14719.
(a) It is the intent of the Legislature to develop a performance outcome system dashboard for specialty mental health services that will reduce mental health disparities, improve outcomes at the individual and system levels levels, and will
inform fiscal decisionmaking related to the purchase of services.(b) The Consistent with the Special Terms and Conditions of the Medi-Cal Specialty Mental Health Services Waiver, as approved pursuant to Section 1915(b) of the Social Security Act (42 U.S.C. Sec. 1396n(b)), the State Department of Health Care Services, in collaboration with the California Health and Human Services Agency, shall create a plan for a performance outcome system dashboard
for specialty mental health services provided to eligible Medi-Cal beneficiaries 21 20 years of age and older.
(1) Commencing no later than January 15, 2018, and quarterly thereafter, the department shall convene a stakeholder advisory committee comprised of representatives of providers, consumer advocates, consumers, family members, counties, and the Legislature. This consultation shall inform the creation of a plan for a
the performance outcome system
dashboard for specialty mental health services.
(2) In developing a plan for a the performance outcome system dashboard for specialty mental health services, the department shall consider the following objectives, among others:
(A) High-quality and accessible specialty mental health services for eligible adults, consistent with federal law.
(B) Information that improves practice at the individual, program, and system levels.
(C) Minimization of costs by building upon existing resources to the fullest extent possible.
(D) Reliable data that are collected and analyzed in a timely fashion.
(E) Elimination or reduction of mental health disparities and strategies for addressing the social determinants of mental health.
(3) The plan for a performance outcome system
dashboard for specialty mental health services shall consider evidence-based models for performance outcome systems, federal requirements, including the Special Terms and Conditions of the Medi-Cal Specialty Mental Health Services Waiver, as approved pursuant to Section 1915(b) of the Social Security Act (42 U.S.C. Sec. 1396n(b)), the review by the External Quality Review Organization (EQRO)
(EQRO), and the Medicaid Managed Care Quality Rating System, and, and timelines for implementation at the provider, county, and state levels.
(4)At a minimum, the plan for the performance outcome system for specialty mental health services shall include metrics of timely access to services, language access, quality, and utilization.
(5)The plan for the performance outcome system for specialty mental health services shall include both statewide and plan-specific data for timely access to services, language access, quality, and utilization.
(4) At a minimum, the performance outcome dashboard for specialty mental health services shall include both statewide and plan-specific data in the following areas:
(A) Mental health disparities.
(B) Measurement of timely access to services, including waiting time to assessment and waiting time to first appointment.
(C) Language capacity and access.
(D) Quality indicators, including beneficiary experience and clinical outcomes.
(E) Utilization and penetration rates.
(5) (A) Data required pursuant to paragraph (4) shall be disaggregated by age, sex, gender identity, race, ethnicity, primary language, sexual orientation, ZIP Code, and any other factors for which there is peer-reviewed evidence of mental health disparities.
(B) The department shall not report any
demographic data under paragraph (4) or this paragraph that would permit identification of individuals.
(c)
(6) (A) The State Department of Health Care Services department shall provide the performance outcome system plan, including milestones and timelines,
performance outcome dashboard for specialty mental health services described in subdivision (a) this section to all fiscal committees and appropriate policy committees of the Legislature no later than December 31, 2018.
(d)The State Department of Health Care Services shall propose how to implement the performance outcome system plan for specialty mental health services described in subdivision (a) no later than
December 31, 2018.
(e)(1)Commencing no later than January 1, 2018, and at least quarterly thereafter, the department shall convene a stakeholder advisory committee comprised of advocates for and representatives of, mental health consumers, consumers, family members, counties, and the Legislature. The committee shall make recommendations to the department regarding additional performance and outcome measures that will contribute to improving appropriate care for Medi-Cal eligible beneficiaries.
(2)
(B) Commencing January 1, 2019, the department shall provide quarterly updates to the performance outcome system dashboard for specialty mental health and shall post the updated report on the department’s Internet Web site.
(7) Commencing January 1, 2019, the department shall consult with the stakeholder advisory committee specified in paragraph (1) to do both of the following:
(A) Incorporate additional components into the performance outcome dashboard, including, but
not limited to, components concerning the reduction of mental health disparities, timely access to services, language access, and quality and utilization measures, relating to mental health services obtained through Medi-Cal managed care plans.
(B) Make recommendations for statewide quality improvement and efforts to reduce mental health disparities based on information reported in the performance outcome dashboard.
(8) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department may implement, interpret, or make specific this subdivision by means of all-county letters, plan letters, plan or
provider bulletins, or similar instructions, without taking regulatory action.