Mental health issues

S.E.A. 464, P.L. 209-2015
Effective: §1-16 and §18-23 effective July 1, 2015; §17 retroactively effective January 1, 2015, §24 effective June 30, 2015

Specifies limitations for reimbursement for methadone by: (1) the state employee health plan; (2) Medicaid; (3) certain policies of accident and sickness insurance; and (4) certain health maintenance organization contracts; if the drug is prescribed for the treatment of pain. Provides that addiction counseling, inpatient detoxification, case management, daily living skills, and long acting, nonaddictive medication may be required to treat opioid or alcohol addiction as a condition of parole, probation, community corrections, pretrial diversion, or participation in a problem solving court.

Requires the department of correction to estimate the amount of operational cost savings as a result attributable to sentencing changes. Requires the office of Medicaid policy and planning to: (1) develop quality measures and reporting to ensure a managed care organization’s compliance with the coverage; and (2) report the clinical use of certain medications to the mental health Medicaid quality advisory committee. Requires coverage under the Indiana check-up plan of nonaddictive medication assistance treatment drugs prescribed for the treatment of substance abuse.

Authorizes the Division of Mental Health and Addiction (division) to approve before June 30, 2018, not more than five new opioid treatment programs if: (1) the programs are run by a hospital, a specified institution, or a certified community mental health center; and (2) the division determines that there is a need for a new opioid treatment program in the proposed location. Requires the division to report to the general assembly before July 1, 2018, specified information concerning any new opioid treatment programs. Requires a prescriber who is prescribing methadone for the treatment of pain or pain management to indicate this treatment on the prescription or order. Establishes the mental health and addiction forensic treatment services account (account) within the statutes governing the division, rather than the statutes governing corrections (under current law).

Provides that the division may use money in the account to fund grants and vouchers that are provided to the following for mental health and addiction forensic treatment services: (1) Community corrections programs. (2) Court administered programs. (3) Probation and diversion programs. (4) Community mental health centers. (5) Certified mental health or addiction providers. Allows the division to use money in the account as a state match under the Medicaid rehabilitation program and the Primary Health Coordination Program. Requires the division to provide an education and training program concerning involuntary commitment and medication assisted treatment.

Specifies that an individual is eligible for such mental health and addiction forensic treatment services if the individual meets certain criteria and if reimbursement for the service is not available to the individual under a health insurance policy, a health maintenance organization contract, the Medicaid program, the Medicare program, or any other federal assistance program. Requires the division to survey and develop demographic research on individuals receiving services. Makes certain changes to the purposes of the mental health and addiction services development programs board under the loan forgiveness program. Places restrictions on coverage under a health insurance policy and a health maintenance organization contract for methadone used in pain management. Requires the division to work jointly with the department of workforce development to coordinate employment and training services for individuals receiving services.

The full law is available at: