By Maxey                                               H.B. No. 864
       74R2345 CBH-D
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to the provision of and reimbursement for certain case
    1-3  management services.
    1-4        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-5        SECTION 1.  Article 4413(502), Revised Statutes, is amended
    1-6  by adding Section 10A to read as follows:
    1-7        Sec. 10A.  CASE MANAGEMENT.  (a)  The commission shall adopt
    1-8  and administer a statewide consolidated case management system in
    1-9  which one primary service coordinator is assigned to each service
   1-10  recipient.  The service coordinator must be:
   1-11              (1)  trained to broker services across different
   1-12  agencies; and
   1-13              (2)  administratively separate from the direct delivery
   1-14  of services.
   1-15        (b)  The commission shall coordinate the development by the
   1-16  health and human services agencies of rules that permit parents and
   1-17  consumers to act as primary service coordinators.  The commission
   1-18  shall develop a consolidated training program for these primary
   1-19  service coordinators that includes information on services
   1-20  available from all state agencies.
   1-21        SECTION 2.  (a)  The health and human services agencies that
   1-22  administer the Medicaid program shall:
   1-23              (1)  review their Medicaid case management
   1-24  reimbursement processes to determine if the agencies are receiving
    2-1  the maximum reimbursement allowed; and
    2-2              (2)  implement a system to allow the agencies to
    2-3  capture the maximum reimbursement allowed.
    2-4        (b)  The Health and Human Services Commission shall monitor
    2-5  the health and human services agencies' case management review to
    2-6  determine if the state's Medicaid plan should be amended.
    2-7        (c)  In this section, "health and human services agencies"
    2-8  has the meaning assigned by Section 19, Article 4413(502), Revised
    2-9  Statutes.
   2-10        SECTION 3.  The Health and Human Services Commission shall
   2-11  implement the consolidated case management system prescribed by
   2-12  Section 10A(a), Article 4413(502), Revised Statutes, as added by
   2-13  this Act, not later than May 31, 1996.
   2-14        SECTION 4.  The importance of this legislation and the
   2-15  crowded condition of the calendars in both houses create an
   2-16  emergency and an imperative public necessity that the
   2-17  constitutional rule requiring bills to be read on three several
   2-18  days in each house be suspended, and this rule is hereby suspended,
   2-19  and that this Act take effect and be in force from and after its
   2-20  passage, and it is so enacted.