This amendment adds language requiring the Department of Medical Assistance Services to develop and implement by January 1, 2021, a risk adjustment model which addresses behavioral health acuity differences among the Medicaid managed care organizations for the community well population of individuals who are dually eligible for Medicare and Medicaid programs and served through the CCC Plus managed care program. Language also requires the department to develop different capitation rates for the remaining population served under the CCC Plus program and who are receiving behavioral health treatment for potential implementation. The net impact of these change must be budget neutral.