Sec. 62.159. DISEASE MANAGEMENT SERVICES. (a) In this section, "disease management services" means services to assist a child manage a disease or other chronic health condition, such as heart disease, diabetes, respiratory illness, end-stage renal disease, HIV infection, or AIDS, and with respect to which the executive commissioner identifies populations for which disease management would be cost-effective.
(b) The child health plan must provide disease management services or coverage for disease management services in the manner required by the executive commissioner, including:
(1) patient self-management education;
(2) provider education;
(3) evidence-based models and minimum standards of care;
(4) standardized protocols and participation criteria; and
(5) physician-directed or physician-supervised care.
Added by Acts 2003, 78th Leg., ch. 589, Sec. 1, eff. June 20, 2003.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 3.0211, eff. April 2, 2015.
Structure Texas Statutes
Subtitle C - Programs Providing Health Care Benefits and Services
Chapter 62 - Child Health Plan for Certain Low-Income Children
Subchapter D. Child Health Plan
Section 62.151. Child Health Plan Coverage
Section 62.1511. Coverage for Maternal Depression Screening
Section 62.155. Health Plan Providers
Section 62.1551. Inclusion of Certain Health Care Providers in Provider Networks
Section 62.156. Health Care Providers
Section 62.1561. Prohibition of Certain Health Care Providers
Section 62.1571. Telemedicine Medical Services and Teledentistry Dental Services
Section 62.1571. Telemedicine Medical Services and Telehealth Services