TITLE 53. SOCIAL SERVICES AND INSTITUTIONS

CHAPTER 6. HEALTH CARE SERVICES

Part 21. Children's Mental Health Services Pilot Project -- Youth Outcome Improvement

Interim Study On Improved Youth Outcomes -- Study Activities

53-6-2103. (Temporary) Interim study on improved youth outcomes -- study activities. (1) The children, families, health, and human services interim committee shall recommend to the legislature a system for evidence-based outcomes for services provided to youth and options for performance-based reimbursement for providers.

(2) In recommending an evidence-based outcomes model for children's mental health services, the committee shall take into consideration:

(a) the current array of children's mental health services allowed for under the Montana medicaid state plan and any data the department of public health and human services has collected regarding the effectiveness of the services;

(b) the degree to which the array and effectiveness of services offered by a provider may factor into the reimbursement the provider receives under the pilot project;

(c) potential incentives for and risks of the evidence-based outcomes model under review;

(d) existing data that may be relevant to development of the model;

(e) the types of data that must be collected to evaluate the effectiveness of the model; and

(f) the need for changes to the state's information technology systems in order to collect and analyze data.

(3) The committee shall solicit information, research, and recommendations from interested parties, including but not limited to the department of public health and human services, providers of children's mental health services, the mental health program of the western interstate commission on higher education, organizations representing the interests of children with mental health disorders, and family members of children with mental health disorders.

(4) The committee shall hold at least one meeting outside of Helena during the interim to meet with medicaid providers and other interested parties to obtain comment on the elements of an evidence-based outcomes model that:

(a) will best meet the needs of Montana children; and

(b) takes into account the geographic and demographic features of the state.

(5) The committee shall recommend a model after reviewing, in conjunction with the department of public health and human services:

(a) the current medicaid reimbursement system for the services covered by this part;

(b) the department's system for collecting data related to children's mental health services and payments for the services;

(c) evidence-based outcomes and performance-based reimbursement models used by other states, including enhanced tier payment systems; and

(d) research, recommendations, and other public comment submitted to the committee.

(6) The committee shall make a recommendation to the 2017 legislature on the scope of the pilot project as determined under 53-6-2102(3) including proposed legislation that contains an evidence-based outcomes model and identifies other elements of a pilot project, including performance-based reimbursement options, to be implemented on July 1, 2017. (Terminates June 30, 2019--sec. 7, Ch. 265, L. 2015.)

History: En. Sec. 3, Ch. 265, L. 2015.