JOINT RESOLUTION TO AMEND THE MEDICAID SECTION 1115 DEMONSTRATION WAIVER REQUESTS AND RENEWALS (This joint resolution would approve an amendment to a Medicaid section 1115 demonstration waiver and renewals regarding a pilot proposal to reduce the number of days behaviorally complex patients spend in acute care facilities.)
This bill's passage would directly impact Medicaid program operations in Rhode Island, specifically pertaining to how it addresses the needs of patients with behavioral health issues. The proposed pilot program intends to reduce the number of days these patients spend in acute care facilities, which is crucial as prolonged stays can be both detrimental to patients' health and costly to the state. By dedicating resources to nursing facilities that are qualified to provide enhanced behavioral healthcare, the legislation aims to enhance the overall efficiency and effectiveness of the healthcare system.
Bill S2071, titled 'Joint Resolution to Amend the Medicaid Section 1115 Demonstration Waiver Requests and Renewals,' aims to propose an amendment that seeks to improve the care for behaviorally complex patients in Rhode Island. The intent of this bill is to establish a more cost-effective and sustainable system for managing patients exhibiting significant behavioral health challenges. By introducing a behavioral health per diem add-on rate of $175 for nursing facilities caring for about 100 identified complex patients, the legislation seeks to facilitate better healthcare outcomes, while also ensuring fiscal responsibility.
There may be points of contention surrounding the funding and operational logistics of implementing such a proposal. Some stakeholders may express concern regarding the adequate execution of such a pilot program, especially around how facilities will be selected and monitored for compliance with the enhanced care requirements. Additionally, there may be debate about whether the add-on rate adequately compensates for the increased complexity of care required for these patients, and whether the bill effectively addresses the needs of all potential beneficiaries within the Medicaid system.