Relates to applying a special Medicaid rate for releasees in facilities or discrete units within facilities that provide long term nursing or medical services.
Provides that the failure by the utilization review agent to make a determination within certain time periods shall be deemed to be an approval of the health care services.
Enacts the "ensuring access to behavioral health act"; includes mental health services, substance use disorder treatment services and recovery support services to network adequacy requirements for insurance coverage.
Grants immunity from liability to organizations which establish physician committees the purpose of which is to confront and refer to treatment physicians who are thought to be suffering from addiction or mental illness.
Relates to the posting of additional nursing home ratings; provides such posting shall include ratings for health inspections, staffing and quality measures.
Expands which individuals qualify to be an individual's personal assistant for the purposes of consumer directed personal assistance programs to include an eligible individual's attorney-in-fact, health care proxy, or legal guardian.
Requires health practitioners to discuss with patients the risks associated with certain pain medications before prescribing such medications; requires that for the first opioid analgesic prescription of a calendar year the prescribing physician shall counsel the patient on the risks of overdose.
Provides that prescription drugs eligible for reimbursement shall be provided and paid for under the preferred drug program and the clinical drug review program; restores pharmacy benefits under Medicaid managed care.
Expands the individual psychotherapy services provided by licensed social workers, in accordance with licensing criteria set forth in applicable regulations to which the applicable reimbursement rate is based entirely upon the ambulatory patient group methodology.