Revised Code of Washington
Chapter 71.24 - Community Behavioral Health Services Act.
71.24.885 - Medicaid rate increases—Review authority—Reporting.

RCW 71.24.885
Medicaid rate increases—Review authority—Reporting.

(1) It is the intent of the legislature that behavioral health medicaid rate increases be grounded with the rate-setting process for the provider type or practice setting.
(2) In implementing a rate increase funded by the legislature, including rate increases provided through managed care organizations, the authority must work with the actuaries responsible for establishing medicaid rates for behavioral health services and managed care organizations responsible for distributing funds to behavioral health services to assure that appropriate adjustments are made to the wraparound with intensive services case rate, as well as any other behavioral health services in which a case rate is used.
(3)(a) The authority shall establish a process for verifying that funds appropriated in the omnibus operating appropriations act for targeted behavioral health provider rate increases, including rate increases provided through managed care organizations, are used for the objectives stated in the appropriation.
(b) The process must: (i) Establish which behavioral health provider types the funds are intended for; (ii) include transparency and accountability mechanisms to demonstrate that appropriated funds for targeted behavioral health provider rate increases are passed through, in the manner intended, to the behavioral health providers who are the subject of the funds appropriated for targeted behavioral health provider rate increases; (iii) include actuarial information provided to managed care organizations to ensure the funds directed to behavioral health providers have been appropriately allocated and accounted for; and (iv) include the participation of managed care organizations, behavioral health administrative services organizations, providers, and provider networks that are the subject of the targeted behavioral health provider rate increases. The process must include a method for determining if the funds have increased access to the behavioral health services offered by the behavioral health providers who are the subject of the targeted provider rate increases.
(c) The process may:
(i) Include a quantitative method for determining if the funds have increased access to behavioral health services offered by the behavioral health providers who received the targeted provider rate increases;
(ii) Ensure the viability of pass-through payments in a capitated rate methodology; and
(iii) Ensure that medicaid rate increases account for the impact of value-based contracting on provider reimbursements and implementations of pass-through payments.
(4) By November 1st of each year, the authority shall report to the committees of the legislature with jurisdiction over behavioral health issues and fiscal matters regarding the established process for each appropriation for a targeted behavioral health provider rate increase, whether the funds were passed through in accordance with the appropriation language, and any information about increased access to behavioral health services associated with the appropriation. The reporting requirement for each appropriation for a targeted behavioral health provider rate increase shall continue for two years following the specific appropriation.

[ 2020 c 285 § 1.]

Structure Revised Code of Washington

Revised Code of Washington

Title 71 - Behavioral Health

Chapter 71.24 - Community Behavioral Health Services Act.

71.24.011 - Short title.

71.24.015 - Legislative intent—Community behavioral health system.

71.24.016 - Intent—Management of services—Work group on long-term involuntary inpatient care integration.

71.24.025 - Definitions.

71.24.030 - Grants, purchasing of services, for community behavioral health programs.

71.24.035 - Director's powers and duties as state behavioral health authority.

71.24.037 - Licensed or certified behavioral health agencies and providers—Minimum standards—Investigations and enforcement actions—Inspections.

71.24.045 - Behavioral health administrative services organization powers and duties.

71.24.061 - Children's mental health provider networks—Children's mental health evidence-based practice institute—Partnership access line pilot programs—Report to legislature.

71.24.062 - Psychiatry consultation line—Implementation.

71.24.063 - Partnership access lines—Psychiatric consultation lines—Data collection.

71.24.064 - Partnership access lines—Psychiatric consultation lines—Funding—Performance measures.

71.24.066 - Partnership access line pilot programs—Determination to be made permanent—Long-term funding.

71.24.067 - Partnership access lines—Psychiatric consultation lines—Review.

71.24.068 - Telebehavioral health access account.

71.24.100 - County-run behavioral health administrative services organizations—Joint operating agreements—Requirements.

71.24.115 - Recovery navigator programs—Reports.

71.24.125 - Grant program—Treatment services—Regional access standards.

71.24.135 - Expanded recovery support services program—Regional expanded recovery plans.

71.24.145 - Homeless outreach stabilization transition program—Psychiatric outreach—Contingency management resources—Substance misuse prevention effort—Grants.

71.24.155 - Grants to behavioral health administrative services, managed care organizations, and Indian health care providers—Accounting.

71.24.160 - Proof as to uses made of state funds—Use of maintenance of effort funds.

71.24.200 - Expenditures of county funds subject to county fiscal laws.

71.24.215 - Sliding-scale fee schedules for clients receiving behavioral health services.

71.24.220 - State grants may be withheld for noncompliance with chapter or related rules.

71.24.240 - Eligibility for funding—Community behavioral health program plans to be approved by director prior to submittal to federal agency.

71.24.250 - Behavioral health administrative services organizations—Receipt of gifts and grants.

71.24.260 - Waiver of postgraduate educational requirements—Mental health professionals.

71.24.300 - Behavioral health administrative services organizations—Advisory boards—Inclusion of tribes—Roles and responsibilities.

71.24.335 - Reimbursement for behavioral health services provided through telemedicine or store and forward technology—Coverage requirements—Audio-only telemedicine.

71.24.350 - Behavioral health ombuds office.

71.24.370 - Behavioral health services contracts—Limitation on state liability.

71.24.380 - Purchase of behavioral health services—Managed care contracting—Requirements.

71.24.381 - Contracting for crisis services and medically necessary physical and behavioral health services.

71.24.383 - Managed care organization contracting—Requirements.

71.24.385 - Behavioral health administrative services and managed care organizations—Mental health and substance use disorder treatment programs—Development and design requirements.

71.24.400 - Streamlining delivery system—Finding.

71.24.405 - Streamlining delivery system.

