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(35) As an element of contractual network adequacy requirements 1 and reporting, the authority shall direct managed care organizations 2 to make all reasonable efforts to develop or maintain contracts with 3 provider networks that leverage local, federal, or philanthropic 4 funding to enhance effectiveness of medicaid-funded integrated care 5 services. These networks must promote medicaid clients' access to a 6 system of services that addresses additional social support services 7 and social determinants of health as defined in RCW 43.20.025 in a 8 manner that is integrated with the delivery of behavioral health and 9 medical treatment services. 10 (36) $500,000 of the problem gambling account—state appropriation 11 is provided solely for the authority to contract for a problem 12 gambling adult prevalence study. The prevalence study must review 13 both statewide and regional results about beliefs and attitudes 14 toward gambling, gambling behavior and preferences, and awareness of 15 treatment services. The study should also estimate the level of risk 16 for problem gambling and examine correlations with broader behavioral 17 and mental health measures. The health care authority shall submit 18 results of the prevalence study to the problem gambling task force 19 and the legislature by June 30, 2022. 20 (37) $9,000,000 of the criminal justice treatment account—state 21 appropriation is provided solely for the authority to maintain 22 funding for new therapeutic courts created or expanded during fiscal 23 year 2021, or to maintain the fiscal year 2021 expansion of services 24 being provided to an already existing therapeutic court that engages 25 in evidence-based practices, to include medication assisted treatment 26 in jail settings pursuant to RCW 71.24.580. Funding provided under 27 this subsection shall not supplant existing funds utilized for this 28 purpose. 29 (38) In establishing, re-basing, enhancing, or otherwise updating 30 medicaid rates for behavioral health services, the authority and 31 contracted actuaries shall use a transparent process that provides an 32 opportunity for medicaid managed care organizations, behavioral 33 health administrative service organizations, and behavioral health 34 provider agencies, and their representatives, to review and provide 35 data and feedback on proposed rate changes within their region or 36 regions of service operation. The authority and contracted actuaries 37 shall transparently incorporate the information gained from this 38 process and make adjustments allowable under federal law when 39 appropriate. 40 p. 1013 ESSB 5187.SL