MONITORING COMPLIANCE WITH BEHAVIORAL HEALTH INTEGRATION.
Tex. GOV'T Code § 540.0212.
in effect(a) In this section, "behavioral health services" has the meaning assigned by Section 540.0703 .
(b) In monitoring contracts the commission enters into with Medicaid managed care organizations under this chapter, the commission shall:
(1) ensure the organizations fully integrate behavioral health services into a recipient's primary care coordination;
(2) use performance audits and other oversight tools to improve monitoring of the provision and coordination of behavioral health services; and
(3) establish performance measures that may be used to determine the effectiveness of the behavioral health services integration.
(c) In monitoring a Medicaid managed care organization's compliance with behavioral health services integration requirements under this section, the commission shall give particular attention to an organization that provides behavioral health services through a contract with a third party.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611 ), Sec. 1.01, eff. April 1, 2025.
SUBCHAPTER F. REQUIRED CONTRACT PROVISIONS