Sec. 32.0534. EVALUATION AND REPORT COMPARING PACE AND STAR + PLUS MEDICAID MANAGED CARE PROGRAMS. (a) The commission, in collaboration with the Department of Aging and Disability Services and appropriate stakeholder groups, shall conduct an evaluation of the PACE program that compares Medicaid costs and client outcomes under the PACE program to Medicaid costs and client outcomes under the STAR + PLUS Medicaid managed care program. The commission must design the evaluation in a manner that:
(1) compares similar recipient types between the programs in terms of recipient:
(A) age;
(B) eligibility factors, including:
(i) income level;
(ii) health status; and
(iii) impairment level; and
(C) living environment; and
(2) accounts for differences among recipients in:
(A) geographic location;
(B) health care acuity; and
(C) other factors determined to be necessary.
(b) The evaluation required under this section must include an assessment of future cost implications if the commission fails to establish a reimbursement methodology under the PACE program in accordance with Section 32.0532.
(c) The commission shall compile a report on the findings of the evaluation under this section. Not later than December 1, 2016, the commission shall submit the report to the Legislative Budget Board and the governor.
(d) This section expires September 1, 2017.
Added by Acts 2015, 84th Leg., R.S., Ch. 823 (H.B. 3823), Sec. 1, eff. June 17, 2015.
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