Bill Text: TX HB3541 | 2017-2018 | 85th Legislature | Comm Sub
Bill Title: Relating to requirements for Medicaid managed care organizations that provide behavioral health services through a third party or subsidiary.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2017-05-11 - Placed on General State Calendar [HB3541 Detail]
Download: Texas-2017-HB3541-Comm_Sub.html
85R26978 EES-F | |||
By: Price | H.B. No. 3541 | ||
Substitute the following for H.B. No. 3541: | |||
By: Price | C.S.H.B. No. 3541 |
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relating to requirements for Medicaid managed care organizations | ||
that provide behavioral health services through a third party or | ||
subsidiary. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter A, Chapter 533, Government Code, is | ||
amended by adding Section 533.002553 to read as follows: | ||
Sec. 533.002553. BEHAVIORAL HEALTH SERVICES PROVIDED | ||
THROUGH THIRD PARTY OR SUBSIDIARY. (a) In this section, | ||
"behavioral health services" has the meaning assigned by Section | ||
533.00255. | ||
(b) For a managed care organization that contracts with the | ||
commission under this chapter and that provides behavioral health | ||
services through a contract with a third party or an arrangement | ||
with a subsidiary of the managed care organization, the commission | ||
shall: | ||
(1) require the effective sharing and integration of | ||
care coordination, service authorization, and utilization | ||
management data between the managed care organization and the third | ||
party or subsidiary; | ||
(2) encourage, to the extent feasible, the colocation | ||
of physical health and behavioral health care coordination staff; | ||
(3) require warm call transfers between physical | ||
health and behavioral health care coordination staff; | ||
(4) require the managed care organization and the | ||
third party or subsidiary to implement joint rounds for physical | ||
health and behavioral health services network providers or some | ||
other effective means for sharing clinical information; and | ||
(5) ensure that the managed care organization makes | ||
available a seamless provider portal for both physical health and | ||
behavioral health services network providers, to the extent allowed | ||
by federal law. | ||
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 September 1, 2017. |