By Nelson S.B. No. 284 77R987 KLA-D A BILL TO BE ENTITLED 1-1 AN ACT 1-2 relating to streamlining reporting requirements and inspection 1-3 procedures under the Medicaid managed care program. 1-4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-5 SECTION 1. Subchapter A, Chapter 533, Government Code, is 1-6 amended by adding Sections 533.0055 and 533.016 to read as follows: 1-7 Sec. 533.0055. EVALUATION OF REPORTING REQUIREMENTS AND 1-8 INSPECTION PROCEDURES. (a) The commission shall: 1-9 (1) evaluate on-site inspection procedures of managed 1-10 care organizations contracting with the commission under this 1-11 chapter and evaluate methods to streamline those procedures to 1-12 assist the commission in determining necessary and effective 1-13 quality control measures and required data; 1-14 (2) evaluate methods to streamline reporting 1-15 requirements for managed care organizations contracting with the 1-16 commission under this chapter, including: 1-17 (A) combining information required to be 1-18 reported into a quarterly management report; 1-19 (B) eliminating unnecessary or duplicative 1-20 reporting requirements; and 1-21 (C) requiring managed care organizations to use 1-22 uniform forms developed by the commission for referrals for 1-23 services and credentialing of health care providers providing 1-24 health care services to recipients; and 2-1 (3) require managed care organizations contracting 2-2 with the commission under this chapter to evaluate reporting 2-3 requirements for health care providers to identify methods of 2-4 reducing the administrative burden placed on the providers, 2-5 including: 2-6 (A) reducing the complexity of forms health care 2-7 providers are required to complete; and 2-8 (B) eliminating unnecessary or duplicative 2-9 reporting requirements. 2-10 (b) The commission shall submit a report to the legislature 2-11 regarding the evaluation of and methods for streamlining on-site 2-12 inspection procedures and reporting requirements for managed care 2-13 organizations and health care providers providing health care 2-14 services to recipients. The report must include recommendations on 2-15 which methods should be implemented and a schedule for 2-16 implementation. 2-17 (c) This section expires September 1, 2002. 2-18 Sec. 533.016. INTERAGENCY SHARING OF INFORMATION. The 2-19 commission shall require a health and human services agency 2-20 implementing the Medicaid managed care program to provide to each 2-21 other health and human services agency implementing the Medicaid 2-22 managed care program information reported to that agency by a 2-23 managed care organization or health care provider providing 2-24 services to recipients. 2-25 SECTION 2. The Health and Human Services Commission shall 2-26 submit the report required by Section 533.0055(b), Government Code, 2-27 as added by this Act, not later than November 1, 2002. 3-1 SECTION 3. This Act takes effect immediately if it receives 3-2 a vote of two-thirds of all the members elected to each house, as 3-3 provided by Section 39, Article III, Texas Constitution. If this 3-4 Act does not receive the vote necessary for immediate effect, this 3-5 Act takes effect September 1, 2001.