Florida Senate - 2016 SENATOR AMENDMENT Bill No. CS for SB 12 Ì318332ÄÎ318332 LEGISLATIVE ACTION Senate . House . . . Floor: 8/AD/2R . 02/23/2016 10:43 AM . ————————————————————————————————————————————————————————————————— ————————————————————————————————————————————————————————————————— 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.