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separately appropriated to the department of social and health 1 services. 2 (c) The authority shall coordinate with the department of social 3 and health services to develop and submit to the centers for medicare 4 and medicaid services an application to provide a 1915(i) state plan 5 home and community-based services benefit. The application shall be 6 developed to allow for the delivery of wraparound supportive 7 behavioral health services for individuals with mental illnesses who 8 also have a personal care need. The waiver shall be developed to 9 standardize coverage and administration, improve the current benefit 10 design, and clarify roles in administration of the behavioral health 11 personal care services benefit. By December 1, 2021, the authority, 12 in coordination with the department of social and health services, 13 must submit a report to the office of financial management and the 14 appropriate committees of the legislature which provides the 15 following: 16 (i) A description of the new benefit design developed for the 17 waiver, including a description of the services to be provided and 18 the responsibility for payment under the waiver; 19 (ii) Estimates of the number of individuals to be served annually 20 under the new waiver and the estimated state and federal fiscal costs 21 for the managed care organizations and the department of social and 22 health services; 23 (iii) A comparison estimate of the number of individuals to 24 receive behavioral health personal care services annually under the 25 current benefit structure and the estimated state and federal fiscal 26 costs for the managed care organizations and the department of social 27 and health services; and 28 (iv) A status update on the development and submission of the 29 waiver with an estimated timeline for approval and implementation of 30 the new wraparound services benefit. 31 (d) The authority must require behavioral health administrative 32 service organizations to submit information related to reimbursements 33 to counties made for involuntary treatment act judicial services and 34 submit a report to the office of financial management and the 35 appropriate committees of the legislature with complete fiscal year 36 2022 reimbursements by December 1, 2022. 37 (8) The authority is authorized to continue to contract directly, 38 rather than through contracts with behavioral health entities for 39 children's long-term inpatient facility services. 40 p. 1004 ESSB 5187.SL