SF 240 (LSB 1494XS (1) 90)

SENATE FILE 240

BY  SCHULTZ

(COMPANION TO HF 20 BY LOHSE)

A BILL FOR

An Act relating to reimbursement rates for state-licensed providers of certain substance use disorder treatment services.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  SUBSTANCE USE DISORDER TREATMENT SERVICES PROVIDERS —— REIMBURSEMENT RATES.  The department of health and human services shall establish a rate structure for Medicaid 1915(b)(3) waiver reimbursement, applicable under Medicaid managed care organization administration, for substance use disorder residential and intensive outpatient treatment services providers that are licensed by the state to deliver Medicaid 1915(b)(3) services. The department shall establish time frames for release of the rate structure to providers and the deadline for submission of the completed projected cost reports by providers to the department in order to allow sufficient time for review and the making of recommended adjustments to the Medicaid 1915(b)(3) waiver reimbursement rates for Medicaid providers. The department of health and human services shall establish a plan for regular review of reimbursement rates for providers of substance use disorder treatment services and shall provide information to the governor and the general assembly in a timely manner to allow for the provision of appropriate funding for any change in reimbursement rates.
EXPLANATION
The inclusion of this explanation does not constitute agreement with
the explanation’s substance by the members of the general assembly.
   This bill directs the department of health and human services (the department) to establish Medicaid 1915(b)(3) waiver reimbursement rates, applicable to providers under Medicaid managed care administration, for substance use disorder residential and intensive outpatient treatment services providers that are licensed by the state to deliver 1915(b)(3) services. The department shall establish time frames for release of the rate structure to providers and the deadline for submission of the completed projected cost reports by providers to the departments, to allow sufficient time for review and the making of recommended adjustments to the reimbursement rates. The department shall establish a plan for regular review of reimbursement rates for these providers and shall provide information to the governor and the general assembly in a timely manner to allow for the provision of appropriate funding for any change in reimbursement rates.