HOUSE BILL 432

50th legislature - STATE OF NEW MEXICO - first session, 2011

INTRODUCED BY

Zachary J. Cook

AN ACT

RELATING TO BEHAVIORAL HEALTH; PROVIDING FOR THE ESTABLISHMENT OF AN INTERAGENCY BEHAVIORAL HEALTH PURCHASING COLLABORATIVE PILOT PROJECT TO CREATE A PARTNERSHIP OF A BEHAVIORAL HEALTH PROVIDER NETWORK AND ANOTHER ENTITY TO DELIVER BEHAVIORAL HEALTH SERVICES AND MANAGE CARE IN DESIGNATED AREAS OF THE STATE.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:

     SECTION 1. TEMPORARY PROVISION--INTERAGENCY BEHAVIORAL HEALTH PURCHASING COLLABORATIVE--STATEWIDE ENTITY PILOT PROJECT.--

          A. By January 1, 2012 and contingent upon federal approval of any necessary medicaid state plan amendment or waiver, the interagency behavioral health purchasing collaborative shall implement a pilot project that provides for:

                (1) a network of behavioral health providers, which shall form a partnership with another entity to submit a contract with a duration of at least two years for collaborative approval pursuant to Paragraph (2) of Subsection F of Section 9-7-6.4 NMSA 1978 to provide behavioral health services and to manage care as a regional behavioral health entity pursuant to Paragraph (5) of Subsection B of Section 9-7-6.4 NMSA 1978;

                (2) a partnership between the network of behavioral health providers and another entity to establish a behavioral health entity that shall entail the network of providers having at least fifty-one percent control of the behavioral health entity; and

                (3) a pilot project design that establishes the behavioral health entity to meet criteria for licensure as a risk-bearing entity by the insurance division of the public regulation commission.

          B. By November 1, 2011, the interagency behavioral health purchasing collaborative shall coordinate with the behavioral health entity established pursuant to Subsection A of this section to designate what region or regions of the state the entity will serve and conduct a readiness review to ensure that the entity will have the staff, resources, information technology, administrative procedures and other components in place to fully implement the pilot project and successfully deliver behavioral health services in the area to be served by January 1, 2012.

          C. The interagency behavioral health purchasing collaborative shall amend its existing contract with the current statewide entity to provide, during the period of the pilot project's operation, for the exclusive implementation of the pilot project in designated areas of the state.

          D. If necessary, the interagency behavioral health purchasing collaborative shall seek federal approval of a state plan amendment or medicaid waiver to carry out the provisions of this section.

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