MANAGED CARE ORGANIZATION PARTICIPATION REQUIREMENTS.
Tex. GOV'T Code § 542.0108.
in effectThe commission shall require that a managed care organization participating in the pilot program:
(1) ensures that pilot program participants 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 the inappropriate institutionalization of pilot program participants; and
(4) ensures the timely initiation and consistent provision of services in accordance with a pilot program participant's person-centered plan.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611 ), Sec. 1.01, eff. April 1, 2025.