Texas Health and Human Services Commission (HHSC) has adopted new rules that affect various provisions of Chapter 353 Medicaid Managed Care. The following rules are amended (from the August 25 Texas Register):
§353.2, Definitions; §353.3, Experience Rebate in the Managed Care Program; §353.403, Enrollment; §353.405, Marketing; §353.407, Requirements of Health Maintenance Organizations; §353.409, Scope of Services; §353.411, Accessibility of Services; §353.413, Managed Care Benefits and Services for Children Under 21 Years of Age; §353.415, Member Complaint Procedures; §353.417, Quality Assessment and Performance Improvement; and §353.419, Financial Standards.
You may look up the appropriate sections in the Texas Administrative Code (TAC) here.
On behalf of the Texas Department of Disability Services (DADS), HHSC amends, adds a new section, and repeals sections of Chapter 2, Subchapter F, regarding Continuity of Services–State Mental Retardation Facilities. Read about these changes in detail here. The corresponding TAC sections can be found here.
HHSC re-advertises its Request for Proposals “for consultant services to assist the state of Texas in optimization of case management to enhance the quality outcomes and cost savings.” Proposals are due by 2:00 p.m. CT on September 5, 2006. Also found in that section are public notices and corrections.
