2023 -- H 5648

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LC001746

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2023

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J O I N T   R E S O L U T I O N

TO AMEND THE MEDICAID SECTION 1115 DEMONSTRATION WAIVER REQUESTS

AND RENEWALS

     

     Introduced By: Representatives Baginski, Solomon, Casimiro, Donovan, Bennett,
Potter, Cruz, and Boylan

     Date Introduced: February 15, 2023

     Referred To: House Finance

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     WHEREAS, The General Assembly enacted Chapter 12.4 of Title 42 entitled “The

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Rhode Island Medicaid Reform Act of 2008”; and

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     WHEREAS, A legislative enactment is required pursuant to Rhode Island General Laws

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§ 42-12.4-1, et seq.; and

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     WHEREAS, Rhode Island General Laws § 42-7.2-5(3)(i) provides that the Secretary of

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the Executive Office of Health and Human Services is responsible for the review and

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coordination of any Medicaid section 1115 demonstration waiver requests and renewals as well

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as any initiatives and proposals requiring amendments to the Medicaid state plan or category II or

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III changes as described in the demonstration, “with potential to affect the scope, amount, or

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duration of publicly-funded health care services, provider payments or reimbursements, or access

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to or the availability of benefits and services provided by Rhode Island general and public laws”;

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now therefore be it

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     RESOLVED, That, in pursuit of a more cost-effective consumer choice system of care

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that is fiscally sound and sustainable and that reduces the number of days behaviorally complex

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patients spend in acute care facilities, the legislature approves the following pilot proposal to

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amend the demonstration:

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     (1) Implement a behavioral health per diem add-on rate of one hundred seventy-five

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dollars ($175) for up to one hundred (100) complex patients with behavioral conditions who

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reside in a nursing facility, have a history of frequent utilization of acute care facilities, and are

 

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Medicaid recipients with medically-based mental health or behavioral disorders demonstrating

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significant behaviors as shown in a minimum of thirty (30) days of clinical behavioral

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documentation of behavioral health conditions, and the nursing facility is Medicaid certified to

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provide or facilitate enhanced levels of behavioral healthcare; and be it further

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     RESOLVED, That the Secretary of State be and hereby is authorized and directed to

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transmit duly certified copies of this resolution to the Governor of the State of Rhode Island, the

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Rhode Island Department of Health, and to the Rhode Island Executive Office of Health and

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Human Services.

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

J O I N T   R E S O L U T I O N

TO AMEND THE MEDICAID SECTION 1115 DEMONSTRATION WAIVER REQUESTS

AND RENEWALS

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     This joint resolution would approve an amendment to the Medicaid section 1115

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demonstration waiver requests and renewals.

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