The Health Care Authority must collaborate with the University of Washington Department of Psychiatry and Behavioral Sciences and Seattle Children’s Hospital to implement the Partnership Access Line (PAL) for Moms and Kids.
PAL for Moms and Kids shall be expanded to include support for health care professionals who provide care to pregnant women and new mothers as well as assistance for parents and guardians seeking mental health services for their child or children
The proposed substitute does the following:
•Changes the Partnership Access Line (PAL) program for moms and kids to a two-year pilot.
•Requires Health Care Authority, in collaboration with University of Washington and Seattle Children’s Hospital to provide annual reporting on program outcomes.
•Requires Health Care Authority to enforce network adequacy and care coordination requirements in managed care contracts with regard to mental health services.
Amendments enacted by the House Early Learning & Human Services committee on 2/21 make the following changes:
•Requires the Health Care Authority and the Office of the Insurance Commissioner to consult with the University of Washington, Medicaid managed care organizations, and health insurance carriers to develop an alternative funding model for PAL by December 1, 2018.
•Removes the pilot designation for the existing consultation services.
•Delays the implementation of the PAL for Moms & Kids pilot program until January 1, 2019.
•Seattle Children’s Hospital is added to the group with whom the HCA and the Office of the Insurance Commissioner must consult to develop an alternative funding model for PAL.
Amendments from the House Appropriations Committee make the following changes:
-Requires the HCA to convene a group of specified organizations to recommend an alternative funding model for PAL and a strategy to ensure that PAL services do not duplicate existing MCO requirements.
Adds the Office of the Insurance Commissioner and organizations connecting families to children’s mental health services and providers to the group making the recommendations.