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Establishing the capacity to purchase community long-term involuntary psychiatric treatment services through managed care (O'Ban)

Requires the state health care authority to: (1) Integrate risk for long-term involuntary civil treatment provided by state hospitals into managed care contracts; and (2) Develop a psychiatric managed care capitation risk model that integrates long-term inpatient care. Requires the department of social and health services to: (1) Collaborate with the state health care authority and appropriate stakeholders and consultants to develop and implement a detailed transition plan taking certain recommendations into account; (2) Purchase a portion of the state's long-term treatment capacity allocated to behavioral health organizations in willing community facilities capable of providing alternatives to treatment in a state hospital; and (3) Enter into performance-based contracts with facilities certified by the department to provide treatment to adults on a ninety or one hundred eighty-day inpatient involuntary commitment order.

EFFECT OF 1ST SUBSTITUTE (Ways & Means)
(1) Clarifies that 90 and 180-day involuntary commitments may be provided in willing and able facilities. (2) Extends out the date implementation for integrating the risk of long-term involuntary civil treatment into managed care contracts from January 1, 2020 to July 1, 2021. (3) Extends other due dates within the bill. (4) Requires DSHS and HCA to invite specific stakeholders to participate in the planning process. (5) Requires DSHS and HCA and stakeholders to consider tracking bed capacity for long-term inpatient beds and developing rates that reflect patient acuity and case complexity. (6) Requires state hospital discharge planning to involve community providers

Hearing Date: Monday, February 05, 2018 -- 10:00 am

WA State Legislature Link:
http://app.leg.wa.gov/billsummary?BillNumber=6573&Year=2017    (opens a new browser tab)