Page 1015

(39) The authority shall seek input from representatives of the 1 managed care organizations (MCOs), licensed community behavioral 2 health agencies, and behavioral health administrative service 3 organizations to develop specific metrics related to behavioral 4 health outcomes under integrated managed care. These metrics must 5 include, but are not limited to: (a) Revenues and expenditures for 6 community behavioral health programs, including medicaid and 7 nonmedicaid funding; (b) access to services, service denials, and 8 utilization by state plan modality; (c) claims denials and record of 9 timely payment to providers; (d) client demographics; and (e) social 10 and recovery measures and managed care organization performance 11 measures. The authority must work with managed care organizations and 12 behavioral health administrative service organizations to integrate 13 these metrics into an annual reporting structure designed to evaluate 14 the performance of the behavioral health system in the state over 15 time. The authority must submit a report by June 30, 2023, outlining 16 the specific metrics implemented. Thereafter, the authority shall 17 submit the report for the preceding calendar year to the governor and 18 appropriate committees of the legislature on or before December 30th 19 of each year detailing the implemented metrics and relevant 20 performance outcomes for the prior calendar year. 21 (40) $3,377,000 of the general fund—state appropriation for 22 fiscal year 2022 and (($8,027,000)) $4,952,000 of the general fund— 23 state appropriation for fiscal year 2023 are provided solely for the 24 authority to implement pilot programs for intensive outpatient 25 services and partial hospitalization services for certain children 26 and adolescents. 27 (a) The effective date of the pilot sites is January 1, 2021. 28 (b) The two pilots must be contracted with a hospital that 29 provides psychiatric inpatient services to children and adolescents 30 in a city with the largest population east of the crest of the 31 Cascade mountains and a hospital that provides psychiatric inpatient 32 services to children and adolescents in a city with the largest 33 population west of the crest of the Cascade mountains. 34 (c) The authority must establish minimum standards, eligibility 35 criteria, authorization and utilization review processes, and payment 36 methodologies for the pilot programs in contract. 37 (d) Eligibility for the pilot sites is limited pursuant to the 38 following: 39 p. 1014 ESSB 5187.SL