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6 | 6 | | General Assembly Raised Bill No. 5233 |
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7 | 7 | | February Session, 2020 |
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8 | 8 | | LCO No. 1566 |
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10 | 10 | | |
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11 | 11 | | Referred to Committee on HUMAN SERVICES |
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13 | 13 | | |
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14 | 14 | | Introduced by: |
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15 | 15 | | (HS) |
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19 | 19 | | |
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20 | 20 | | AN ACT CONCERNING PA YMENTS TO PROVIDERS OF SOCIAL |
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21 | 21 | | SERVICES. |
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22 | 22 | | Be it enacted by the Senate and House of Representatives in General |
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23 | 23 | | Assembly convened: |
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24 | 24 | | |
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25 | 25 | | Section 1. Subsection (c) of section 4-216 of the 2020 supplement to 1 |
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26 | 26 | | the general statutes is repealed and the following is substituted in lieu 2 |
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27 | 27 | | thereof (Effective July 1, 2020): 3 |
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28 | 28 | | (c) The secretary shall establish [a pilot] an incentive program for 4 |
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29 | 29 | | nonprofit providers of human services that shall (1) allow providers 5 |
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30 | 30 | | who otherwise meet contractual requirements to retain [a percentage of] 6 |
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31 | 31 | | any savings realized by the providers from the contracted cost for 7 |
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32 | 32 | | services, and (2) provide that future contracted amounts from the state 8 |
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33 | 33 | | for the same types of services are not reduced solely to reflect savings 9 |
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34 | 34 | | achieved in previous contracts by such providers. [The pilot incentive 10 |
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35 | 35 | | program shall include eight nonprofit providers of human services with 11 |
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36 | 36 | | state contracts of the following amounts: (A) Two with contracts of at 12 |
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37 | 37 | | least fifty million dollars, (B) two with contracts of at least twenty 13 |
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38 | 38 | | million dollars but less than fifty million dollars, (C) two with contracts 14 |
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39 | 39 | | of at least five million dollars but less than twenty million dollars, and 15 Raised Bill No. 5233 |
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42 | 42 | | |
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43 | 43 | | LCO No. 1566 2 of 2 |
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44 | 44 | | |
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45 | 45 | | (D) two with contracts of less than five million dollars.] For purposes of 16 |
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46 | 46 | | this subsection, "nonprofit providers of human services" includes, but is 17 |
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47 | 47 | | not limited to, nonprofit providers of services to persons with 18 |
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48 | 48 | | intellectual, physical or mental disabilities or autism spectrum disorder. 19 |
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49 | 49 | | Sec. 2. (NEW) (Effective July 1, 2020) The Commissioner of Social 20 |
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50 | 50 | | Services shall amend the Medicaid state plan to integrate services 21 |
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51 | 51 | | provided by peer support specialists into the medical assistance 22 |
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52 | 52 | | program and provide Medicaid reimbursement for such services. For 23 |
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53 | 53 | | purposes of this section, "peer support services" means a recovery-24 |
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54 | 54 | | focused behavioral health service that allows an individual the 25 |
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55 | 55 | | opportunity to learn to manage his or her recovery with help from a peer 26 |
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56 | 56 | | support specialist who may have experience recovering from mental 27 |
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57 | 57 | | illness or substance use disorder. 28 |
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58 | 58 | | This act shall take effect as follows and shall amend the following |
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59 | 59 | | sections: |
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60 | 60 | | |
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61 | 61 | | Section 1 July 1, 2020 4-216(c) |
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62 | 62 | | Sec. 2 July 1, 2020 New section |
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63 | 63 | | |
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64 | 64 | | Statement of Purpose: |
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65 | 65 | | To ensure adequate payment to providers of social services to ensure |
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66 | 66 | | access to quality care and integrate peer support services for behavioral |
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67 | 67 | | health into the Medicaid program. |
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68 | 68 | | [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except |
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69 | 69 | | that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not |
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70 | 70 | | underlined.] |
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71 | 71 | | |
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