Sec. 531.055. MEMORANDUM OF UNDERSTANDING ON SERVICES FOR PERSONS NEEDING MULTIAGENCY SERVICES. (a) The Health and Human Services Commission, the Department of Family and Protective Services, the Department of State Health Services, the Texas Education Agency, the Texas Correctional Office on Offenders with Medical or Mental Impairments, the Texas Department of Criminal Justice, the Texas Department of Housing and Community Affairs, the Texas Workforce Commission, and the Texas Juvenile Justice Department shall enter into a joint memorandum of understanding to promote a system of local-level interagency staffing groups to identify and coordinate services for persons needing multiagency services to be provided in the least restrictive setting appropriate, using residential, institutional, or congregate care settings only as a last resort. The division within the Health and Human Services Commission that coordinates the policy and delivery of mental health services shall oversee the development and implementation of the joint memorandum of understanding.
(b) The memorandum must:
(1) clarify the statutory responsibilities of each agency in relation to persons needing multiagency services, including subcategories for different services such as:
(A) family preservation and strengthening;
(B) physical and behavioral health care;
(C) prevention and early intervention services, including services designed to prevent:
(i) child abuse;
(ii) neglect; or
(iii) delinquency, truancy, or school dropout;
(D) diversion from juvenile or criminal justice involvement;
(E) housing;
(F) aging in place;
(G) emergency shelter;
(H) residential care;
(I) after-care;
(J) information and referral; and
(K) investigation services;
(2) include a functional definition of "persons needing multiagency services";
(3) outline membership, officers, and necessary standing committees of local-level interagency staffing groups;
(4) define procedures aimed at eliminating duplication of services relating to assessment and diagnosis, treatment, residential placement and care, and case management of persons needing multiagency services;
(5) define procedures for addressing disputes between the agencies that relate to the agencies' areas of service responsibilities;
(6) provide that each local-level interagency staffing group includes:
(A) a local representative of each agency;
(B) representatives of local private sector agencies; and
(C) family members or caregivers of persons needing multiagency services or other current or previous consumers of multiagency services acting as general consumer advocates;
(7) provide that the local representative of each agency has authority to contribute agency resources to solving problems identified by the local-level interagency staffing group;
(8) provide that if a person's needs exceed the resources of an agency, the agency may, with the consent of the person's legal guardian, if applicable, submit a referral on behalf of the person to the local-level interagency staffing group for consideration;
(9) provide that a local-level interagency staffing group may be called together by a representative of any member agency;
(10) provide that an agency representative may be excused from attending a meeting if the staffing group determines that the age or needs of the person to be considered are clearly not within the agency's service responsibilities, provided that each agency representative is encouraged to attend all meetings to contribute to the collective ability of the staffing group to solve a person's need for multiagency services;
(11) define the relationship between state-level interagency staffing groups and local-level interagency staffing groups in a manner that defines, supports, and maintains local autonomy;
(12) provide that records that are used or developed by a local-level interagency staffing group or its members that relate to a particular person are confidential and may not be released to any other person or agency except as provided by this section or by other law; and
(13) provide a procedure that permits the agencies to share confidential information while preserving the confidential nature of the information.
(c) The agencies that participate in the formulation of the memorandum of understanding shall consult with and solicit input from advocacy and consumer groups.
(d) Each agency shall adopt the memorandum of understanding and all revisions to the memorandum. The agencies shall develop revisions as necessary to reflect major agency reorganizations or statutory changes affecting the agencies.
(e) The agencies shall ensure that a state-level interagency staffing group provides:
(1) information and guidance to local-level interagency staffing groups regarding:
(A) the availability of programs and resources in the community; and
(B) best practices for addressing the needs of persons with complex needs in the least restrictive setting appropriate; and
(2) a biennial report to the administrative head of each agency, the legislature, and the governor that includes:
(A) the number of persons served through the local-level interagency staffing groups and the outcomes of the services provided;
(B) a description of any barriers identified to the state's ability to provide effective services to persons needing multiagency services; and
(C) any other information relevant to improving the delivery of services to persons needing multiagency services.
(f) In this section, "least restrictive setting" means a service setting for a person that, in comparison to other available service settings:
(1) is most able to meet the identified needs of the person;
(2) prioritizes a home and community-based care setting; and
(3) engages the strengths of the family.
Added by Acts 2001, 77th Leg., ch. 114, Sec. 1, eff. Sept. 1, 2001.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 2.092, eff. April 2, 2015.
Acts 2015, 84th Leg., R.S., Ch. 1203 (S.B. 1455), Sec. 9, eff. September 1, 2015.
Acts 2017, 85th Leg., R.S., Ch. 507 (H.B. 2904), Sec. 1, eff. September 1, 2017.
