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Code · BILL · 114th Congress · H.R. 4435 (Introduced in House) — To improve access to mental health and substance use disorder prevention, treatment, crisis, and recovery services. · Sec. 406

Sec. 406. Medicaid data and reporting

303 words·~1 min read·/bill/114/hr/4435/ih/section-406

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The Secretary of Health and Human Services shall develop guidance for the annual reporting by States of mental health screening provided to children eligible for medical assistance for early and periodic screening, diagnostic, and treatment services under title XIX of the Social Security Act. Such guidance shall be provided in the form of a modification of the CMS 416 Annual EPSDT Participation Report in a manner so that the report includes information on the number of children under 12 years of age, and the number of individuals who are at least 12 years of age but not older than 21 years of age, who receive mental health screening services, the number of such children and individuals who are referred for mental health treatment, and the number of such children and individuals who are receive treatment for mental health conditions under such title.
Section 1900(b)(6) of the Social Security Act ( 42 U.S.C. 1396(b)(6) ) is amended— by striking MACPAC shall consult and inserting the following: MACPAC shall consult ; and by adding at the end the following new subparagraph: MACPAC shall survey selected State Medicaid programs’ behavioral health provider reimbursement rates and beneficiary utilization of behavioral health services and shall submit an annual report to Congress regarding such review. Each such report regarding behavioral health services shall include selected data relating to— beneficiary behavioral health service encounters; and the amount of Medicaid behavioral health provider reimbursement rates and the sources for such rates.
Notwithstanding any other provision of law, the Secretary regularly shall provide MACPAC with— the most recent State reports and most recent independent certified audits submitted under section 1923(j); cost reports submitted under title XVIII; and such other data as MACPAC may request, for purposes of conducting the reviews and preparing and submitting the annual reports required under this subparagraph. .
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Sec. 406
Medicaid data and reporting
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