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Amend CSHB 2962 by adding the following appropriately
numbered SECTION to the bill and renumbering subsequent SECTIONS of
the bill accordingly:
SECTION ____. Chapter 531, Government Code, is amended by
adding Subchapter M-1 to read as follows:
SUBCHAPTER M-1. ELIGIBILITY DETERMINATION STREAMLINING AND
IMPROVEMENT
Sec. 531.471. DEFINITIONS. In this subchapter:
(1) "Benefits program" includes:
(A) the child health plan program;
(B) the financial assistance program under
Chapter 31, Human Resources Code;
(C) the medical assistance program under Chapter
32, Human Resources Code, including long-term care services
provided under the program; and
(D) the food stamp program under Chapter 33,
Human Resources Code.
(2) "SAVERR" means the System of Application,
Verification, Eligibility, Referral, and Reporting.
(3) "TIERS" means the Texas Integrated Eligibility
Redesign System.
Sec. 531.472. CORRECTIVE ACTION PLAN. If for three
consecutive months less than 90 percent of the applications or
eligibility recertifications for benefits programs are accurately
processed through SAVERR or TIERS, or otherwise for the child
health plan program, within the applicable processing time
requirements established by state and federal law, the executive
commissioner by rule shall adopt a corrective action plan for all
benefits programs that:
(1) identifies the steps necessary to improve the
timeliness of application processing and the accuracy of
eligibility determinations; and
(2) to the extent possible within the staffing levels
authorized by the General Appropriations Act, ensures that benefits
program eligibility determinations are accurately made within
applicable processing time requirements established by state and
federal law.
Sec. 531.473. REDUCTION OF DENIALS FOR MISSING INFORMATION.
(a) The executive commissioner by rule shall adopt processes
designed to reduce denials of eligibility for benefits programs due
to information missing from an application. The processes must
include providing comprehensive information to an applicant,
enrollee, or recipient regarding acceptable documentation of
income for purposes of an eligibility determination.
(b) Before imposing a denial of eligibility for a benefits
program for failure to provide information needed to complete an
application, including an application for recertification, the
commission shall:
(1) attempt to contact the applicant, enrollee, or
recipient by telephone or mail to describe the specific information
that must be provided to complete the application; and
(2) allow the person a period of at least 10 business
days to provide the missing information instead of requiring the
person to submit a new application.
Sec. 531.474. CALL RESOLUTION STANDARDS. The executive
commissioner shall establish telephone call resolution standards
and processes for each call center established under Section
531.063, including a call center operated by a contractor, to
ensure that telephone calls regarding questions, issues, or
complaints received at call centers are accurately handled by call
center staff and are successfully resolved by call center or agency
staff.