§ 365-l. Health homes. 1. Notwithstanding any law, rule or regulation\nto the contrary, the commissioner of health is authorized, in\nconsultation with the commissioners of the office of mental health,\noffice of alcoholism and substance abuse services, and office for people\nwith developmental disabilities, to (a) establish, in accordance with\napplicable federal law and regulations, standards for the provision of\nhealth home services to Medicaid enrollees with chronic conditions, (b)\nestablish payment methodologies for health home services based on\nfactors including but not limited to the complexity of the conditions\nproviders will be managing, the anticipated amount of patient contact\nneeded to manage such conditions, and the health care cost savings\nrealized by provision of health home services, (c) establish the\ncriteria under which a Medicaid enrollee will be designated as being an\neligible individual with chronic conditions for purposes of this\nprogram, (d) assign any Medicaid enrollee designated as an eligible\nindividual with chronic conditions to a provider of health home\nservices.\n 2. In addition to payments made for health home services pursuant to\nsubdivision one of this section, the commissioner is authorized to pay\nadditional amounts to providers of health home services that meet\nprocess or outcome standards specified by the commissioner. Such\nadditional amounts may be paid with state funds only if federal\nfinancial participation for such payments is unavailable.\n 2-a. Up to fifteen million dollars in state funding may be used to\nfund health home infrastructure development. Such funds shall be used to\ndevelop enhanced systems to support Health Home operations including\nassignments, workflow, and transmission of data. Funding will also be\ndisbursed pursuant to a formula established by the commissioner to be\ndesignated health homes. Such formula may consider prior access to\nsimilar funding opportunities, geographic and demographic factors,\nincluding the population served, and prevalence of qualifying\nconditions, connectivity to providers, and other criteria as established\nby the commissioner.\n 2-b. The commissioner is authorized to make lump sum payments or\nadjust rates of payment to providers up to a gross amount of five\nmillion dollars, to establish coordination between the health homes and\nthe criminal justice system and for the integration of information of\nhealth homes with state and local correctional facilities, to the extent\npermitted by law. Such rate adjustments may be made to health homes\nparticipating in a criminal justice pilot program with the purpose of\nenrolling incarcerated individuals with serious mental illness, two or\nmore chronic conditions, including substance abuse disorders, or\nHIV/AIDS, into such health home. Health homes receiving funds under this\nsubdivision shall be required to document and demonstrate the effective\nuse of funds distributed herein.\n 2-c. The commissioner is authorized to make grants up to a gross\namount of one million dollars for certified application counselors and\nassistors to facilitate the enrollment of persons in high risk\npopulations, including but not limited to persons with mental health\nand/or substance abuse conditions that have been recently discharged or\nare pending release from state and local correctional facilities. Funds\nallocated for certified application counselors and assistors shall be\nexpended through a request for proposal process.\n 2-d. The commissioner shall establish reasonable targets for health\nhome participation by enrollees of special needs managed care plans\ndesignated pursuant to subdivision four of section three hundred\nsixty-five-m of this title and by high-risk enrollees of other Medicaid\nmanaged care plans operating pursuant to section three hundred\nsixty-four-j of this title, and shall encourage both the managed care\nproviders and the health homes to work collaboratively with e
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