HOUSE BILL NO. 5371

A bill to amend 1939 PA 280, entitled

"The social welfare act,"

(MCL 400.1 to 400.119b) by adding section 109o.

the people of the state of michigan enact:

Sec. 109o. (1) The department must develop a prospective payment system under the medical assistance program for funding certified community behavioral health clinics. The payment system must fully comply with all federal payment methodologies. The department must submit to the federal Centers for Medicare and Medicaid Services any approval request necessary for a Medicaid 1115 waiver.

(2) The department must certify as a certified community behavioral health clinic a community mental health center licensed by the department that adheres to all federal certified community behavioral health clinic requirements.

(3) Subject to approval, the prospective payment system must be implemented before January 1, 2028.

(4) The department shall promulgate rules to implement this section.

(5) As used in this section and section 109p:

(a) "Certified community behavioral health clinic" means an entity that has been certified by the department in accordance with federal criteria and the protecting access to Medicare act of 2014, Public Law 113-93, or an appropriate change or waiver to the Medicaid state plan.

(b) "Prospective payment system" means a payment methodology that funds, in advance, a certified community behavioral health clinic for the anticipated costs of carrying out the direct and indirect clinical and administrative activities required of certified community behavioral health clinics.

Enacting section 1. This amendatory act does not take effect unless Senate Bill No.____ or House Bill No. 5372 (request no. 04673'23) of the 102nd Legislature is enacted into law.