Florida Senate - 2016 SENATOR AMENDMENT
Bill No. CS for SB 12
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LEGISLATIVE ACTION
Senate . House
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Floor: 8/AD/2R .
02/23/2016 10:43 AM .
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Senator Garcia moved the following:
1 Senate Amendment
2
3 Between lines 2464 and 2465
4 insert:
5 (6) NETWORK ACCREDITATION AND SYSTEMS COORDINATION
6 AGREEMENTS.—
7 (a)1. The department shall identify acceptable
8 accreditations which address coordination within a network and,
9 if possible, between the network and major systems and programs
10 with which the network interacts, such as the child welfare
11 system, state courts system, and the Medicaid program. In
12 identifying acceptable accreditations, the department shall
13 consider whether the accreditation facilitates integrated
14 strategic planning, resource coordination, technology
15 integration, performance measurement, and increased value to
16 consumers through choice of access to services, improved
17 coordination of services, and effectiveness and efficiency of
18 service delivery.
19 2. All managing entities under contract as of July 1, 2016,
20 shall earn accreditation deemed acceptable by the department
21 pursuant to paragraph (a) by June 30, 2019. Managing entities
22 whose initial contract with the state is executed after July 1,
23 2016, shall earn network accreditation within 3 years after the
24 contract execution date. Pursuant to paragraph (4)(j) above, the
25 department may continue the contract of a managing entity that
26 earns the network accreditation within the required timeframe
27 and maintains it throughout the contract term.
28 (b) If no accreditations are available or deemed acceptable
29 which address coordination between the network and other major
30 systems and programs, by July 1, 2017, for managing entities
31 under contract as of July 1, 2016, and within one year after the
32 contract execution date for managing entities initially under
33 contract after that date, each managing entity shall enter into
34 a memorandum of understanding detailing mechanisms for
35 communication and coordination with any community-based care
36 lead agencies, state court system, sheriff's offices, public
37 defenders, offices of regional conflict counsel Medicaid managed
38 medical assistance plans, and homeless coalitions in its service
39 area. Such entities shall cooperate with the managing entities
40 in entering into such memoranda.
41 (c) By February 1 of each year, beginning in 2018, each
42 managing entity shall develop and submit to the department a
43 plan for the enhancement of the behavioral health system of care
44 of the managing entity's service area, if appropriate, based on
45 the assessed behavioral health care needs of the service area.
46 Individual sections of the plan shall address:
47 1. The designated receiving systems developed pursuant to
48 s. 394.4573, and shall give consideration to evidence-based,
49 evidence-informed, and innovative practices for diverting
50 individuals from the acute behavioral health care system and
51 addressing their needs once they are in the system in the most
52 efficient and cost-effective manner.
53 2. Treatment and recovery services, and shall emphasize the
54 provision of care coordination and the use of recovery-oriented,
55 peer-involved approaches.
56 3. Coordination between the behavioral health system of
57 care and other systems such as the child welfare system, state
58 courts system and Medicaid program.
59 (d) If the plan recommends additional funding, the plan
60 shall describe, at a minimum, the specific needs that would be
61 met, the specific services that would be purchased, the
62 estimated benefits of the services, the projected costs, the
63 projected number of individuals that would be served, and any
64 other information indicating the estimated benefit to the
65 community. The managing entity shall include consumers and their
66 family members, local governments, law enforcement agencies,
67 providers, community partners, and other stakeholders when
68 developing the plan.
69 (e) Subject to a specific appropriation by the Legislature,
70 the department may award system improvement grants to managing
71 entities based on the submission of the plans as described and
72 required in paragraphs (c) and (d).
73 (7) PERFORMANCE MEASUREMENT AND ACCOUNTABILITY.—
74 (a) Managing entities shall collect and submit data to the
75 department regarding persons served, outcomes of persons served,
76 costs of services provided through the department's contract,
77 and other data as required by the department.
78 (b) The department shall evaluate the managing entity's
79 performance and the overall progress made by the managing
80 entity, together with other systems, in meeting the community's
81 behavioral health needs, based on consumer-centered outcome
82 measures that reflect national standards, if possible, and that
83 can dependably be measured. The department shall work with
84 managing entities to establish performance standards related at
85 a minimum to:
86 1. The extent to which individuals in the community receive
87 services.
88 2. The improvement in the overall behavioral health of a
89 community.
90 3. The improvement in functioning or progress in the
91 recovery of individuals served by the managing entity, as
92 determine using person-centered measures tailored to the
93 population.
94 4. The success of strategies to divert admissions to acute
95 levels of care, jails, prisons, and forensic facilities as
96 measured by, at a minimum, the total number of percentage of
97 clients who, during a specified period, experience multiple
98 admissions to acute levels of care, jails, prisons, or forensic
99 facilities.
100 5. Consumer and family satisfaction.
101 6. The satisfaction of key community constituencies such as
102 law enforcement agencies, juvenile justice agencies, the state
103 courts system, school districts, local government entities,
104 hospitals, and others as appropriate for the geographical area
105 of the managing entity.