Tex.
Human Resources Code Section 32.0246
Medical Assistance Reimbursement for Certain Behavioral Health and Physical Health Services
(a)
In this section, “behavioral health services” has the meaning assigned by Section 533.00255 (Behavioral Health and Physical Health Services Network)(a), Government Code, and includes targeted case management and psychiatric rehabilitation services.(b)
The commission shall provide to a public or private provider of behavioral health services medical assistance reimbursement through a fee-for-service delivery model for behavioral health or physical health services provided to a recipient before that recipient’s enrollment with and receipt of medical assistance services through a managed care organization under Chapter 533, Government Code.(c)
The commission shall ensure that a public or private provider of behavioral health services who is reimbursed under Subsection (b) through a fee-for-service delivery model is provided medical assistance reimbursement through a managed care model for behavioral health or physical health services provided to a recipient after that recipient’s enrollment with and receipt of medical assistance services through a managed care organization under Chapter 533, Government Code.(b)
The commission shall provide to a public or private provider of behavioral health services medical assistance reimbursement through a fee-for-service delivery model for behavioral health or physical health services provided to a recipient before that recipient’s enrollment with and receipt of medical assistance services through a managed care organization under Chapter 540 (Medicaid Managed Care Program) or 540A (Medicaid Managed Transportation Services), Government Code, as applicable.(c)
The commission shall ensure that a public or private provider of behavioral health services who is reimbursed under Subsection (b) through a fee-for-service delivery model is provided medical assistance reimbursement through a managed care model for behavioral health or physical health services provided to a recipient after that recipient’s enrollment with and receipt of medical assistance services through a managed care organization under Chapter 540 (Medicaid Managed Care Program) or 540A (Medicaid Managed Transportation Services), Government Code, as applicable.
Source:
Section 32.0246 — Medical Assistance Reimbursement for Certain Behavioral Health and Physical Health Services, https://statutes.capitol.texas.gov/Docs/HR/htm/HR.32.htm#32.0246 (accessed Jun. 5, 2024).
