HLS 23RS-788 ORIGINAL
2023 Regular Session
HOUSE BILL NO. 419
BY REPRESENTATIVE TRAVIS JOHNSON
Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana.
MEDICAID: Provides relative to Medicaid coverage for the Psychiatric Collaborative Care
Model
1 AN ACT
2To enact R.S. 40:1259.1, relative to Medicaid coverage for mental health and substance
3 abuse services; to provide for definitions; to provide for insurance coverage for
4 Medicaid recipients via the Psychiatric Collaborative Care Model; and to provide for
5 related matters.
6Be it enacted by the Legislature of Louisiana:
7 Section 1. R.S. 40:1259.1 is hereby enacted to read as follows:
8 ยง1259.1. Psychiatric Collaborative Care Model; Medicaid coverage; service
9 delivery method requirements
10 A. The state's Medical Assistance Program (Medicaid) shall provide
11 coverage for mental health and substance abuse services that are delivered through
12 evidence-based, integrated behavioral healthcare models, such as the Psychiatric
13 Collaborative Care Model.
14 B.(1) Any medical necessity determination made for a recipient of Medicaid
15 services shall be in compliance with the provisions set forth in the Medicaid
16 program, as provided for in Title XIX of the Social Security Act, the Mental Health
17 Parity and Addiction Equity Act, and in accordance with the rules promulgated by
18 the Louisiana Department of Health.
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HLS 23RS-788 ORIGINAL
HB NO. 419
1 (2) The Louisiana Department of Health shall promulgate rules, in
2 accordance with the Administrative Procedure Act, as needed to comply with the
3 requirements set forth in this Section.
4 C. As used in this Section, the following terms have the meanings ascribed
5 to them:
6 (1) "Medicaid" means the medical assistance program provided for in Title
7 XIX of the Social Security Act.
8 (2) "Mental health or substance abuse services" means services for the
9 treatment of any condition or disorder that involves a mental health condition or
10 substance use disorder that falls under any of the diagnostic categories listed in the
11 mental disorders section of the current edition of the International Classification of
12 Diseases or that is listed in the mental disorders section of the most recent version
13 of the Diagnostic and Statistical Manual of Mental Disorders.
14 (3) "Psychiatric Collaborative Care Model" means the evidence-based,
15 integrated behavioral health service delivery method that is typically provided by a
16 primary care team consisting of a primary care provider and a care manager who
17 works in collaboration with a psychiatric consultant, such as a psychiatrist. Care is
18 directed by the primary care team and includes structured care management with
19 regular assessments of clinical status using validated tools and modification of
20 treatment as appropriate. The psychiatric consultant provides regular consultations
21 to the primary care team to review the clinical status and care of patients and to make
22 recommendations.
DIGEST
The digest printed below was prepared by House Legislative Services. It constitutes no part
of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute
part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)]
HB 419 Original 2023 Regular Session Travis Johnson
Abstract: Provides Medicaid coverage for mental health and substance abuse services via
the Psychiatric Collaborative Care Model.
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HLS 23RS-788 ORIGINAL
HB NO. 419
Proposed law requires Medicaid to provide coverage for mental health and substance abuse
services delivered through evidence-based, integrated behavioral healthcare models, such
as the Psychiatric Collaborative Care Model.
Proposed law requires any medical necessity determinations made for a recipient of
Medicaid services to comply with the provisions set forth in present law and the rules
promulgated by the Louisiana Department of Health.
Proposed law defines "Medicaid", "mental health or substance abuse services", and
"Psychiatric Collaborative Care Model".
(Adds R.S. 40:1259.1)
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions.