Paying for medical and long-term care for psychiatric patients

(a) Rates of payments for medical care for patients of the Hawaii state hospital and for patients under the custody of the director at a psychiatric facility other than the Hawaii state hospital shall be limited to the Hawaii medicaid fee schedule or the provider's billed amount, whichever is less. (b) The department may establish rates of payment for long-term care services provided for patients who are discharged to a long-term care facility from the Hawaii state hospital or from a psychiatric facility other than the Hawaii state hospital where they were under the custody of the director. (c) The department shall be exempt from chapter 103F for the procurement of medical care for patients of the Hawaii state hospital and for patients of a psychiatric facility other than the Hawaii state hospital who are under the custody of the director, and for the procurement of long-term care for patients discharged to a long-term care facility from the Hawaii state hospital or from a psychiatric facility other than the Hawaii state hospital where they were under the custody of the director. (d) For the purposes of this section: "Long-term care" means care provided by a long-term care facility. "Long-term care facility" has the same meaning as defined in section 349-21. "Medical care" means examination, diagnosis, or treatment for medical and dental conditions, including outpatient and hospital-based services as well as appliances and supplies deemed clinically necessary by the department. "Medical care" does not include long-term care.