Connecticut 2021 Regular Session

Connecticut Senate Bill SB00764 Compare Versions

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7	7		General Assembly Substitute Bill No. 764
8	8		January Session, 2021
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12	12		AN ACT CONCERNING ME DICAID PROVIDERS.
13	13		Be it enacted by the Senate and House of Representatives in General
14	14		Assembly convened:
15	15
16	16		Section 1. Section 17b-28e of the general statutes is amended by 1
17	17		adding subsection (d) as follows (Effective from passage): 2
18	18		(NEW) (d) Not later than October 1, 2021, the Commissioner of Social 3
19	19		Services shall amend the Medicaid state plan to include services 4
20	20		provided by acupuncturists licensed pursuant to section 20-206bb and 5
21	21		chiropractors licensed pursuant to section 20-27 as optional services 6
22	22		under the Medicaid program. 7
23	23		Sec. 2. Section 17b-280c of the general statutes is repealed and the 8
24	24		following is substituted in lieu thereof (Effective July 1, 2021): 9
25	25		(a) For purposes of this section: (1) "Methadone maintenance" means 10
26	26		a chemical maintenance program under which an addiction to one drug, 11
27	27		including, but not limited to, heroin, is treated with the drug methadone 12
28	28		in a weekly program that includes on and off-site methadone 13
29	29		administration, drug testing and counseling; and (2) "chemical 14
30	30		maintenance provider" means a provider certified and licensed by the 15
31	31		federal Substance Abuse and Mental Health Services Administration 16
32	32		and the state Department of Public Health who meets all federal and 17
33	33		state requirements, including, but not limited to, requirements specific 18
34	34		to the provision of chemical maintenance services. 19 Substitute Bill No. 764
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41	41		(b) The Commissioner of Social Services shall amend the Medicaid 20
42	42		state plan to provide a minimum weekly reimbursement rate of eighty-21
43	43		eight dollars and fifty-two cents to a chemical maintenance provider for 22
44	44		methadone maintenance treatment of a Medicaid beneficiary, provided 23
45	45		no such provider receiving a higher rate shall have such rate reduced to 24
46	46		the minimum as a result of the implementation of a new minimum 25
47	47		reimbursement rate. 26
48	48		[(c) Notwithstanding subsection (b) of this section, on or after July 1, 27
49	49		2020, any reimbursement to a chemical maintenance provider for 28
50	50		methadone maintenance treatment shall be contingent upon meeting 29
51	51		certain performance measures as determined by the commissioner. Such 30
52	52		performance measures shall be developed in consultation with the 31
53	53		Department of Mental Health and Addiction Services and chemical 32
54	54		maintenance providers. Initial performance measures shall be 33
55	55		developed by September 30, 2019, including the means by which such 34
56	56		measures shall be evaluated. The initial evaluation period shall be based 35
57	57		on the claims data for the quarter ending March 31, 2020. The 36
58	58		performance measures and thresholds may be adjusted after the initial 37
59	59		evaluation period. Failure to meet department-identified standards on 38
60	60		performance measures shall result in a rate reduction of (1) up to five 39
61	61		per cent for the quarters ending September 30, 2020, and December 31, 40
62	62		2020, and (2) up to ten per cent beginning January 1, 2021. No provider 41
63	63		shall receive a rate decrease under this subsection that is more than a ten 42
64	64		per cent decrease annually.] 43
65	65		[(d)] (c) The Commissioner of Social Services, pursuant to section 17b-44
66	66		10, may implement policies and procedures to administer the provisions 45
67	67		of this section while in the process of adopting such policies and 46
68	68		procedures in regulation form, provided the commissioner [prints] 47
69	69		posts notice of the intent to adopt the regulations on the department's 48
70	70		Internet web site and the eRegulations System not later than twenty 49
71	71		days after the date of implementation. Such policies and procedures 50
72	72		shall be valid until the time final regulations are adopted. 51
73	73		Sec. 3. (NEW) (Effective from passage) The Commissioner of Social 52 Substitute Bill No. 764
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80	80		Services shall adjust rates of reimbursement under the Medicaid 53
81	81		program so that (1) a nurse-midwife licensed pursuant to chapter 377 of 54
82	82		the general statutes receives the same rate as an obstetrician-55
83	83		gynecologist licensed pursuant to chapter 370 of the general statutes for 56
84	84		performing the same medical service or procedure, and (2) a podiatrist 57
85	85		licensed pursuant to chapter 375 of the general statutes receives the 58
86	86		same rate as a physician licensed pursuant to chapter 370 of the general 59
87	87		statutes for performing the same medical service or procedure. The 60
88	88		commissioner shall seek federal approval to amend the Medicaid state 61
89	89		plan, if necessary, to adjust rates of reimbursement in accordance with 62
90	90		this section. 63
91	91		Sec. 4. (NEW) (Effective July 1, 2021) The Commissioner of Social 64
92	92		Services shall amend the Medicaid state plan to integrate services 65
93	93		provided by peer support specialists into care teams funded under the 66
94	94		medical assistance program and provide Medicaid reimbursement to 67
95	95		such specialists for such services. For purposes of this section, "peer 68
96	96		support services" means a recovery-focused behavioral health service 69
97	97		that allows an individual the opportunity to learn to manage his or her 70
98	98		recovery with help from a peer support specialist who may have 71
99	99		experience recovering from mental illness or substance use disorder.72
100	100		This act shall take effect as follows and shall amend the following
101	101		sections:
102	102
103	103		Section 1 from passage 17b-28e
104	104		Sec. 2 July 1, 2021 17b-280c
105	105		Sec. 3 from passage New section
106	106		Sec. 4 July 1, 2021 New section
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	108	+	Statement of Legislative Commissioners:
	109	+	In Section 4, " into the medical assistance program and provide
	110	+	Medicaid reimbursement for such services" was changed to "into care
	111	+	teams funded under the medical assistance program and provide
	112	+	Medicaid reimbursement to such specialists for such services" for
	113	+	clarity.
	114	+	Substitute Bill No. 764
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109	121		HS Joint Favorable Subst. -LCO
110		-	APP Joint Favorable
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