Amend CSSB 7 (house committee printing) on page 39, between lines 2 and 3, by inserting the following:
(b-1) The commission may require that care management services made available as provided by Subsection (b)(7):
(1) incorporate best practices, as determined by the commission;
(2) integrate with a nurse advice line to ensure appropriate redirection rates;
(3) use an identification and stratification methodology that identifies recipients who have the greatest need for services;
(4) provide a care needs assessment for a recipient that is comprehensive, holistic, consumer-directed, evidence-based, and takes into consideration social and medical issues, for purposes of prioritizing the recipient's needs that threaten independent living;
(5) are delivered through multi-disciplinary care teams located in different geographic areas of this state that use in-person contact with recipients and their caregivers;
(6) identify immediate interventions for transition of care;
(7) include monitoring and reporting outcomes that, at a minimum, include:
(A) recipient quality of life;
(B) recipient satisfaction; and
(C) other financial and clinical metrics determined appropriate by the commission; and
(8) use innovations in the provision of services.