ID H0753

Establishes Assertive Community Treatment (ACT) as a Medicaid rehabilitative service for individuals with serious and persistent mental illness who have not responded to less intensive clinic-based services

Requires the Department of Health and Welfare to submit a state plan amendment to CMS by March 1, 2026, and creates a new Chapter 25 in Title 56, Idaho Code, governing ACT programs

Mandates ACT teams provide 24/7 services through interdisciplinary teams including licensed nurses, mental health professionals, peer support specialists, and substance use disorder specialists, with a participant-to-staff ratio of 10:1 (not to exceed 12:1)

Establishes fidelity requirements using the Tool for Measurement of ACT or equivalent instrument, with initial minimum score of 3.0 and requirement to achieve 4.0 within three years of certification

Creates a single monthly reimbursement rate per enrolled participant for all ACT services, with rates adjusted annually using the CMS Medicare Economic Index, and designates one ACT provider per region