BJ 08-24

Multi-Disciplinary Committee Community Mental Health Centers

WHEREAS, the Louisiana Legislature, during the 2008 Regular Session, offered House Bill No. 1385, by Representative Jackson;

WHEREAS, House Bill No. 1385 called for the creation of the Mental Health Access Committee (“the Committee”) within the Louisiana Department of Health and Hospitals;

WHEREAS, the Committee would have been charged with, among other things, making recommendations specific to a revised reimbursement methodology for community mental health clinics reimbursed through the Department of Health and Hospitals, and studying the certification and licensing criteria of Medicare-certified community mental health centers to be enrolled as community mental health clinics; and

WHEREAS, I have exercised my authority to veto House Bill No. 1385 in its entirety, but agree in principle with the value of multi-disciplinary input into the management of the Medicaid program as it relates to development and funding of services.

NOW THEREFORE, I, BOBBY JINDAL, Governor of the state of Louisiana, by virtue of the authority vested by the Constitution and the laws of the state of Louisiana, do hereby order and direct as follows:

SECTION 1: The secretary of the Department of Health and Hospitals shall appoint a multi-disciplinary committee, representative of the various interested stakeholders, to consider and advise him on, at a minimum, the following issues:

A. a needs assessment for the expanded mental health services in the state;

B. revisions to the reimbursement methodology for mental health clinics reimbursed via the Medicaid program;

C. studying certification and licensing criteria of Medicare-certified community mental health centers to be enrolled as mental health clinics;

D. provider qualifications and criteria for enrollment;

E. evaluation of the role of Medicare-certified community mental health centers and how they may help improve access to community-based mental health services; and

F. the continuum of behavioral health services and how the state may improve access to community-based services.

SECTION 2 : For Medicare-certified community mental health centers, enrollment in the Medicaid program may begin July 1, 2008, for adjudication of crossover claims from Medicare for dual eligible relative to partial hospitalization.

SECTION 3 : The secretary of the Department of Health and Hospitals may begin licensing of, and accepting applications for enrollment in Medicaid from, new mental health clinics upon the publication and promulgation of rules and regulations, in accordance with the Administrative Procedures Act, providing for a revised reimbursement system and standards of participation for mental health clinics. The rules and regulations must include provisions for prevention of fraud and abuse, including but not limited to appropriate prior authorization of services.

SECTION 4 : This Order is effective upon signature and shall remain in effect until amended, modified, terminated, or rescinded by the governor, or terminated by operation of law.

IN WITNESS WHEREOF, I have set my hand officially and caused to be affixed the Great Seal of Louisiana, at the Capitol, in the city of Baton Rouge, on this 9th day of July, 2008.


   Bobby Jindal

Jay Dardenne
Secretary of State