Page 1009

authority shall monitor each center's effectiveness at lowering the 1 rate of state psychiatric hospital admissions. 2 (20) $9,795,000 of the general fund—state appropriation for 3 fiscal year 2022, $10,015,000 of the general fund—state appropriation 4 for fiscal year 2023, and $15,025,000 of the general fund—federal 5 appropriation are provided solely for the operation of secure 6 withdrawal management and stabilization facilities. The authority may 7 not use any of these amounts for services in facilities that are 8 subject to federal funding restrictions that apply to institutions 9 for mental diseases, unless they have received a waiver that allows 10 for full federal participation in these facilities. Within these 11 amounts, funding is provided to increase the fee for service rate for 12 these facilities up to $650 per day. The authority must require in 13 contracts with behavioral health entities that, beginning in calendar 14 year 2020, they pay no lower than the fee for service rate. The 15 authority must coordinate with regional behavioral health entities to 16 identify and implement purchasing strategies or regulatory changes 17 that increase access to services for individuals with complex 18 behavioral health needs at secure withdrawal management and 19 stabilization facilities. 20 (21) $23,090,000 of the general fund—state appropriation for 21 fiscal year 2022, $23,090,000 of the general fund—state appropriation 22 for fiscal year 2023, and $92,444,000 of the general fund—federal 23 appropriation are provided solely to maintain the enhancement of 24 community-based behavioral health services that was initially funded 25 in fiscal year 2019. Twenty percent of the general fund—state 26 appropriation amounts for each regional service area must be 27 contracted to the behavioral health administrative services 28 organizations and used to increase their nonmedicaid funding 29 allocations and the remainder must be provided to the medicaid 30 managed care organizations providing apple health integrated managed 31 care. The medicaid funding is intended to maintain increased rates 32 for behavioral health services provided by licensed and certified 33 community behavioral health agencies as defined by the department of 34 health. For the behavioral health administrative services 35 organizations, this funding must be allocated to each region based 36 upon the population of the region. For managed care organizations, 37 this funding must be provided through the behavioral health portion 38 of the medicaid integrated managed care capitation rates. The 39 p. 1008 ESSB 5187.SL