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A BILL TO BE ENTITLED
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AN ACT
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relating to Medicaid reimbursement for the provision of certain |
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behavioral health and physical health services. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter B, Chapter 32, Human Resources Code, |
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is amended by adding Section 32.0246 to read as follows: |
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Sec. 32.0246. MEDICAL ASSISTANCE REIMBURSEMENT FOR CERTAIN |
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BEHAVIORAL HEALTH AND PHYSICAL HEALTH SERVICES. (a) In this |
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section, "behavioral health services" has the meaning assigned by |
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Section 533.00255(a), Government Code, and includes targeted case |
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management and psychiatric rehabilitation services. |
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(b) The commission shall provide to a public or private |
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provider of behavioral health services medical assistance |
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reimbursement through a fee-for-service delivery model for |
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behavioral health or physical health services provided to a |
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recipient before that recipient's enrollment with and receipt of |
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medical assistance services through a managed care organization |
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under Chapter 533, Government Code. |
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(c) The commission shall ensure that a public or private |
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provider of behavioral health services who is reimbursed under |
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Subsection (b) through a fee-for-service delivery model is provided |
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medical assistance reimbursement through a managed care model for |
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behavioral health or physical health services provided to a |
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recipient after that recipient's enrollment with and receipt of |
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medical assistance services through a managed care organization |
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under Chapter 533, Government Code. |
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SECTION 2. The Health and Human Services Commission is |
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required to implement a provision of this Act only if the |
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legislature appropriates money to the commission specifically for |
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that purpose. If the legislature does not appropriate money |
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specifically for that purpose, the commission may, but is not |
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required to, implement a provision of this Act using other |
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appropriations that are available for that purpose. |
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SECTION 3. If before implementing any provision of this Act |
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a state agency determines that a waiver or authorization from a |
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federal agency is necessary for implementation of that provision, |
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the agency affected by the provision shall request the waiver or |
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authorization and may delay implementing that provision until the |
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waiver or authorization is granted. |
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SECTION 4. This Act takes effect September 1, 2022. |