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authority to explore the development and implementation of a 1 sustainable, alternative payment model for comprehensive community 2 behavioral health services, including the certified community 3 behavioral health clinic (CCBHC) model. Funding must be used to 4 secure actuarial expertise; conduct research into national data and 5 other state models, including obtaining resources and expertise from 6 the national council for mental well-being CCBHC success center; and 7 engage stakeholders, including representatives of licensed community 8 behavioral health agencies and medicaid managed care organizations, 9 in the process. The authority must provide a preliminary report to 10 the office of financial management and the appropriate committees of 11 the legislature with findings, recommendations, and preliminary cost 12 estimates by December 31, 2022. The study must include: 13 (a) Overviews of alternate payment models and options and 14 considerations for implementing the certified community behavioral 15 health clinic model within Washington state; 16 (b) An analysis of the impact of expanding alternate payment 17 models on the state's behavioral health systems; 18 (c) Relevant federal regulations and options to implement 19 alternate payment models under those regulations; 20 (d) Options for payment rate designs; 21 (e) An analysis of the benefits and potential challenges in 22 integrating the CCBHC reimbursement model within an integrated 23 managed care environment; 24 (f) Actuarial analysis on the costs for implementing alternative 25 payment model options, including opportunities for leveraging federal 26 funding; and 27 (g) Recommendations to the legislature on a pathway for statewide 28 implementation. 29 (((107))) (106) $60,000 of the general fund—state appropriation 30 for fiscal year 2023 is provided on a one-time basis solely for the 31 authority to provide a grant to develop an integrative cultural 32 healing model to be implemented and managed by the Confederated 33 Tribes of the Colville Reservation. For the purposes of this 34 subsection, "integrative cultural healing model" means a behavioral 35 health model developed for and by tribal and urban-based Native 36 American partners in eastern Washington. Grant funds must be used for 37 staff costs for implementing the model; acquisition of cultural 38 tools, materials, and other group facilitation supplies; securing 39 access to outdoor environments in traditional places of gathering 40 p. 1044 ESSB 5187.SL