Tex.
Gov't Code Section 542.0204
Responsibilities of Commission Under Subchapter
(1)
that the commission is responsible for setting the minimum reimbursement rate paid to an ICF-IID services or group home provider under the integrated managed care system, including the staff rate enhancement paid to an ICF-IID services or group home provider;(2)
that an ICF-IID services or group home provider is paid not later than the 10th day after the date the provider submits a clean claim in accordance with the criteria the commission uses to reimburse an ICF-IID services or group home provider, as applicable;(3)
the establishment of an electronic portal through which an ICF-IID services or group home provider participating in the STAR+PLUS Medicaid managed care program delivery model or the most appropriate integrated capitated managed care program delivery model, as appropriate, may submit long-term services and supports claims to any participating managed care organization; and(4)
that the consumer direction model is an available option for each individual with an intellectual or developmental disability who receives Medicaid benefits in accordance with this subchapter to achieve self-determination, choice, and control and that the individual or the individual’s legally authorized representative has access to a comprehensive, facilitated, person-centered plan that identifies outcomes for the individual.
Source:
Section 542.0204 — Responsibilities of Commission Under Subchapter, https://statutes.capitol.texas.gov/Docs/GV/htm/GV.542.htm#542.0204 (accessed May 18, 2024).
