SB 5779 requires the Health Care Authority (HCA) to review payment codes related to behavioral health by August 1, 2017, and adjust payment rules to facilitate integration of behavioral health into primary care. It also requires HCA to communicate with health care providers to increase awareness of behavioral health reimbursement options, standardize billing practices, and reduce billing errors. Additionally, the authority and department are directed to establish a performance measure to be integrated into the statewide common measure set which tracks effective integration practices of behavioral health services in primary care settings. And subject to appropriation, it requires HCA to provide increased reimbursement for behavioral health services provided to patients up to 18 years of age in primary care settings.
EFFECT OF CHANGES MADE BY HUMAN SERVICES, MENTAL HEALTH & HOUSING COMMITTEE (First Substitute): Expands requirement for HCA to provide increased reimbursement to health care providers for behavioral health services provided in primary care settings to all patients, not just patients 18 years old and under. The substitute bill also changes the term Osteopath to Osteopathic Physician.