50-06-41.2. Community behavioral health program

50-06-41.2. Community behavioral health program 1. The department of health and human services shall establish and implement a community behavioral health program to provide comprehensive community-based services for individuals who have serious behavioral health conditions. 2. In developing the program, the department shall: a. Establish a referral and evaluation process for access to the program. b. Establish eligibility criteria that includes consideration of behavioral health condition severity. c. Establish discharge criteria and processes. d. Develop program oversight and evaluation processes that include outcome and provider reporting metrics. e. Establish a system through which the department: (1) Contracts with and pays behavioral health service providers. (2) Supervises, supports, and monitors referral caseloads and the provision of services by contract behavioral health service providers. (3) Requires contract behavioral health service providers to accept eligible referrals and to provide individualized care delivered through integrated multidisciplinary care teams. (4) Provides payments to contract behavioral health service providers on a per-month per-referral basis based on a pay-for-performance model that includes consideration of identified outcomes and the level of services required.