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being provided to an already existing therapeutic court that engages 1 in evidence-based practices, to include medication assisted treatment 2 in jail settings pursuant to RCW 71.24.580. Funding provided under 3 this subsection shall not supplant existing funds utilized for this 4 purpose. 5 (34) In establishing, re-basing, enhancing, or otherwise updating 6 medicaid rates for behavioral health services, the authority and 7 contracted actuaries shall use a transparent process that provides an 8 opportunity for medicaid managed care organizations, behavioral 9 health administrative service organizations, and behavioral health 10 provider agencies, and their representatives, to review and provide 11 data and feedback on proposed rate changes within their region or 12 regions of service operation. The authority and contracted actuaries 13 shall transparently incorporate the information gained from this 14 process and make adjustments allowable under federal law when 15 appropriate. 16 (35) The authority shall seek input from representatives of the 17 managed care organizations (MCOs), licensed community behavioral 18 health agencies, and behavioral health administrative service 19 organizations to develop specific metrics related to behavioral 20 health outcomes under integrated managed care. These metrics must 21 include, but are not limited to: (a) Revenues and expenditures for 22 community behavioral health programs, including medicaid and 23 nonmedicaid funding; (b) access to services, service denials, and 24 utilization by state plan modality; (c) claims denials and record of 25 timely payment to providers; (d) client demographics; and (e) social 26 and recovery measures and managed care organization performance 27 measures. The authority must work with managed care organizations and 28 behavioral health administrative service organizations to integrate 29 these metrics into an annual reporting structure designed to evaluate 30 the performance of the behavioral health system in the state over 31 time. The authority must submit a report to the office of financial 32 management and the appropriate committees of the legislature, before 33 December 30th of each year during the fiscal biennium, that details 34 the implemented metrics and relevant performance outcomes for the 35 prior calendar year. 36 (36) $4,061,000 of the general fund—state appropriation for 37 fiscal year 2024, $3,773,000 of the general fund—state appropriation 38 for fiscal year 2025, and $6,419,000 of the general fund—federal 39 p. 259 ESSB 5187.SL