(1) On or before July 1, 2023, the BHA shall work with the department of health care policy and financing, in collaboration with relevant stakeholders and other state agencies, to develop universal contracting provisions to be used by state agencies when contracting for behavioral health services in the state. The universal contracting provisions shall provide clear, standardized requirements addressing at least the following: (a) Minimum data collection and reporting, including electronic data and participation in health information organization networks; (b) Grievance and occurrence reporting, including to the BHA; (c) Collaboration with other state agencies; (d) Use of evidence-based practices; (e) Access to care and quality of care standards, including accountability to the performance standards developed pursuant to section 27-50-201; (f) Programmatic and financial reporting; (g) Consequences for not meeting contract requirements; (h) Standard payment methodologies, based on provider type or other factors, as determined by the BHA; (i) Claims submissions and billing procedures and guidelines; (j) Limitations of liability; (k) Compliance with behavioral health safety net standards, including provision of services for priority populations; (l) Utilization management; (m) Utilization of required tools or programs that improve quality outcomes, accessibility of social determinants of health supports, affordability, referral efficiency, or other state priorities; (n) Policies on accepting, discharging, triaging, and denying services to clients consistent with sections 27-50-302 and 27-50-303; (o) Standards for serving priority populations and high-acuity clients based on state need and provider type; and (p) Compliance with all applicable federal statutes and regulations, including anti- discrimination laws. (2) The universal contracting provisions may include alternate standardized provisions, depending on its application, such as whether the provider is a comprehensive community behavioral health provider or an essential behavioral health safety net provider, the service type, or other factors. (3) Additional terms not included in the universal contract may be negotiated and added by the contracting parties.
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