Sec. 17a-22o. Behavioral Health Partnership provider rates. Establishment. Review by Behavioral Health Partnership Oversight Council.
Sec. 17a-22o. Behavioral Health Partnership provider rates. Establishment.
Review by Behavioral Health Partnership Oversight Council. (a) The Departments
of Children and Families and Social Services may establish provider specific inpatient,
partial hospitalization, intensive outpatient and other intensive service rates. Within
available appropriations, the initial rates shall not be less than each provider's blend of
rates from the HUSKY Plans in effect on July 1, 2005, unless the date of implementation
of the Behavioral Health Partnership is later than January 1, 2006. If such implementation date is later then January 1, 2006, such initial rates, within available appropriations,
shall not be less than each provider's blend of rates in effect sixty days prior to the
implementation date of the Behavioral Health Partnership. Within available appropriations, the departments may provide grant payments, where necessary, to address provider financial impacts. The departments may establish uniform outpatient rates
allowing a differential for child and adult services. In no event shall such rate increases
exceed rates paid through Medicare for such services. The Behavioral Health Partnership
Oversight Council shall review any such rate methodology as provided for in subsection
(b) of this section. Notwithstanding the provisions of sections 17b-239 and 17b-241,
rates for behavioral health services shall be established in accordance with this section.
(b) All proposals for initial rates, reductions to existing rates and changes in rate
methodology within the Behavioral Health Partnership shall be submitted to the Behavioral Health Partnership Oversight Council for review. If the council does not recommend acceptance, it may forward its recommendation to the joint standing committees
of the General Assembly having cognizance of matters relating to public health, human
services and appropriations and the budgets of state agencies. The committees shall hold
a joint public hearing on the subject of the proposed rates, to receive the partnership's
rationale for making such a rate change. Not later than ninety days after submission by
the departments, the committees of cognizance shall make recommendations to the
departments regarding the proposed rates. The departments shall make every effort to
incorporate recommendations of both the council and the committees of cognizance
when setting rates.
(P.A. 05-280, S. 100.)
History: P.A. 05-280 effective July 1, 2005.