Amend CSSB 7 (house committee printing) as follows:
(1) On page 6, line 1, strike "or the Medicaid ICF-IID program" and substitute ", individuals with intellectual and developmental disabilities who are recipients of services under the ICF-IID program,".
(2) On page 16, line 10, between "program" and "and", insert "or an ICF-IID program".
(3) On page 23, strike lines 6 through 8 and substitute the following:
(B) long-term services and supports to recipients who choose to continue receiving benefits under a waiver program or the ICF-IID program as provided by Subsection (g); or
(4) On page 23, line 11, strike "only".
(5) On page 24, lines 10 and 11, strike "only under the Medicaid waiver programs" and substitute "under the Medicaid waiver programs or the ICF-IID program".
(6) On page 24, line 15, between "program" and "the", insert "or the ICF-IID program".
(7) On page 24, line 17, between "program" and the underlined semicolon, insert "or the ICF-IID program".
(8) On page 22, line 2, strike "and".
(9) On page 22, line 6, between "providers" and the underlined period, insert the following:
; and
(3) provides access to a member services phone line for individuals or their legally authorized representatives to obtain information on and assistance with accessing services through network providers, including providers of primary, specialty, and other long-term services and supports
(10) On page 25, line 4, strike "and".
(11) On page 25, line 8, between "providers" and the underlined period, insert the following:
; and
(3) provides access to a member services phone line for individuals or their legally authorized representatives to obtain information on and assistance with accessing services through network providers, including providers of primary, specialty, and other long-term services and supports.
(12) On page 63, line 16, between "(2)" and "non-provider-owned" by inserting "provider-owned and".
(13) On page 25, between lines 8 and 9, by inserting the following:
Sec. 534.203. RESPONSIBILITIES OF COMMISSION. In administering this subchapter, the commission shall ensure:
(1) that the commission is responsible for setting the minimum reimbursement rate paid to a provider of ICF-IID services or a provider of home and community-based residential waiver services under the integrated managed care system including the staff rate enhancement paid to a provider of ICF-IID or a provider of home and community-based residential waiver services;
(2) that an ICF-IID service provider or a provider of home and community-based residential waiver services is paid not later than the 10th day after the date the facility submits a clean claim in accordance with the criteria used by the department for the reimbursement of ICF-IID service providers or a provider of home and community-based residential waiver services; and
(3) the establishment of an electronic portal through which providers of ICF-IID services or a provider of home and community-based residential waiver services participating in the STAR + PLUS Medicaid managed care program delivery model, or the most appropriate integrated capitated managed care program delivery model determined by the commission, may submit long-term services and supports claims to any participating managed care organization.