Bill > HB772

This bill establishes a Workgroup on Behavioral Health Rate Methodology Modernization within the Maryland Health Care Commission to develop transparent, cost-based reimbursement methods for certified community behavioral health clinics, outpatient mental health centers, and independent outpatient providers, using existing cost study data as a foundation for future rate reform. The Maryland Department of Health is also tasked with conducting an independent cost-driven rate-setting study by June 30, 2028, to determine the actual costs of providing community-based behavioral health services, and will review and implement the recommendations from the established workgroup. The bill also outlines the composition and duties of the workgroup, including analyzing cost drivers, evaluating other states' methodologies, and proposing implementation strategies while ensuring compliance with federal Medicaid financing rules. Reporting requirements are also detailed for both the Department of Health and the workgroup, with interim and final reports to be submitted to the Governor and the General Assembly.