Part 15. TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 353. MEDICAID MANAGED CARE
The Health and Human Services Commission (HHSC) adopts amendments to §353.2 and adds new §§353.701 - 353.703 in new Subchapter H to implement the Integrated Care Management (ICM) program as required by House Bill (H.B.) 1771 and Senate Bill (S.B.) 1188, 79th Legislature, Regular Session, 2005, codified at §533.061 and §533.062, Government Code, relating to Integrated Care Management. The rules are adopted without changes to the proposed text as published in the December 29, 2006, issue of the Texas Register (31 TexReg 10450) and will not be republished.
H.B. 1771 and S.B. 1188 require that HHSC promulgate rules to implement the ICM model. ICM is a non-capitated managed care plan that integrates acute care and long term services and supports for Supplemental Security Income (SSI) and SSI-related clients. By law, the model is required to be implemented in the Dallas Service Area. At the request of local public officials, the HHSC Executive Commissioner has also approved implementing the model in the Tarrant Service Area.
Amended §353.2 adds definitions for 1915(c) Nursing Facility Waiver, Integrated Care Management, ICM Contractor, Long-Term Services and Supports, Medical Assistance Only (MAO) and Post-stabilization Care Services. Amended §353.2 also includes clerical changes and clarifications for existing definitions. New §353.701 describes the general provisions related to the ICM model. New §353.702 describes client eligibility for the model. New §353.703 describes the roles and responsibilities of providers wishing to participate in the ICM model.
HHSC did not receive comments regarding the proposed rules during the 30-day comment period, which included a public hearing on January 29, 2007.
Subchapter A. GENERAL PROVISIONS
The amendment is adopted under the Texas Government Code, §531.033, which provides the Executive Commissioner of HHSC with broad rulemaking authority; the Human Resources Code, §32.021; and the Texas Government Code, §531.021(a), which provide HHSC with the authority to administer the federal medical assistance (Medicaid) program in Texas.
This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of the Secretary of State on March 28, 2007.
TRD-200701194
Steve Aragón
Chief Counsel
Texas Health and Human Services Commission
Effective date: July 1, 2007
Proposal publication date: December 29, 2006
For further information, please call: (512) 424-6900
The new rules are adopted under the Texas Government Code, §531.033, which provides the Executive Commissioner of HHSC with broad rulemaking authority; the Human Resources Code, §32.021; and the Texas Government Code, §531.021(a), which provide HHSC with the authority to administer the federal medical assistance (Medicaid) program in Texas.
This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed with the Office of the Secretary of State on March 28, 2007.
TRD-200701195
Steve Aragón
Chief Counsel
Texas Health and Human Services Commission
Effective date: July 1, 2007
Proposal publication date: December 29, 2006
For further information, please call: (512) 424-6900