UNIFORM CMH SERVICES CREDENTIALING PROGRAM                              H.B. 5178 (H-4):

                                                                              SUMMARY OF HOUSE-PASSED BILL

                                                                                                         IN COMMITTEE

 

 

 

 

 

 

 

 

 

 

House Bill 5178 (Substitute H-4 as passed by the House)

Sponsor:  Representative Hank Vaupel

House Committee:  Health Policy

                             Ways and Means

Senate Committee:  Health Policy and Human Services

 

Date Completed:  9-17-20

 


CONTENT

 

The bill would amend the Mental Health Code to do the following:

 

 --   Require the Department of Health and Human Services (DHHS) to establish, maintain, and revise, as necessary, a uniform community mental health (CMH) services credentialing program for State department or agency use, and require the credentialing program to meet specified requirements.

 --   Require the DHHS's credentialing and recredentialing process to comply with national standards. 

 --   Require the DHHS to submit to the Legislature, within six months after the bill's effective date, a report that described its activities under the bill, including the establishment of and any revisions to the credentialing program.

 --   Require a State department or agency that provided CMH services to Michigan residents to comply with the credentialing program and use provider information profile maintained by the DHHS.

 --   Specify that the bill would not apply to health plans under contract in the State to provide services under Medicaid.

 --   Require the credentialing and recredentialing process to be conducted and documented for certain health professionals.

 

The bill would require the DHHS to establish, maintain, and revise, as necessary, a uniform CMH services credentialing program for State department or agency use. The State department's or agency's credentialing and recredentialing process would have to comply with national standards. The DHHS could consult with other State departments and agencies that were required to comply with the credentialing program.

 

"Community mental health services" would mean services provided under a community mental health services program, including mental health treatment and substance use disorder treatment.

 

The DHHS would have to ensure that the credentialing program did all of the following:

 

 --    Created uniformity in the State to streamline providing CMH services by State departments and agencies and to enhance workforce development, training education, and service delivery.

 --    Eliminated hardship surrounding the functioning and operating of CMH services provided by State departments and agencies to Michigan residents.

 --    Established a uniform credentialing requirement for individuals who provided CMH services through a State department or agency, by requiring providers of CMH services to establish, maintain, revise, and make available, as necessary, a profile as maintained by the DHHS that contained information necessary for the CMH services credentialing process, which would have to adhere to national standards from accrediting bodies such as the Joint Commission, Commission on Accreditation of Rehabilitation Facilities, Council on Accreditation, National Committee for Quality Assurance, or other credible body approved by the DHHS.

 --    Promoted policies that supported adequate staffing and evidence-based skills or training to meet the needs of Michigan residents and the State departments and agencies that provide CMH services.

 --    Complied with national certification standards for CMH counselors and professionals.

 --    Met the needs of the populations served by each State department or agency that provided, either directly or through a contact, CMH services to Michigan residents.

 

Within six months after the bill's effective date and annually after that, the DHHS would have to submit a report to the Legislature that described its activities under the bill, including the establishment of and any revisions to the credentialing program.

 

A State department or agency that provided, either directly or through a contact, CMH health services to Michigan residents would have to comply with the credentialing program and use the provider information profile maintained by the DHHS. On and after the date the credentialing program was certified by the DHHS Director as in full force and effect, the State department or agency subject to this provision would have to ensure that all of the forms, processes, and contracts it used that related to providing CMH services complied with the credentialing program.

 

The bill would not apply to health plans under contract with the State to provide services under the Medicaid program. Health plans under contract with the State to provide services under the Medicaid program could use plan-specific processes and would not be required to use the credentialing program established by the DHHS.

 

The credentialing and recredentialing process would have to be conducted and documented for at least the following health care professionals:

 

 --    Physicians.

 --    Physician's assistants.

 --    Psychologists.

 --    Licensed master's social workers, licensed bachelor's social workers, and social service technicians.

 --    A social worker granted a limited license.

 --    Licensed professional counselors.

 --    Nurse practitioners, registered nurses, and licensed practical nurses.

 --    Occupational therapists and occupational therapist assistants.

 --    Physical therapists and physical therapist assistants.

 --    Speech language pathologists.

 

The Department could establish policy and promulgate rules to implement the bill according to the Administrative Procedures Act.

 

Proposed MCL 330.1206b                                        Legislative Analyst:  Stephen Jackson

 


FISCAL IMPACT

 

The requirement to establish a credentialing process in the bill would lead to minor administrative costs for the State and for Local Community Mental Health Services Programs. 

 

                                                                                    Fiscal Analyst:  Steve Angelotti

 

 

This analysis was prepared by nonpartisan Senate staff for use by the Senate in its deliberations and does not constitute an official statement of legislative intent.