36-3415. Behavioral health expenditures; annual reports

A. The administration shall report annually to the joint legislative budget committee on each fiscal year's medicaid and nonmedicaid behavioral health expenditures, including behavioral health demographics that include client income, utilization and expenditures, medical necessity oversight practices, tracking of high-cost beneficiaries, mortality trends, placement trends, program integrity and access to services.

B. The administration shall report annually to the joint legislative budget committee and the chairpersons of the health and human services committees of the senate and the house of representatives, or their successor committees. The report shall be in a substantially comparable format as the fiscal year 2014-2015 annual report of the department of health services submitted pursuant to this section and shall include the following information relating to individuals living with serious mental illness:

1. Annual mortality. The administration and the department of health services shall enter into a data sharing agreement for the purposes of vital records information necessary for the report under this subsection.

2. Complaints received from individuals with serious mental illness or their representatives regarding access to services by geographic service area and eligibility category.

3. Enrollment by geographic service area and eligibility category.

4. Demographics by geographic service area and eligibility category, including:

(a) Age.

(b) Gender.

(c) Race.

(d) Student status.

(e) Employment status.

(f) Percentage incarcerated in the preceding year.

(g) Percentage who are homeless.

(h) Type of disability, if the individual is deaf, hard of hearing or deafblind.

5. Per capita expenditures by geographic service area and eligibility category for the following:

(a) The number receiving services.

(b) Per capita expenditures.

(c) The number receiving services and per capita costs per service category.

6. Per capita expenditures by service type and eligibility category for the following:

(a) Support services.

(b) Inpatient services.

(c) Pharmacy.

(d) Rehabilitation services.

(e) Treatment services.

(f) Medical services.

(g) Crisis intervention services.

7. Average length of stay and readmission rates by eligibility category for the following settings:

(a) Level I.

(b) Level I subacute.

(c) Behavioral health residential facilities.

8. Beginning with information from state fiscal year 2022-2023 and annually thereafter, for individuals living with serious mental illness, by geographic service area:

(a) The number of individuals who are on a waitlist maintained by the administration or its contractors for a type of housing and the length of time that each individual was on the waitlist.

(b) The criteria and process that the administration or its contractors use to assign an individual to the housing waitlist or to move an individual up or down on the housing waitlist in prioritizing housing placement.