H.F. No. 5089 Summary

• Establishes Collaborative Intensive Bridging Services as a covered medical assistance service effective January 1, 2028, or upon federal approval, whichever is later.

• Covered services include county children's mental health case management, initial family and child assessment with intensive in-home therapist, residential treatment facility placement with ongoing therapy from same therapist, home visits during facility stay, and continued therapy after discharge.

• Requires services to be evidence-based, culturally responsive, use an integrative care model for co-occurring conditions, qualify for federal financial participation, and support both children and families.

• Commissioner of Human Services must conduct a rate study and request Centers for Medicare and Medicaid Services approval by June 30, 2026.

• Commissioner must submit a report to legislative committees by January 15, 2027, proposing eligibility criteria, clinical requirements, provider standards, licensing requirements, reimbursement rates, and draft implementing legislation, including input from counties, providers, advocates, Tribal Nations, and people with lived experience.