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Committee advances Medicaid reimbursement for partial hospitalization at freestanding psychiatric hospitals
Summary
Senate Bill 96 would add partial hospitalization program services for freestanding psychiatric hospitals to the Medicaid fee schedule, with reimbursement set at 100% of Medicare rates, advocates told the House Committee on Appropriations.
Senator McMath, sponsor of Senate Bill 96, told the House Committee on Appropriations the bill "establishes Medicaid reimbursement rates for certain behavioral health services," addressing a gap in coverage for outpatient services in the Medicaid fee schedule.
Sponsor testimony and proponents described pilot data from an intensive outpatient (IOP) pilot: "it showed an 84% reduction in inpatient admissions. It showed a 58% reduction in emergency room visits, and it showed the state saving 600 or $700,000... in just a short, 6 month period," Nick Waltz of the PCAR…
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