Structure Texas Statutes
Subtitle I - Health and Human Services
Chapter 531 - Health and Human Services Commission
Subchapter B. Powers and Duties
Section 531.021. Administration of Medicaid
Section 531.0211. Managed Care Medicaid Program: Rules; Education Programs
Section 531.02111. Biennial Medicaid Financial Report
Section 531.02113. Optimization of Medicaid Financing
Section 531.02114. Dental Director
Section 531.02118. Streamlining Medicaid Provider Enrollment and Credentialing Processes
Section 531.021182. Use of National Provider Identifier Number
Section 531.021191. Medicaid Enrollment of Certain Eye Health Care Providers
Section 531.0212. Medicaid Bill of Rights and Bill of Responsibilities
Section 531.0213. Support Services for Medicaid Recipients
Section 531.02131. Grievances Related to Medicaid
Section 531.0214. Medicaid Data Collection System
Section 531.02141. Medicaid Information Collection and Analysis
Section 531.02142. Public Access to Certain Medicaid Data
Section 531.02143. Data Regarding Postnatal Alcohol and Controlled Substance Treatment
Section 531.0215. Compilation of Statistics Relating to Fraud
Section 531.02164. Medicaid Services Provided Through Home Telemonitoring Services
Section 531.0217. Reimbursement for Certain Medical Consultations
Section 531.02171. Reimbursement for Certain Telehealth Services
Section 531.02172. Reimbursement for Teledentistry Dental Services
Section 531.02174. Additional Authority Regarding Telemedicine Medical Services
Section 531.02175. Reimbursement for Online Medical Consultations
Section 531.0218. Long-Term Care Medicaid Programs
Section 531.02191. Public Input
Section 531.02192. Federally Qualified Health Center and Rural Health Clinic Services
Section 531.02193. Certain Conditions on Medicaid Reimbursement of Rural Health Clinics Prohibited
Section 531.02194. Reimbursement Methodology for Rural Hospitals
Section 531.022. Coordinated Strategic Plan for Health and Human Services
Section 531.0222. Local Mental Health Authority Group Regional Planning
Section 531.0224. Planning and Policy Direction of Temporary Assistance for Needy Families Program
Section 531.0225. Mental Health and Substance Abuse Services
Section 531.02251. Ombudsman for Behavioral Health Access to Care
Section 531.02253. Telehealth Treatment for Substance Use Disorders
Section 531.0226. Chronic Health Conditions Services Medicaid Waiver Program
Section 531.0227. Person First Respectful Language Promotion
Section 531.023. Submission of Plans and Updates by Agencies
Section 531.024. Planning and Delivery of Health and Human Services; Data Sharing
Section 531.0241. Streamlining Delivery of Services
Section 531.02411. Streamlining Administrative Processes
Section 531.024115. Service Delivery Area Alignment
Section 531.02412. Service Delivery Audit Mechanisms
Section 531.02413. Billing Coordination System
Section 531.024131. Expansion of Billing Coordination and Information Collection Activities
Section 531.02414. Nonemergency Transportation Services Under Medical Transportation Program
Section 531.02415. Electronic Eligibility Information Pilot Project
Section 531.024163. Accessibility of Information Regarding Medicaid Prior Authorization Requirements
Section 531.024164. External Medical Review
Section 531.024165. Medical Review of Medicaid Service Denials for Foster Care Youth
Section 531.02417. Medicaid Nursing Services Assessments
Section 531.024171. Therapy Services Assessments
Section 531.024172. Electronic Visit Verification System
Section 531.0242. Use of Agency Staff
Section 531.0244. Ensuring Appropriate Care Setting for Persons With Disabilities
Section 531.02444. Medicaid Buy-in Programs for Certain Persons With Disabilities
Section 531.02445. Transition Services for Youth With Disabilities
Section 531.02447. Employment-First Policy
Section 531.02448. Competitive and Integrated Employment Initiative for Certain Medicaid Recipients
Section 531.0245. Permanency Planning for Certain Children
Section 531.0246. Regional Management of Health and Human Services Agencies
Section 531.0247. Annual Business Plan
Section 531.0248. Community-Based Support Systems
Section 531.02481. Community-Based Support and Service Delivery Systems for Long-Term Care Services
Section 531.02491. Joint Training for Certain Caseworkers
Section 531.02492. Delivery of Health and Human Services to Young Texans
Section 531.025. Statewide Needs Appraisal Project
Section 531.027. Appropriations Request by Agencies
Section 531.0271. Health and Human Services Agencies Operating Budgets
Section 531.0273. Information Resources Planning and Management
Section 531.02731. Report of Information Resources Manager to Commission
Section 531.0274. Coordination and Approval of Caseload Estimates
Section 531.028. Monitoring and Effective Management of Funds
Section 531.031. Management Information and Cost Accounting System
Section 531.0312. Texas Information and Referral Network
Section 531.0313. Electronic Access to Health and Human Services Referral Information
Section 531.03131. Electronic Access to Child-Care and Education Services Referral Information
Section 531.0317. Health and Human Services Information Made Available Through the Internet
Section 531.0318. Long-Term Care Consumer Information Made Available Through the Internet
Section 531.0319. Outreach Campaigns for Aging Adults With Visual Impairments
Section 531.032. Application of Other Laws
Section 531.0335. Prohibition on Punitive Action for Failure to Immunize
Section 531.035. Dispute Arbitration
Section 531.036. Public Hearings
Section 531.037. Notice of Public Hearings
Section 531.038. Gifts and Grants
Section 531.0381. Certain Gifts and Grants to Health and Human Services Agencies
Section 531.0391. Subrogation and Third-Party Reimbursement Collection Contract
Section 531.0392. Recovery of Certain Third-Party Reimbursements Under Medicaid
Section 531.040. Reference Guide; Dictionary
Section 531.041. General Powers and Duties
Section 531.0411. Rules Regarding Refugee Resettlement
Section 531.042. Information and Assistance Regarding Care and Support Options
Section 531.043. Long-Term Care Vision
Section 531.044. Financial Assistance Recipients Eligible for Federal Programs
Section 531.047. Substitute Care Provider Outcome Standards
Section 531.048. Caseload Standards
Section 531.050. Minimum Collection Goal
Section 531.0501. Medicaid Waiver Programs: Interest List Management
Section 531.0511. Medically Dependent Children Waiver Program: Consumer Direction of Services
Section 531.0512. Notification Regarding Consumer Direction Model
Section 531.0515. Risk Management Criteria for Certain Waiver Programs
Section 531.053. Leases and Subleases of Certain Office Space
Section 531.055. Memorandum of Understanding on Services for Persons Needing Multiagency Services
Section 531.056. Review of Survey Process in Certain Institutions and Facilities
Section 531.057. Volunteer Advocate Program for the Elderly
Section 531.058. Informal Dispute Resolution for Certain Long-Term Care Facilities
Section 531.0581. Long-Term Care Facilities Council
Section 531.0585. Issuance of Materials to Certain Long-Term Care Facilities
Section 531.059. Voucher Program for Transitional Living Assistance for Persons With Disabilities
Section 531.060. Family-Based Alternatives for Children
Section 531.0601. Long-Term Care Services Waiver Program Interest Lists
Section 531.06011. Certain Medicaid Waiver Programs: Interest List Management
Section 531.0602. Medically Dependent Children (Mdcp) Waiver Program Assessments and Reassessments
Section 531.06021. Medically Dependent Children (Mdcp) Waiver Program Quality Monitoring; Report
Section 531.0605. Advancing Care for Exceptional Kids Pilot Program
Section 531.061. Participation by Fathers
Section 531.062. Pilot Projects Relating to Technology Applications
Section 531.066. Participation of Diagnostic Laboratory Service Providers in Certain Programs
Section 531.069. Periodic Review of Vendor Drug Program
Section 531.0693. Prescription Drug Use and Expenditure Patterns
Section 531.0694. Period of Validity for Prescription
Section 531.0696. Considerations in Awarding Certain Contracts
Section 531.070. Supplemental Rebates
Section 531.0701. Value-Based Arrangements
Section 531.071. Confidentiality of Information Regarding Drug Rebates, Pricing, and Negotiations
Section 531.072. Preferred Drug Lists
Section 531.073. Prior Authorization for Certain Prescription Drugs
Section 531.0735. Medicaid Drug Utilization Review Program: Drug Use Reviews and Annual Report
Section 531.0736. Drug Utilization Review Board
Section 531.0737. Drug Utilization Review Board: Conflicts of Interest
Section 531.075. Prior Authorization for High-Cost Medical Services
Section 531.076. Review of Prior Authorization and Utilization Review Processes
Section 531.077. Recovery of Certain Assistance
Section 531.078. Quality Assurance Fees on Certain Waiver Program Services
Section 531.079. Waiver Program Quality Assurance Fee Account
Section 531.080. Reimbursement of Waiver Programs
Section 531.081. Invalidity; Federal Funds
Section 531.082. Expiration of Quality Assurance Fee on Waiver Programs
Section 531.083. Medicaid Long-Term Care System
Section 531.084. Medicaid Long-Term Care Cost Containment Strategies
Section 531.0841. Long-Term Care Insurance Awareness and Education Campaign
Section 531.0843. Durable Medical Equipment Reuse Program
Section 531.085. Hospital Emergency Room Use Reduction Initiatives
Section 531.087. Distribution of Earned Income Tax Credit Information
Section 531.088. Pooled Funding for Foster Care Preventive Services
Section 531.089. Certain Medication for Sex Offenders Prohibited
Section 531.090. Joint Purchasing of Prescription Drugs and Other Medications
Section 531.091. Integrated Benefits Issuance
Section 531.092. Transfer of Money for Community-Based Services
Section 531.0925. Veteran Suicide Prevention Action Plan
Section 531.093. Services for Military Personnel
Section 531.0941. Medicaid Health Savings Account Pilot Program
Section 531.097. Tailored Benefit Packages for Certain Categories of the Medicaid Population
Section 531.0971. Tailored Benefit Packages for Non-Medicaid Populations
Section 531.0972. Pilot Program to Prevent the Spread of Certain Infectious or Communicable Diseases
Section 531.0981. Wellness Screening Program
Section 531.0991. Grant Program for Mental Health Services
Section 531.0992. Grant Program for Mental Health Services for Veterans and Their Families
Section 531.0994. Study; Annual Report
Section 531.0995. Information for Certain Enrollees in the Healthy Texas Women Program