7 LONG TITLE
8 General Description:
9 This bill addresses reimbursement for certain inpatient mental health services under
11 Highlighted Provisions:
12 This bill:
13 ▸ directs the Department of Health to apply for a waiver or a state plan amendment
14 with Medicaid to offer a program to provide reimbursement for certain inpatient
15 mental health services.
16 Money Appropriated in this Bill:
18 Other Special Clauses:
20 Utah Code Sections Affected:
22 26-18-420, Utah Code Annotated 1953
24 Be it enacted by the Legislature of the state of Utah:
25 Section 1. Section 26-18-420 is enacted to read:
26 26-18-420. Medicaid waiver for inpatient care in an institution for mental
28 (1) As used in this section, "institution for mental diseases" means the same as that
29 term is defined in 42 C.F.R. Sec. 435.1010.
30 (2) Before August 1, 2020, the division shall apply for a Medicaid waiver or a state
31 plan amendment with CMS to offer a program that provides reimbursement for mental health
32 services that are provided:
33 (a) in an institution for mental diseases that includes more than 16 beds; and
34 (b) to an individual who receives mental health services in an institution for mental
35 diseases for a period of more than 15 days in a calendar month.
36 (3) If the waiver or state plan amendment described in Subsection (2) is approved, the
37 department shall:
38 (a) coordinate with the Department of Human Services to develop and offer the
39 program described in Subsection (2); and
40 (b) submit to the Health and Human Services Interim Committee and the Social
41 Services Appropriations Subcommittee any report that the department submits to CMS that
42 relates to the budget neutrality, independent waiver evaluation, or performance metrics of the
43 program described in Subsection (2), within 15 days after the day on which the report is
44 submitted to CMS.
45 (4) Notwithstanding Sections 17-43-201 and 17-43-301, if the waiver or state plan
46 amendment described in Subsection (2) is approved, a county does not have to provide
47 matching funds to the state for the mental health services described in Subsection (2) that are
48 provided to an individual who qualifies for Medicaid coverage under Section 26-18-3.9 or
49 Section 26-18-411.