Sec. 534.107. COMMISSION RESPONSIBILITIES. (a) The commission shall require that a managed care organization participating in the pilot program:
(1) ensures that individuals participating in the pilot program have a choice among acute care and comprehensive long-term services and supports providers and service delivery options, including the consumer direction model;
(2) demonstrates to the commission's satisfaction that the organization's network of acute care, long-term services and supports, and comprehensive long-term services and supports providers have experience and expertise in providing services for individuals with an intellectual or developmental disability and individuals with similar functional needs;
(3) has a process for preventing inappropriate institutionalizations of individuals; and
(4) ensures the timely initiation and consistent provision of services in accordance with an individual's person-centered plan.
(b) For the duration of the pilot program, the commission shall ensure that comprehensive long-term services and supports providers are considered significant traditional providers and included in the provider network of a managed care organization participating in the pilot program.
Added by Acts 2013, 83rd Leg., R.S., Ch. 1310 (S.B. 7), Sec. 1.01, eff. September 1, 2013.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 2.250, eff. April 2, 2015.
Acts 2019, 86th Leg., R.S., Ch. 1330 (H.B. 4533), Sec. 18, eff. September 1, 2019.
Structure Texas Statutes
Subtitle I - Health and Human Services
Subchapter C. Stage One: Pilot Program for Improving Service Delivery Models
Section 534.1015. Pilot Program Workgroup
Section 534.103. Stakeholder Input
Section 534.1035. Managed Care Organization Selection
Section 534.104. Pilot Program Design
Section 534.1045. Pilot Program Benefits and Provider Qualifications
Section 534.105. Pilot Program: Measurable Goals
Section 534.106. Implementation, Location, and Duration
Section 534.1065. Recipient Enrollment, Participation, and Eligibility
Section 534.107. Commission Responsibilities
Section 534.108. Pilot Program Information
Section 534.109. Person-Centered Planning
Section 534.110. Transition Between Programs; Continuity of Services