(a) In this section, “behavioral health services” means mental health and substance abuse disorder services.
(b) The commission shall, to the greatest extent possible, integrate into the Medicaid managed care program implemented under this chapter the following services for Medicaid-eligible persons:
(1) behavioral health services, including targeted case management and psychiatric rehabilitation services; and
(2) physical health services.
(c) A managed care organization that contracts with the commission under this chapter shall develop a network of public and private providers of behavioral health services and ensure adults with serious mental illness and children with serious emotional disturbance have access to a comprehensive array of services.
(d) In implementing this section, the commission shall ensure that:
(1) an appropriate assessment tool is used to authorize services;
(2) providers are well-qualified and able to provide an appropriate array of services;
(3) appropriate performance and quality outcomes are measured;
(4) two health home pilot programs are established in two health service areas, representing two distinct regions of the state, for persons who are diagnosed with:
(A) a serious mental illness; and
(B) at least one other chronic health condition;
(5) a health home established under a pilot program under Subdivision (4) complies with the principles for patient-centered medical homes described in § 533.0029; and
(6) all behavioral health services provided under this section are based on an approach to treatment where the expected outcome of treatment is recovery.
(e) Repealed by Acts 2015, 84th Leg., R.S., Ch. 837 , Sec. 3.40(a)(16), eff. January 1, 2016.
(f) Repealed by Acts 2015, 84th Leg., R.S., Ch. 837 , Sec. 3.40(a)(16), eff. January 1, 2016.
(g) The commission shall, if the commission determines that it is cost-effective and beneficial to recipients, include a peer specialist as a benefit to recipients or as a provider type.
(h) To the extent of any conflict between this section and any other law relating to behavioral health services, this section prevails.
(i) The executive commissioner shall adopt rules necessary to implement this section.

Text of section effective until April 01, 2025