26B-3-224. Medicaid waiver for increased integrated health care reimbursement.
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Effective 11/6/2025
26B-3-224. Medicaid waiver for increased integrated health care reimbursement.
(1)As used in this section:
(a)"Integrated health care setting" means a health care or behavioral health care setting that provides integrated physical and behavioral health care services.
(b)"Local mental health authority" means a local mental health authority described in Section 17-77-301 .
(2)The department shall develop a proposal to allow the state Medicaid program to reimburse a local mental health authority for covered physical health care services provided in an integrated health care setting to Medicaid eligible individuals.
(3)The department shall apply for a Medicaid waiver or a state plan amendment with CMS to implement the proposal described in Subsection
(2).
(4)If the waiver or state plan amendment described in Subsection
(3)is approved, the department shall:
(a)implement the proposal described in Subsection
(2); and
(b)while the waiver or state plan amendment is in effect, submit a report to the Health and Human Services Interim Committee each year before November 30 detailing:
(i)the number of patients served under the waiver or state plan amendment;
(ii)the cost of the waiver or state plan amendment; and
(iii)any benefits of the waiver or state plan amendment.
Amended by Chapter 16 , 2025 Special Session 1