HB 23-1200

House Bill 23-1200, which was approved by the governor and is now in effect, aims to improve access to behavioral health services for Medicaid recipients. It requires managed care entities (MCEs) to create special agreements with healthcare providers when there's a lack of network coverage for necessary mental health or substance abuse treatments. This ensures that people who need these services can get them even if their regular provider isn't in the MCE’s network. The bill directly benefits Medicaid members seeking behavioral health care and was signed into law on June 7, 2023.

Official Summary

To help serve persons with behavioral health needs who are enrolled in medicaid, the act requires managed care entities (MCE) to enter into single case agreements with willing providers of behavioral health services enrolled in the medical assistance program when network development and access standards are not met and a member needs access to a medically necessary behavioral health service. The act sets forth the requirements for single case agreements created by an MCE. APPROVED by Governor June 7, 2023 EFFECTIVE June 7, 2023 (Note: This summary applies to this bill as enacted.)

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