Sec. 531.0996. PREGNANCY MEDICAL HOME PILOT PROGRAM. (a) The commission shall develop and implement a pilot program in Harris County to create pregnancy medical homes that provide coordinated evidence-based maternity care management to women who reside in the pilot program area and are recipients of Medicaid through a Medicaid managed care model or arrangement under Chapter 533.
(b) In developing the pilot program, the commission shall ensure that each pregnancy medical home created for the program provides a maternity management team that:
(1) consists of health care providers, including obstetricians, gynecologists, family physicians or primary care providers, physician assistants, certified nurse midwives, advanced practice registered nurses, and social workers, in a single location;
(2) conducts a risk-classification assessment for each pilot program participant on entry into the program to determine whether her pregnancy is considered high- or low-risk;
(3) based on the assessment under Subdivision (2), establishes an individual pregnancy care plan for each participant; and
(4) follows the participant throughout her pregnancy in order to reduce poor birth outcomes.
(c) The commission may incorporate financial incentives to health care providers who participate in a maternity management team as a component of the pilot program.
(d) Not later than January 1, 2015, the commission shall report to the legislature on the progress of the pilot program. The report must include:
(1) an evaluation of the pilot program's success in reducing poor birth outcomes; and
(2) a recommendation as to whether the pilot program should be continued, expanded, or terminated.
(e) The executive commissioner may adopt rules to implement this section.
(f) This section expires September 1, 2017.
Added by Acts 2013, 83rd Leg., R.S., Ch. 670 (H.B. 1605), Sec. 1, eff. September 1, 2013.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 2.127, eff. April 2, 2015.
Section: Previous 531.0971 531.0972 531.0973 531.0981 531.099 531.0992 531.0994 531.0996 531.0998 531.101 531.1011 531.102 531.1021 531.1022 531.1023 NextLast modified: September 28, 2016