Chapter 835 Oregon Laws 1999
Session Law
AN ACT
HB 3408
Relating to community mental
health programs; creating new provisions; and amending ORS 414.022.
Be It Enacted by the People of the State of Oregon:
SECTION 1.
ORS 414.022 is amended to read:
414.022. Mental health services shall be provided by the
Department of Human Resources, in collaboration with the Mental Health and
Developmental Disability Services Division, the Office of Medical Assistance
Programs and the Health Services Commission, for the purpose of determining how
best to serve the range of mental health conditions statewide utilizing a
capitated managed care system. The services shall begin as soon as feasible
following receipt of the necessary waiver in anticipation that the services are
to be available not later than January 1, 1995, and shall cover up to 25
percent of state-funded mental health services until July 1, 1997. After July
1, 1997, the services shall cover all of the state-funded eligible mental
health services. The provision of
services under this section shall support and be consistent with community
mental health and developmental disabilities programs established and operated
or contracted for under ORS chapter 430. The goals and criteria are:
(1) Test actuarial assumptions used to project costs and
utilization rates, and revise estimates of cost for statewide implementation.
(2) Compare current medical assistance fee for service with
capitated managed care mental health system, using state determined quality
assurance standards to evaluate capacity, diagnosis, utilization and treatment:
(a) Including components for testing full integration of
physical medicine and mental health services and measuring the impact of mental
health services on utilization of physical health services.
(b) Comparing current medical assistance fee for service with
capitated managed care system for utilization and length of stay in private and
public hospitals, and in nonhospital residential care facilities.
(c) Comparing for specific conditions, treatment configuration,
effectiveness and disposition rates.
(3) Design the services to assure geographic coverage of urban
and rural areas including significant population bases, and areas with and
without existing capacity to provide fully capitated managed care services
including:
(a) Requiring providers to maintain and report information
about clients by type and amount of services in a predetermined uniform format
for comparison with state established quality assurance standards.
(b) Within the geographic areas in which services are provided,
requiring providers to serve the full range of mental health populations and
conditions.
(c) Requiring providers to have the full range of eligible
mental health services available including, but not limited to, assessment,
case management, outpatient treatment and hospitalization.
(4) The department shall report to the Emergency Board and
other appropriate interim legislative committees and task forces by October 1,
1996, on the implementation of the services.
SECTION 2. The amendments to ORS 414.022 by section 1
of this 1999 Act apply only to mental health services provided on or after the
effective date of this 1999 Act.
Approved by the Governor
July 21, 1999
Filed in the office of
Secretary of State July 21, 1999
Effective date October 23,
1999
__________