The proposed bill, HB 8180, aims to establish a statewide Children's Mobile Response and Stabilization Services (MRSS) program in Rhode Island, designed to provide rapid crisis response and short-term stabilization for children and youth under the age of twenty-one (21) experiencing behavioral health crises. The program will be funded through a braided funding model that combines Medicaid funds, commercial insurance, and state general revenue, ensuring equitable access to services regardless of insurance status.
The bill outlines the responsibilities of the Department of Children, Youth and Families (DCYF) and the Medicaid agency in administering the program, which will operate 24/7 and will not require prior authorization for service initiation. Key provisions of the bill include the establishment of a new chapter in the General Laws specifically for MRSS, defining essential terms such as "braided funding," "designated MRSS provider," and "natural environment," as well as service components including crisis assessment, de-escalation, and care coordination.
The bill sets standards for service delivery, including a response time of sixty (60) minutes for in-person mobile response, and mandates that services be delivered in the child's natural environment whenever clinically appropriate. It emphasizes the importance of cultural and linguistic competency in service delivery and ensures that families will not incur fees, co-payments, or cost sharing for MRSS services.
Additionally, the bill includes provisions for oversight and reporting, requiring the department to collect data on MRSS utilization and submit annual reports to the governor and the general assembly. The department is also granted rulemaking authority to implement the chapter, including establishing a mutual aid framework to ensure coverage during periods of high demand or workforce shortages. The bill takes effect upon passage.