H.R. 10647
IMD CARE Act
Summary:
• The IMD CARE Act creates a Medicaid State plan amendment option allowing states to provide medical assistance to individuals aged 21–64 with serious mental illness who are patients in institutions for mental diseases (IMDs), effective January 1, 2027, for up to 30 days per 12-month period
• States electing this option must maintain at least their fiscal year 2023 level of non-federal funding for outpatient and community-based behavioral health services as a condition of receiving federal payments
• States must also meet multiple conditions ensuring a continuum of care, including transition planning, screening for co-morbid conditions, care assessments, and strategies to reduce emergency department use by enrollees with serious mental illness
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• States electing this option must maintain at least their fiscal year 2023 level of non-federal funding for outpatient and community-based behavioral health services as a condition of receiving federal payments
• States must also meet multiple conditions ensuring a continuum of care, including transition planning, screening for co-morbid conditions, care assessments, and strategies to reduce emergency department use by enrollees with serious mental illness
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