Utah § 26B-3-219 Reimbursement for crisis management services provided in a behavioral health receiving center -- Integration of payment for physical health services.

Utah Statutes

§ 26B-3-219 — Reimbursement for crisis management services provided in a behavioral health receiving center -- Integration of payment for physical health services.

Utah·Title 26B Utah Health and Human Services Code·Ch. 26B-3 Health Care - Administration and Assistance·Part 26B-3-2 Medicaid Waivers

(1)As used in this section:

(1)(a) "Accountable care organization" means the same as that term is defined in Section 26B-3-204.

(1)(b) "Behavioral health receiving center" means the same as that term is defined in Section 26B-4-114.

(1)(c) "Crisis management services" means behavioral health services provided to an individual who is experiencing a mental health crisis.

(1)(d) "Managed care organization" means the same as that term is defined in 42 C.F.R. Sec. 438.2.

(2)Before July 1, 2020, the division shall apply for a Medicaid waiver or state plan amendment with CMS to offer a program that provides reimbursement through a bundled daily rate for crisis management services that are delivered to an individual during the individual's stay at a behavioral health receiving center.

(3)If th

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(1) As used in this section:

(1)(a) "Accountable care organization" means the same as that term is defined in Section 26B-3-204.
(1)(b) "Behavioral health receiving center" means the same as that term is defined in Section 26B-4-114.
(1)(c) "Crisis management services" means behavioral health services provided to an individual who is experiencing a mental health crisis.
(1)(d) "Managed care organization" means the same as that term is defined in 42 C.F.R. Sec. 438.2.
(2) Before July 1, 2020, the division shall apply for a Medicaid waiver or state plan amendment with CMS to offer a program that provides reimbursement through a bundled daily rate for crisis management services that are delivered to an individual during the individual's stay at a behavioral health receiving center.
(3) If the waiver or state plan amendment described in Subsection (2) is approved, the department shall:

(3)(a) implement the program described in Subsection (2); and
(3)(b) require a managed care organization that contracts with the state's Medicaid program for behavioral health services or integrated health services to provide coverage for crisis management services that are delivered to an individual during the individual's stay at a behavioral health receiving center.
(4) (4)(a) The department may elect to integrate payment for physical health services provided in a behavioral health receiving center.
(4)(b) In determining whether to integrate payment under Subsection (4)(a), the department shall consult with accountable care organizations and counties in the state.

Utah § 26B-3-219 (Reimbursement for crisis management services provided in a behavioral health receiving center -- Integration of payment for physical health services.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.