GENERAL ASSEMBLY OF NORTH CAROLINA

SESSION 2017

H                                                                                                                                                    2

HOUSE BILL 631

Committee Substitute Favorable 4/19/17

Short Title:      Reduce Admin. Duplication MH/DD/SAS Providers.	(Public)
Sponsors:
Referred to:

April 10, 2017

A BILL TO BE ENTITLED

AN ACT requiring the department of health and human services to establish a workgroup to examine and make recommendations about how to eliminate administrative duplication for MENTAL HEALTH, INTELLECTUAL/DEVELOPMENTAL DISABILITY, AND SUBSTANCE USE DISORDER providers.

The General Assembly of North Carolina enacts:

SECTION 1.(a)  The Secretary of the Department of Health and Human Services shall establish a workgroup to examine current administrative requirements for mental health, intellectual/developmental disability, and substance use disorder providers and how best to integrate these requirements with similar administrative requirements for physical health providers in order to avoid duplication and enhance efficiency. The workgroup shall consist of representatives from the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services, the Division of Medical Assistance, the Division of Health Benefits, the Division of Health Service Regulation, local management entity/managed care organizations, providers, and stakeholders. The examination shall include a review of at least all of the following categories of requirements imposed on mental health, intellectual/developmental disability, and substance use disorder providers and physical health providers:

(1)        Training.

(2)        Service delivery.

(3)        Documentation.

(4)        Claims processing.

(5)        Reporting.

(6)        Monitoring.

(7)        Oversight.

(8)        Facility licensure.

(9)        Medicaid enrollment.

(10)      Credentialing.

(11)      Accreditation.

(12)      Contracts.

(13)      Investigations.

(14)      Audits.

SECTION 1.(b)  In conducting the examination required under subsection (a) of this section, the workgroup shall identify the federal or State entity that created each requirement examined by the workgroup to include state legislation, statutes, contractual requirements, federal Medicaid and managed care law and provide a recommendation about whether that requirement should remain, be eliminated or redesigned. The workgroup shall consider any requirement imposed on mental health, intellectual/developmental disability, and substance use disorder providers that:

(1)        Is not federally mandated.

(2)        Exceeds what is required for physical health.

(3)        Does not add value to the delivery of behavioral health services.

(4)        Is unable to be incorporated into standard electronic health records or does not align with meaningful use of electronic health records.

SECTION 1.(c)  By March 31, 2018, the Department of Health and Human and Human Services shall report the findings and recommendations of the workgroup to the Joint Legislative Oversight Committee on Health and Human Services, the Joint Legislative Oversight Committee on Medicaid and NC Health Choice, and the Fiscal Research Division.

SECTION 2.  This act is effective when it becomes law.