Synopsis As Introduced Amends the Specialized Mental Health Rehabilitation Act of 2013. Provides that for a specialized mental health rehabilitation facility licensed under the Act by December 1, 2017 or provisionally licensed under the Act by December 1, 2017, a payment shall be made for therapeutic visits that have been indicated by an interdisciplinary team as therapeutically beneficial. Provides that the payment shall be at a rate of 100% of the facility's rate on the effective date of the amendatory Act for the first 5 days. Provides that, thereafter, payment for a therapeutic visit shall be at 75% of the facility's rate on the effective date of the amendatory Act and may not exceed 30 days in a fiscal year and shall not exceed 10 days consecutively. Provides that payment to a facility for a therapeutic visit shall be available to the facility through both fee-for-service and managed care payment arrangements. Effective July 1, 2018.
Fiscal Note (Dept. of Healthcare & Family Services)
Since implementation of the SMART Act, the State has not reimbursed SMHRFs to ''hold beds" when their residents are absent from the facility. Based on the bed reserve utilization from FY 2016, when it was last fully recorded in the HFS system, the Department of Healthcare and Family Services estimates that it will cost the State $1.2 million to implement this bill. Payments to SMHRFs do not receive any federal financial participation through the Medicaid program.