A BILL TO BE ENTITLED
AN ACT to require the department of health and human services to propose a plan to establish a culturally diverse reconsideration review board for the purpose of deciding complaints by behavioral Health providers against local management entities/managed care organizations (lme/mcos).
The General Assembly of North Carolina enacts:
SECTION 1.  The Department of Health and Human Services (Department) shall propose a plan to establish a reconsideration review board for the purpose of deciding complaints by behavioral health providers against local management entities/managed care organizations (LME/MCOs). The Department shall consider stakeholder input in the development of the plan, and the plan shall contain all of the following features:
(1)	The board shall be composed of at least one member who is a behavioral health provider, and the composition of the board should reflect the cultural diversity of the populations served by the LME/MCOs.
(2)	The board shall have the authority to decide complaints by behavioral health providers against LME/MCOs for actions taken by LME/MCOs and recommend appropriate resolution of the matter through the use of corrective action plans, among other remedies.
(3)	The board may be located within the Department or may be established as a requirement of the contract between the Departments and each LME/MCO.
(4)	All LME/MCOs shall be required to use the reconsideration review board process.
(5)	Decisions by the board may be appealed to the Office of Administrative Hearings.
SECTION 2.  The Department shall report the plan required by Section 1 of this act to the Joint Legislative Oversight Committee on Health and Human Services by December 1, 2015. The report shall include:
(1)	A detailed description of the plan.
(2)	A recommended time line for implementation of the plan.
(3)	Proposed changes to the General Statutes needed to implement the plan.
(4)	Identification of any features of the plan that would require a Medicaid State Plan Amendment or Waiver.
(5)	Identification of all other actions that would need to be taken by entities other than the Department to successfully implement the plan.
SECTION 3.  This act is effective when it becomes law.