Tex. Gov't Code Section 542.0051
Redesign of Acute Care Services and Long-term Services and Supports System for Individuals with an Intellectual or Developmental Disability

The commission shall design and implement an acute care services and long-term services and supports system for individuals with an intellectual or developmental disability that supports the following goals:

(1)

provide Medicaid services to more individuals in a cost-efficient manner by providing the type and amount of services most appropriate to an individual’s needs and preferences in the most integrated and least restrictive setting;

(2)

improve access to services and supports by ensuring that an individual receives information about all available programs and services, including employment and least restrictive housing assistance, and the manner of applying for the programs and services;

(3)

improve the assessment of an individual’s needs and available supports, including the assessment of an individual’s functional needs;

(4)

promote person-centered planning, self-direction, self-determination, community inclusion, and customized, integrated, competitive employment;

(5)

promote individualized budgeting based on an assessment of an individual’s needs and person-centered planning;

(6)

promote integrated service coordination of acute care services and long-term services and supports;

(7)

improve acute care and long-term services and supports outcomes, including reducing unnecessary institutionalization and potentially preventable events;

(8)

promote high-quality care;

(9)

provide fair hearing and appeals processes in accordance with federal law;

(10)

ensure the availability of a local safety net provider and local safety net services;

(11)

promote independent service coordination and independent ombudsmen services; and

(12)

ensure that individuals with the most significant needs are appropriately served in the community and that processes are in place to prevent the inappropriate institutionalization of an individual.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.

Source: Section 542.0051 — Redesign of Acute Care Services and Long-term Services and Supports System for Individuals with an Intellectual or Developmental Disability, https://statutes.­capitol.­texas.­gov/Docs/GV/htm/GV.­542.­htm#542.­0051 (accessed Jun. 5, 2024).

542.0001
Definitions 542.0002
Conflict with Other Law 542.0003
Delayed Implementation Authorized 542.0051
Redesign of Acute Care Services and Long-term Services and Supports System for Individuals with an Intellectual or Developmental Disability 542.0052
Intellectual and Developmental Disability System Redesign Advisory Committee 542.0053
Implementation of System Redesign 542.0054
Annual Report on Implementation 542.0101
Definitions 542.0102
Pilot Program to Test Person-centered Managed Care Strategies and Improvements Based on Capitation 542.0103
Alternative Payment Rate or Methodology 542.0104
Pilot Program Work Group 542.0105
Stakeholder Input 542.0106
Measurable Goals 542.0107
Managed Care Organization Selection 542.0108
Managed Care Organization Participation Requirements 542.0109
Required Benefits 542.0110
Provider Participation 542.0111
Care Coordination 542.0112
Person-centered Planning 542.0113
Use of Innovative Technology 542.0114
Informational Materials 542.0115
Implementation, Location, and Duration 542.0116
Recipient Enrollment, Participation, and Eligibility 542.0117
Pilot Program Information Collection and Analysis 542.0118
Pilot Program Conclusion 542.0119
Evaluations and Reports 542.0120
Transition Between Programs 542.0121
Service Transition Requirements 542.0151
Delivery of Acute Care Services to Individuals with an Intellectual or Developmental Disability 542.0201
Transition of Icf-iid Program Recipients and Certain Other Medicaid Waiver Program Recipients to Managed Care Program 542.0202
Recipient Choice of Delivery Model 542.0203
Required Contract Provisions 542.0204
Responsibilities of Commission Under Subchapter
Green check means up to date. Up to date

Accessed:
Jun. 5, 2024

§ 542.0051’s source at texas​.gov