Senate File 2116 - Introduced SENATE FILE 2116 BY NUNN (COMPANION TO HF 2003 BY LOHSE) A BILL FOR An Act relating to reimbursement rates for providers of 1 substance use disorder treatment services. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 5431XS (2) 89 pf/rh

S.F. 2116 Section 1. SUBSTANCE USE DISORDER TREATMENT SERVICES 1 PROVIDERS —— REIMBURSEMENT RATES. 2 1. The department of human services and the department 3 of public health shall collaboratively establish Medicaid 4 1915(b)(3) waiver reimbursement rates for substance use 5 disorder intensive outpatient and residential treatment 6 services using a projected cost report agreed upon by the 7 departments and the integrated provider network providers. The 8 departments shall establish time frames for release of the 9 agreed-upon projected cost report form to providers and the 10 deadline for submission of the completed projected cost reports 11 by providers to the departments, in order to allow sufficient 12 time for review and the making of recommended adjustments to 13 the Medicaid 1915(b)(3) waiver reimbursement rates for Medicaid 14 integrated provider network providers. The reimbursement rates 15 shall apply to providers under both Medicaid fee-for-service 16 and Medicaid managed care administration. 17 2. The department of human services and the department 18 of public health shall collaboratively establish an ongoing 19 plan for regular review of reimbursement rates for providers 20 of substance use disorder treatment services and provide 21 information to the governor and the general assembly in a 22 timely manner to allow for the provision of appropriate funding 23 for any change in reimbursement rates. 24 EXPLANATION 25 The inclusion of this explanation does not constitute agreement with 26 the explanation’s substance by the members of the general assembly. 27 This bill directs the department of human services (DHS) 28 and the department of public health (DPH) to collaboratively 29 establish Medicaid 1915(b)(3) waiver reimbursement rates for 30 substance use disorder intensive outpatient and residential 31 treatment services using a projected cost report agreed upon by 32 the departments and the integrated provider network providers. 33 The departments shall establish time frames for release of 34 the agreed-upon projected cost report form to providers and 35 -1- LSB 5431XS (2) 89 pf/rh 1/ 2

S.F. 2116 the deadline for submission of the completed projected cost 1 reports by providers to the departments, to allow sufficient 2 time for review and the making of recommended adjustments to 3 the Medicaid 1915(b)(3) waiver reimbursement rates for Medicaid 4 integrated provider network providers. The reimbursement rates 5 shall apply to providers under both Medicaid fee-for-service 6 and Medicaid managed care administration. 7 DHS and DPH also shall collaboratively establish an ongoing 8 plan for regular review of reimbursement rates for providers 9 of substance use disorder treatment services and provide 10 information to the governor and the general assembly in a 11 timely manner to allow for the provision of appropriate funding 12 for any change in reimbursement rates. 13 -2- LSB 5431XS (2) 89 pf/rh 2/ 2