71.24.415 - Streamlining delivery system—Authority duties to achieve outcomes.

71.24.420 - Expenditure of funds for operation of service delivery system—Appropriation levels—Outcome and performance measures—Report.

71.24.430 - Coordination of services for behavioral health clients—Collaborative service delivery.

71.24.435 - Behavioral health system—Improvement strategy.

71.24.450 - Offenders with mental illnesses—Findings and intent.

71.24.455 - Offenders with mental illnesses—Contracts for specialized access and services.

71.24.460 - Offenders with mental illnesses—Report to legislature.

71.24.470 - Reentry community services program—Contract for case management—Use of appropriated funds.

71.24.480 - Reentry community services program—Limitation on liability due to treatment—Reporting requirements.

71.24.490 - Evaluation and treatment services—Capacity needs—Behavioral health administrative services and managed care organizations.

71.24.500 - Written guidance and trainings—Managed care—Incarcerated and involuntarily hospitalized persons.

71.24.510 - Integrated comprehensive screening and assessment process—Implementation.

71.24.520 - Substance use disorder program authority.

71.24.525 - Agreements authorized under the interlocal cooperation act.

71.24.530 - Local funding and donative funding requirements—Facilities, plans, programs.

71.24.535 - Duties of authority.

71.24.540 - Drug courts.

71.24.545 - Comprehensive program for treatment—Regional facilities.

71.24.546 - Substance use recovery services plan—Substance use recovery services advisory committee—Rules—Report.

71.24.550 - City, town, or county without facility—Contribution of liquor taxes prerequisite to use of another's facility.

71.24.555 - Liquor taxes and profits—City and county eligibility conditioned.

71.24.560 - Opioid treatment programs—Pregnant individuals—Information and education.

71.24.565 - Acceptance for approved treatment—Rules.

71.24.570 - Emergency service patrol—Establishment—Rules.

71.24.575 - Criminal laws limitations.

71.24.580 - Criminal justice treatment account.

71.24.585 - Opioid and substance use disorder treatment—State response.

71.24.587 - Opioid use disorder treatment—Possession or use of lawfully prescribed medication—Declaration by state.

71.24.589 - Substance use disorders—Law enforcement assisted diversion—Pilot project.

71.24.590 - Opioid treatment—Program licensing or certification by department, department duties—Use of medications by program—Definition.

71.24.593 - Opioid use disorder treatment—Care of individuals and their newborns—Authority recommendations required.

71.24.594 - Opioid overdose reversal medications—Education—Distribution—Labeling—Liability.

71.24.595 - Statewide treatment and operating standards for opioid treatment programs—Evaluation and report.

71.24.597 - Opioid overdose reversal medication—Coordinated purchasing and distribution.

71.24.598 - Drug overdose response team.

71.24.599 - Opioid use disorder—City and county jails—Funding.

71.24.600 - Inability to contribute to cost of services no bar to admission—Authority may limit admissions for nonmedicaid clients.

71.24.605 - Fetal alcohol screening and assessment services.

71.24.610 - Interagency agreement on fetal alcohol exposure programs.

71.24.615 - Chemical dependency treatment expenditures—Prioritization.

71.24.618 - Withdrawal management services—Substance use disorder treatment services—Prior authorization—Utilization review—Medical necessity review.

71.24.625 - Uniform application of chapter—Training for designated crisis responders.

71.24.630 - Integrated, comprehensive screening and assessment process for substance use and mental disorders.

71.24.640 - Standards for certification or licensure of evaluation and treatment facilities.

71.24.645 - Standards for certification or licensure of crisis stabilization units.

71.24.647 - Standards for certification or licensure of triage facilities.

71.24.648 - Standards for certification or licensure of intensive behavioral health treatment facilities.

71.24.649 - Standards for certification or licensure of mental health peer-run respite centers.

71.24.650 - Standards for certification or licensure of a clubhouse.

71.24.660 - Recovery residences—Referrals by licensed or certified service providers.

71.24.665 - Psychiatric treatment, evaluation, and bed utilization for American Indians and Alaska Natives—Report by authority.

71.24.700 - Long-term inpatient care and mental health placements—Contracting with community hospitals and evaluation and treatment facilities.

71.24.710 - Reentry services—Work group.

71.24.715 - Reentry services—Waiver application.

71.24.720 - Less restrictive alternative treatment—Transition teams.

71.24.845 - Transfer of clients between behavioral health administrative services organizations—Uniform transfer agreement.

71.24.850 - Regional service areas—Report—Managed care integration.

71.24.852 - Intensive behavioral health treatment facilities—Resident rights and access to ombuds services—Recommendations to governor and legislature.

71.24.855 - Finding—Intent—State hospitals.

71.24.861 - Behavioral health system coordination committee.

71.24.870 - Behavioral health services—Adoption of rules—Audit.

71.24.872 - Regulatory parity between primary care and behavioral health care settings—Initial documentation requirements for patients—Administrative burdensomeness.

71.24.880 - Interlocal leadership structure—Transition to fully integrated managed care within a regional service area.

71.24.885 - Medicaid rate increases—Review authority—Reporting.

71.24.887 - Training support grants for community mental health providers—Behavioral health workforce pilot program.

71.24.890 - National 988 system—Crisis call center hubs—Technology and platform development—Agency collaboration.

71.24.892 - National 988 system—Crisis response improvement strategy committee—Membership—Steering committee—Reports.

71.24.893 - National 988 system—Crisis response improvement strategy steering committee.

71.24.894 - National 988 system—Department reporting—Audit.

71.24.896 - National 988 system—Duties owed to public—Independent contractors.

71.24.898 - National 988 system—Technical and operational plan.

71.24.905 - Co-response services.

71.24.910 - Balance billing violations—Discipline.