Bill Text: TX HB1770 | 2017-2018 | 85th Legislature | Introduced
Bill Title: Relating to establishing caseload standards for certain care coordinators under the Medicaid managed care program.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2017-05-01 - Left pending in committee [HB1770 Detail]
Download: Texas-2017-HB1770-Introduced.html
85R9831 KFF-D | ||
By: Muñoz, Jr. | H.B. No. 1770 |
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relating to establishing caseload standards for certain care | ||
coordinators under the Medicaid managed care program. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter A, Chapter 533, Government Code, is | ||
amended by adding Section 533.00292 to read as follows: | ||
Sec. 533.00292. CARE COORDINATOR CASELOAD STANDARDS. (a) | ||
In this section: | ||
(1) "Care coordination" means assisting recipients to | ||
develop a plan of care, including a service plan, that meets the | ||
recipient's needs and coordinating the provision of Medicaid | ||
benefits in a manner that is consistent with the plan of care. The | ||
term is synonymous with "case management," "service coordination," | ||
and "service management." | ||
(2) "Care coordinator" means a person, including a | ||
case manager, engaged by a Medicaid managed care organization to | ||
provide care coordination benefits. | ||
(b) The executive commissioner by rule shall establish | ||
caseload standards for care coordinators providing care | ||
coordination under the STAR+PLUS home and community-based services | ||
supports (HCBS) program. | ||
(c) The executive commissioner by rule may, if the executive | ||
commissioner determines it appropriate, establish caseload | ||
standards for care coordinators providing care coordination under | ||
Medicaid programs other than the STAR+PLUS home and community-based | ||
services supports (HCBS) program. | ||
(d) In determining whether to establish caseload standards | ||
for a Medicaid program under Subsection (c), the executive | ||
commissioner shall consider whether implementing the standards | ||
would improve: | ||
(1) Medicaid managed care organization contract | ||
compliance; | ||
(2) the quality and consistency of care coordination | ||
provided under the program; and | ||
(3) transparency regarding the availability of care | ||
coordination benefits to recipients and interested stakeholders. | ||
SECTION 2. If before implementing any provision of this Act | ||
a state agency determines that a waiver or authorization from a | ||
federal agency is necessary for implementation of that provision, | ||
the agency affected by the provision shall request the waiver or | ||
authorization and may delay implementing that provision until the | ||
waiver or authorization is granted. | ||
SECTION 3. This Act takes effect immediately if it receives | ||
a vote of two-thirds of all the members elected to each house, as | ||
provided by Section 39, Article III, Texas Constitution. If this | ||
Act does not receive the vote necessary for immediate effect, this | ||
Act takes effect September 1, 2017. |