Texas House Bill HB1873

Texas 2015 - 84th Regular

Caption

Relating to a pilot project to evaluate the use of self-directed mental health services in the integrated Medicaid managed care system.

Impact

The pilot project is to be developed and implemented over a four-year timeframe and will incorporate various components including person-centered planning, individualized budgeting, and guidelines for nontraditional goods and services that align with recovery goals. The eventual aim is to improve the quality and effectiveness of mental health care through tailored support and resources for participants. Additionally, the project will include the option for participants to work with certified peer specialists and life coaches to assist with navigation of services and financial management, which may enhance outcomes for individuals with serious mental illnesses.

Summary

House Bill 1873 introduces a pilot project aimed at evaluating self-directed mental health services within the integrated Medicaid managed care system in Texas. The bill seeks to maximize patient choice and encourage personal responsibility in achieving recovery. This initiative is designed specifically for individuals aged 18 and older who have serious mental illnesses and are currently receiving Medicaid rehabilitative services through local mental health authorities. Participation in the pilot is entirely voluntary, emphasizing the importance of patient autonomy in the decision-making process regarding their mental health services.

Contention

While promoting patient-centered care and integrated service delivery, the bill has drawn attention to potential concerns about the management and funding of such a program. Stakeholders, including medical practitioners and advocacy groups, will be consulted to ensure the program is developed with sufficient input from those it aims to serve. A significant metric of success will be based on recovery-focused outcomes, with an emphasis on cost-effectiveness, meaning ongoing evaluation and adjustment will be necessary to adequately address participant needs and institutional capabilities.