Resolve, To Ensure the Coordination and Effectiveness in the Provision of Outpatient and Medication Management Services under Maine's Noncategorical Waiver

Sec. 1. Development of process. Resolved: That the Department of Health and Human Services shall develop a process for tracking the number of mental health treatment sessions provided to noncategorical waiver beneficiaries, for purposes of appropriate clinical planning. In developing this process, the department shall:

1. Establish prior authorization processes to ensure that a beneficiary’s remaining service availability is not exhausted within any given calendar year;

2. Create criteria for necessary clinical justification for exceeding the calendar year limit of outpatient and medication management services; and

3. Clarify that mental health assessment services are not included within the calendar year service limit.

summary

The purpose of this bill is to ensure the coordination and effectiveness in the provision of outpatient and medication management services under Maine’s noncategorical waiver. This bill directs the Department of Health and Human Services to develop a process for tracking the number of mental health treatment sessions provided to noncategorical waiver beneficiaries, for purposes of appropriate clinical planning.