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AB-385 Medi-Cal: Early and Periodic Screening, Diagnosis, and Treatment mental health services: performance outcomes system: platform.(2019-2020)

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Date Published: 04/23/2019 09:00 PM
AB385:v98#DOCUMENT

Amended  IN  Assembly  April 23, 2019

CALIFORNIA LEGISLATURE— 2019–2020 REGULAR SESSION

Assembly Bill
No. 385


Introduced by Assembly Member Calderon

February 05, 2019


An act to amend Section 14707.5 of the Welfare and Institutions Code, relating to Medi-Cal.


LEGISLATIVE COUNSEL'S DIGEST


AB 385, as amended, Calderon. Medi-Cal: Early and Periodic Screening, Diagnosis, and Treatment mental health services: performance outcome system platform. outcomes system: platform.
Existing law provides for establishes the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive healthcare health care services, including Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) services for an individual under 21 years of age. The Medi-Cal program is, in part, governed by, and funded pursuant to, federal Medicaid Program program provisions. Existing law requires the department, in collaboration with the California Health and Human Services Agency and in consultation with the Mental Health Services Oversight and Accountability Commission, to create a plan for a performance outcome outcomes system for EPSDT mental health services, as specified.

This bill would require the department to develop a platform, or integrate with an existing platform, to support the performance outcome system that will improve outcomes at the individual and system levels and will inform fiscal decision making related to the purchase of services. The bill would require the platform to, at a minimum, be capable of automating the collection of the required data, provide for secure access via a web-based system, and allow authorized individuals to complete the data collection and to retrieve up-to-date customized multi-rater reports.

This bill would require the department to develop a platform, update an existing platform, or integrate with an existing platform, capable of automating the collection of data from a functional assessment tool that is established pursuant to the department’s performance outcomes system plan. The bill would require the platform to, among other things, allow authorized individuals to complete the functional assessment tool, provide access via a web-based system, and avoid unnecessary duplication and overassessment.
Vote: MAJORITY   Appropriation: NO   Fiscal Committee: YES   Local Program: NO  

The people of the State of California do enact as follows:


SECTION 1.

 It is the intent of the Legislature to improve the quality and efficiency of the mental health services provided to youth through the Early and Periodic Screening, Diagnosis, and Treatment mandate for state mental health services.

SEC. 2.

 Section 14707.5 of the Welfare and Institutions Code is amended to read:

14707.5.
 (a) It is the intent of the Legislature to develop a performance outcome outcomes system for Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) mental health services that will improve outcomes at the individual and system levels and will inform fiscal decisionmaking related to the purchase of services.
(b) The department, in collaboration with the California Health and Human Services Agency, and in consultation with the Mental Health Services Oversight and Accountability Commission, shall create a plan for a performance outcome outcomes system for EPSDT mental health services provided to eligible Medi-Cal beneficiaries under 21 years of age pursuant to Section 1396d(a)(4)(B) of Title 42 of the United States Code.
(1) Commencing no later than September 1, 2012, the department shall convene a stakeholder advisory committee comprised of representatives of child and youth clients, family members, providers, counties, and the Legislature. This consultation shall inform the creation of a plan for a performance outcome outcomes system for EPSDT mental health services.
(2) In developing a plan for a performance outcomes system for EPSDT mental health services, the department shall consider the following objectives, among others:
(A) High quality and accessible EPSDT mental health services for eligible children and youth, consistent with federal law.
(B) Information that improves practice at the individual, program, and system levels.
(C) Minimization of costs by building upon existing resources to the fullest extent possible.
(D) Reliable data that are collected and analyzed in a timely fashion.
(3) At a minimum, the plan for a performance outcome outcomes system for EPSDT mental health services shall consider evidence-based models for performance outcome outcomes systems, such as the Child and Adolescent Needs and Strengths (CANS), federal requirements, including the review by the External Quality Review Organization (EQRO), and, timelines for implementation at the provider, county, and state levels.
(c) The department shall provide the performance outcomes system plan, including milestones and timelines, for EPSDT mental health services described in subdivision (a) to all fiscal committees and appropriate policy committees of the Legislature no later than October 1, 2013.
(d) The department shall propose how to implement the performance outcomes system plan for EPSDT mental health services described in subdivision (a) no later than January 10, 2014.
(e) Commencing no later than February 1, 2014, the department shall convene a stakeholder advisory committee comprised of advocates for and representatives of, child and youth clients, family members, managed care health plans, providers, counties, and the Legislature. The committee shall develop methods to routinely measure, assess, and communicate program information regarding informing, identifying, screening, assessing, referring, and linking Medi-Cal eligible beneficiaries to mental health services and supports. The committee shall also review health plan screenings for mental health illness, health plan referrals to Medi-Cal fee-for-service providers, and health plan referrals to county mental health plans, among others. The committee shall make recommendations to the department regarding performance and outcome measures that will contribute to improving timely access to appropriate care for Medi-Cal eligible beneficiaries.
(1) The department shall incorporate into the performance outcomes system established pursuant to this section the screenings and referrals described in this subdivision, including milestones and timelines, and shall provide an updated performance outcomes system plan to all fiscal committees and the appropriate policy committees of the Legislature no later than October 1, 2014.
(2) The department shall propose how to implement the updated performance systems outcome outcomes system plan described in paragraph (1) no later than January 10, 2015.

(f)The department shall develop a platform, or integrate with an existing platform, to support the performance outcome system established pursuant to this section that will improve outcomes at the individual and system levels and will inform fiscal decision making related to the purchase of services. At a minimum, the platform shall do all of the following:

(1)Be capable of automating the collection of the data required to be collected pursuant to this section.

(f) The department shall develop a platform, update an existing platform, or integrate with an existing platform, capable of automating the collection of data from the functional assessment tool established pursuant to the department’s performance outcomes system plan described in this section. At a minimum, the platform shall do all of the following:

(2)

(1) Allow for individuals, as authorized by the department, including, but not limited to, certified providers and certified county staff, in consultation with child family team members, including the child, youth, or nonminor dependent, to complete the data collection required by this section. functional assessment tool.

(3)

(2) Allow for the systematic transfer and integration of the completed data functional assessment tool between the platform and the platform of the State Department of Social Services.

(4)

(3) Provide secure access via a web-based system.

(5)

(4) Ensure secure data storage.

(6)

(5) Provide stratified access to data.

(7)

(6) Ensure standard and complete collection of data. data from the functional assessment tool.

(8)

(7) Provide up-to-date aggregated level of information of data.

(9)

(8) Permit authorized users to interface and retrieve up-to-date customized multi-rater reports via a secure access web-based system.

(10)

(9) Avoid unnecessary duplication and overassessment of children, youth, and nonminor dependents.