|
House Bill 2658 |
House Author: Frank |
|
Effective: 9-1-21 |
Senate Sponsor: Kolkhorst et al. |
House Bill 2658 amends the Government Code and Human Resources Code to set out provisions relating to the state Medicaid program, including the administration and operation of the Medicaid managed care program, to in part do the following:
· provide for a study of the feasibility of creating an online portal for individuals to request to be placed and check the individual's placement on a Medicaid waiver program interest list;
· require the executive commissioner of the Health and Human Services Commission (HHSC) to adopt rules establishing minimum performance standards applicable to nursing facility providers that participate in the STAR+PLUS Medicaid managed care program;
· require the capitation rates in a Medicaid managed care contract to include acuity and risk adjustment methodologies that consider the costs of providing acute care services and long‑term services and supports;
· provide for medication therapy management services to lower costs and improve quality outcomes for recipients by reducing adverse drug events;
· require a Medicaid managed care organization to identify the reason for low active participation rates and develop an approach to increase active participation in disease management programs for high‑risk recipients;
· provide for reimbursement for preventive dental services under Medicaid;
· require the executive commissioner of HHSC to adopt rules requiring parental consent for services provided under the school health and related services program in order for a school district to receive reimbursement for the services; and
· provide for two consecutive periods of continuous eligibility under the state Medicaid program for children younger than 19 years of age between each certification and recertification of the child's eligibility.
Implementation of a provision of this bill by HHSC is mandatory only if a specific appropriation is made for that purpose.