Sec. 103. Expanding certified community behavioral health clinic services within Medicaid demonstration program
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/bill/119/s/3402/is/section-103·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Section 223(a)(2)(D) of the Protecting Access to Medicare Act of 2014 ( 42 U.S.C. 1396a note), is amended to read as follows: Provision (in a manner reflecting person-centered care) of at least the following required services described in clause (i), which may be furnished either directly or, if not available directly, through formal relationships with other providers, and at the discretion of the certified community behavioral health clinic, at least 1 of the following additional services described in clause
(ii)furnished directly by the clinic: Crisis mental health services, including 24-hour mobile crisis teams, emergency crisis intervention services, and crisis stabilization. Screening, assessment, and diagnosis, including risk assessment. Patient-centered treatment planning or similar processes, including risk assessment and crisis planning. Outpatient mental health and substance use services. Outpatient clinic primary care screening and monitoring of key health indicators and health risk. Targeted case management. Psychiatric rehabilitation services. Peer support and counselor services and family supports. Intensive, community-based mental health care for members of the Armed Forces and veterans, particularly those members and veterans located in rural areas, provided the care is consistent with minimum clinical mental health guidelines promulgated by the Veterans Health Administration including clinical guidelines contained in the Uniform Mental Health Services Handbook of such Administration. The additional services described in this clause are— services not described in clause (i); and services that are appropriate to meet the health needs of the population served, including any of the primary health services described in section 330(b)(1)(A) of the Public Health Service Act. . Section 223 of the Protecting Access to Medicare Act of 2014 ( 42 U.S.C. 1396a note), is amended— in subsection (b)(1), by striking mental health services and inserting certified community behavioral health clinic services ; in subsection (d)(5)(D)— by inserting (including such State’s prior use under such demonstration of a supplemental payment or after wraparound framework for payments for services furnished under contract with a managed care entity) established under subsection
(c); and by striking the period at the end and inserting the following: , and notwithstanding any Federal regulation concerning prohibition of additional payments for services covered under a contract with a managed care entity, a prepaid inpatient health plan, or a prepaid ambulatory health plan. ; and in subsection (e)— by redesignating paragraphs
(1)through
(4)as paragraphs
(2)through (5); and by inserting before paragraph
(2)the following new paragraph: The term certified community behavioral health clinic services means any services required under clause
(i)of subsection (a)(2)(D) and any additional services described in clause
(ii)of such subsection to the extent that a certified community behavioral health clinic elects to furnish such services. . The amendments made by this section shall apply with respect to services furnished on or after October 1, 2026.
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Sec. 103
Expanding certified community behavioral health clinic services within Medicaid demonstration program
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