Below is the HillCo client report from the May 28 HHSC rule hearing.
In connection with the implementation of Senate Bill 7, HHSC proposes rule amendments to: update definitions impacted by the legislative changes; clarify the minimum amount of time a beneficiary has to choose a managed care organization (MCO) or a primary care provider; clarify situations when a member may move from one MCO to another or disenroll from managed care altogether; and clarify that an MCO may not disenroll or transfer certain members who may be disruptive due to their disability as a result of the disruption.
Public Testimony
Marisa Machado, Texas Association of Home Care and Hospice
- In the disenrollment section, if a patient is moved to FFS due to bad behavior, does FFS have something in place to address the same issue or crisis?
Regine Calvert, Outreach Strategist
- In the 22nd definition for “dental home,” she asked that it be expanded to include “group practice” as well
The rule is attached below.