2005 Connecticut Code - Sec. 17a-22f. Behavioral health services. Contract with administrative services organization to provide clinical management services. Policies and procedures. Regulations.

      Sec. 17a-22f. Behavioral health services. Contract with administrative services organization to provide clinical management services. Policies and procedures. Regulations. (a) The Commissioner of Social Services may, with regard to the provision of behavioral health services provided pursuant to a state plan under Title XIX or Title XXI of the Social Security Act: (1) Contract with an administrative services organization to provide clinical management and other administrative services; and (2) delegate responsibility to the Department of Children and Families for the clinical management portion of an administrative contract pertaining to children under eighteen years of age or individuals who are otherwise receiving behavioral health services from said department.

      (b) For purposes of this section, the term "clinical management" describes the process of evaluating and determining the appropriateness of the utilization of behavioral health services, providing assistance to clinicians or beneficiaries to ensure appropriate use of resources and may include, but is not limited to, authorization, concurrent and retrospective review, discharge review, quality management, provider certification and provider performance enhancement. The Commissioners of Social Services and Children and Families shall jointly develop clinical management policies and procedures. The Department of Social Services may implement policies and procedures necessary to carry out the purposes of this section, including any necessary changes to existing behavioral health policies and procedures concerning utilization management, while in the process of adopting such policies and procedures in regulation form, provided the commissioner publishes notice of intention to adopt the regulations in the Connecticut Law Journal within twenty days of implementing such policies and procedures. Policies and procedures implemented pursuant to this subsection shall be valid until the earlier of (1) the time such regulations are effective, or (2) December 1, 2003.

      (May 9 Sp. Sess. P.A. 02-7, S. 58.)

      History: May 9 Sp. Sess. P.A. 02-7 effective August 15, 2002.