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Bill Detail: HB22-1268

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Title Medicaid Mental Health Reimbursement Rates Report
Status Governor Signed (06/03/2022)
Bill Subjects
  • Health Care & Health Insurance
House Sponsors R. Holtorf (R)
J. Amabile (D)
Senate Sponsors J. Ginal (D)
C. Simpson (R)
House Committee Public and Behavioral Health & Human Services
Senate Committee Health and Human Services
Date Introduced 02/25/2022
Summary

The bill requires the department of health care policy and
financing (department) to prepare a report of medicaid reimbursement
rates for community mental health providers and independent mental
health and substance use treatment providers. The department must hire
an independent auditor to prepare the report and provide
recommendations on the report to be presented to the house of

representatives public and behavioral health and human services
committee. The department is required to prepare recommendations based
on the audit findings and recommendations to create equitable payment
models between providers of community mental health centers and
independent mental health and substance use treatment providers
providing comparable behavioral health services.
The audit conducted must reflect data from state fiscal year
2020-21 and include a determination and recommendations on the
adequacy of reimbursement rates paid to medicaid mental health
providers. The department must present an action plan to implement
changes to reimbursement rates based on the findings of the audit to the
joint budget committee before November 15, 2022. The department must
also prepare an annual report and provide an update at the State
Measurement for Accountable, Responsive, and Transparent (SMART)
Government Act hearing annually through August 1, 2025.
The bill requires the department to publish an annual cost report
on or before March 15 of each year. The department must establish a cost
report template and cost reporting schedule to assist providers in relaying
cost information to the state department. The bill requires the department
to establish a transparency report that translates the cost report data into
meaningful and actionable information to ensure equity in provider
compensation and adequate access to care for medicaid members.

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