Texas Government Code Title 4, Chapter 534 - System Redesign For Delivery Of Medicaid Acute Care Services And Long-term Services And Supports To Persons With An Intellectual Or Developmental Disability

SUBCHAPTER A GENERAL PROVISIONS

• Texas Section 534.001 - Definitions
  In this chapter: (1) "Advisory committee" means the Intellectual and Developmental Disability System Redesign Advisory Committee established under Section 534.053. (2) "Basic attendant services" means...

SUBCHAPTER B ACUTE CARE SERVICES AND LONG-TERM SERVICES AND SUPPORTS SYSTEM

• Texas Section 534.002 - Conflict With Other Law
  To the extent of a conflict between a provision of this chapter and another state law, the provision of this chapter controls. Added by Acts...
• Texas Section 534.051 - Acute Care Services And Long-term Services And Supports System For Individuals With An Intellectual Or Developmental Disability
  In accordance with this chapter, the commission and the department shall jointly design and implement an acute care services and long-term services and supports system...
• Texas Section 534.052 - Implementation Of System Redesign
  The commission and department shall, in consultation with the advisory committee, jointly implement the acute care services and long-term services and supports system for individuals...
• Texas Section 534.053 - Intellectual And Developmental Disability System Redesign Advisory Committee
  (a) The Intellectual and Developmental Disability System Redesign Advisory Committee shall advise the commission and the department on the implementation of the acute care services...

SUBCHAPTER C STAGE ONE: PROGRAMS TO IMPROVE SERVICE DELIVERY MODELS

• Texas Section 534.054 - Annual Report On Implementation
  (a) Not later than September 30 of each year, the commission, in consultation and collaboration with the advisory committee, shall prepare and submit a report...
• Texas Section 534.101 - Definitions
  In this subchapter: (1) "Capitation" means a method of compensating a provider on a monthly basis for providing or coordinating the provision of a defined...
• Texas Section 534.102 - Pilot Programs To Test Managed Care Strategies Based On Capitation
  The commission and the department may develop and implement pilot programs in accordance with this subchapter to test one or more service delivery models involving...
• Texas Section 534.103 - Stakeholder Input
  As part of developing and implementing a pilot program under this subchapter, the department shall develop a process to receive and evaluate input from statewide...
• Texas Section 534.104 - Managed Care Strategy Proposals; Pilot Program Service Providers
  (a) The department, in consultation and collaboration with the advisory committee, shall identify private services providers or managed care organizations that are good candidates to...
• Texas Section 534.105 - Pilot Program: Measurable Goals
  (a) The department, in consultation with the advisory committee, shall identify measurable goals to be achieved by each pilot program implemented under this subchapter. The...
• Texas Section 534.106 - Implementation, Location, And Duration
  (a) The commission and the department shall implement any pilot programs established under this subchapter not later than September 1, 2017. (b) A pilot program...
• Texas Section 534.1065 - Recipient Participation In Program Voluntary
  Participation in a pilot program established under this subchapter by an individual with an intellectual or developmental disability is voluntary, and the decision whether to...
• Texas Section 534.107 - Coordinating Services
  In providing long-term services and supports under Medicaid to individuals with an intellectual or developmental disability, a pilot program service provider shall: (1) coordinate through...
• Texas Section 534.108 - Pilot Program Information
  (a) The commission and the department shall collect and compute the following information with respect to each pilot program implemented under this subchapter to the...
• Texas Section 534.109 - Person-centered Planning
  The commission, in cooperation with the department, shall ensure that each individual with an intellectual or developmental disability who receives services and supports under Medicaid...
• Texas Section 534.110 - Transition Between Programs
  (a) The commission shall ensure that there is a comprehensive plan for transitioning the provision of Medicaid benefits between a Medicaid waiver program or an...

SUBCHAPTER D STAGE ONE: PROVISION OF ACUTE CARE AND CERTAIN OTHER SERVICES

• Texas Section 534.111 - Conclusion Of Pilot Programs; Expiration
  On September 1, 2018: (1) each pilot program established under this subchapter that is still in operation must conclude; and (2) this subchapter expires. Added...
• Texas Section 534.151 - Delivery Of Acute Care Services For Individuals With An Intellectual Or Developmental Disability
  (a) Subject to Section 533.0025, the commission shall provide acute care Medicaid benefits to individuals with an intellectual or developmental disability through the STAR +...

SUBCHAPTER E STAGE TWO: TRANSITION OF LONG-TERM CARE MEDICAID WAIVER PROGRAM RECIPIENTS TO INTEGRATED MANAGED CARE SYSTEM

• Texas Section 534.152 - Delivery Of Certain Other Services Under Star + Plus Medicaid Managed Care Program And By Waiver Program Providers
  Sec. 534.152. DELIVERY OF CERTAIN OTHER SERVICES UNDER STAR + PLUS MEDICAID MANAGED CARE PROGRAM AND BY WAIVER PROGRAM PROVIDERS. (a) The commission shall: (1)...
• Texas Section 534.201 - Transition Of Recipients Under Texas Home Living (Txhml) Waiver Program To Managed Care Program
  Sec. 534.201. TRANSITION OF RECIPIENTS UNDER TEXAS HOME LIVING (TxHmL) WAIVER PROGRAM TO MANAGED CARE PROGRAM. (a) This section applies to individuals with an intellectual...
• Texas Section 534.202 - Transition Of Icf-iid Program Recipients And Certain Other Medicaid Waiver Program Recipients To Managed Care Program
  (a) This section applies to individuals with an intellectual or developmental disability who, on the date the commission implements the transition described by Subsection (b),...
• Texas Section 534.203 - Responsibilities Of Commission Under Subchapter
  In administering this subchapter, the commission shall ensure: (1) that the commission is responsible for setting the minimum reimbursement rate paid to a provider of...

Last modified: September 28, 2016