Tex.
Gov't Code Section 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.
Source:
Section 534.107 — Commission Responsibilities, https://statutes.capitol.texas.gov/Docs/GV/htm/GV.534.htm#534.107 (accessed May 18, 2024).
