Section 40.1-8.5-8 - Certified community behavioral health clinics(a) The executive office of health and human services is authorized and directed to submit to the Secretary of the United States Department of Health and Human Services a state plan amendment for the purposes of establishing Certified Community Behavioral Health Clinics in accordance with Section 223 of the federal Protecting Access to Medicare Act of 2014.(b) The executive office of health and human services shall amend its Title XIX state plan pursuant to Title XIX [42 U.S.C. § 1396 et seq.] and Title XXI [42 U.S.C § 1397 et seq.] of the Social Security Act as necessary to cover all required services for persons with mental health and substance use disorders at a certified community behavioral health clinic through a monthly bundled payment methodology that is specific to each organization's anticipated costs and inclusive of all required services within Section 223 of the federal Protecting Access to Medicare Act of 2014. Such certified community behavioral health clinics shall adhere to the federal model, including payment structures and rates.(c) A certified community behavioral health clinic means any licensed behavioral health organization that meets the federal certification criteria of Section 223 of the Protecting Access to Medicare Act of 2014. The department of behavioral healthcare, developmental disabilities and hospitals shall define additional criteria to certify the clinics including, but not limited to the provision of, these services: (1) Outpatient mental health and substance use services;(2) Twenty-four (24) hour mobile crisis response and hotline services;(3) Screening, assessment, and diagnosis, including risk assessments;(4) Person-centered treatment planning;(5) Primary care screening and monitoring of key indicators of health risks;(6) Targeted case management;(7) Psychiatric rehabilitation services;(8) Peer support and family supports;(9) Medication-assisted treatment;(10) Assertive community treatment; and(11) Community-based mental health care for military service members and veterans.(d) Subject to the approval from the United States Department of Health and Human Services' Centers for Medicare and Medicaid Services, the certified community behavioral health clinic model pursuant to this chapter, shall be established by February 1, 2024, and include any enhanced Medicaid match for required services or populations served.(e) By August 1, 2022, the executive office of health and human services will issue the appropriate purchasing process and vehicle for organizations who want to participate in the Certified Community Behavioral Health Clinic model program.(f) The organizations will submit a detailed cost report developed by the department of behavioral healthcare, developmental disabilities and hospitals with approval from the executive office of health and human services, that includes the cost for the organization to provide the required services.(g) The department of behavioral healthcare, developmental disabilities and hospitals, in coordination with the executive office of health and human services, will prepare an analysis of proposals, determine how many behavioral health clinics can be certified in FY 2024 and the costs for each one. Funding for the Certified Behavioral Health Clinics will be included in the FY 2024 budget recommended by the Governor.(h) The executive office of health and human services shall apply for the federal Certified Community Behavioral Health Clinics Demonstration Program if another round of funding becomes available.R.I. Gen. Laws § 40.1-8.5-8
Amended by 2023 Pub. Laws, ch. 79,§ 9-8, eff. 6/16/2023.Added by 2022 Pub. Laws, ch. 231,§ 12-4, eff. 7/1/2022.