SB 5863 amends current statute around mental health services to require the department of social and health services to establish outcome and performance measures for the management of substance use disorder treatment services for clients with publicly funded medical coverage through its contracts with behavioral health organizations. The bill has five main requirements:
(1) By December 1, 2017, DSHS will establish a standard means by which an approved substance use disorder treatment program certified by the department must measure the presence of disordered substance use for clients with publicly funded medical coverage.
(2) By January 1, 2018, contracts between behavioral health organizations and substance use disorder treatment providers must require that the programs be managed with the outcome goal of elimination of disordered substance use for clients.
(3) Requires data to be collected, by March 1, 2018, by providers measuring the status of current and former clients at intervals of six months and twelve months following initiation of treatment, and at other times to be established by DSHS. The department is required to share the performance data collected with behavioral health organizations.
(4) Starting January 1, 2019, DSHS must require behavioral health organizations to utilize performance-based contracts with substance use disorder treatment providers in their network, with a goal of eliminating disordered substance, and must structure the contracts to tie provider payment to the achievement of performance improvement goals.
(5) Requires DSHS to establish an annual reporting schedule to the governor and relevant committees of the legislature to describe its progress and the performance of substance use disorder treatment providers measured under this section