Texas 2021 - 87th Regular

Texas House Bill HB4194 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	87R9793 JG-D
2	2	By: Raymond H.B. No. 4194
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to the provision of home health care services under the
8	8	Medicaid managed care program.
9	9	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	10	SECTION 1. Chapter 533, Government Code, is amended by
11	11	adding Subchapter C to read as follows:
12	12	SUBCHAPTER C. HOME HEALTH CARE SERVICES
13	13	Sec. 533.071. HOME HEALTH CARE PROVIDER RATINGS AND
14	14	STANDARDS. (a) The commission in collaboration with each managed
15	15	care organization contracted under this chapter shall develop and
16	16	implement a home health care provider rating system to rate
17	17	providers and measure quality standards for the delivery of
18	18	long-term services and supports.
19	19	(b) The commission shall require not less than 85 percent of
20	20	home health care services to be processed using the electronic
21	21	visit verification system.
22	22	(c) The commission shall audit home health care providers
23	23	periodically using the rating system under Subsection (a) and to
24	24	ensure compliance with Subsection (b).
25	25	Sec. 533.072. HOME HEALTH PATIENT TRANSFER AND
26	26	SOLICITATION. (a) The commission shall require each managed care
27	27	organization to implement a 15-day waiting period before a home
28	28	health care attendant or employee or any recipient receiving
29	29	services from the attendant or employee may transfer between home
30	30	health care providers.
31	31	(b) A recipient may not transfer between home health care
32	32	providers unless the recipient provides a legitimate reason for the
33	33	transfer and the provider from which the recipient is requesting a
34	34	transfer holds a poor rating as determined by the rating system
35	35	under Section 533.071(a).
36	36	(c) The commission shall evaluate policies and rules in
37	37	place to prevent the solicitation of home health care attendants or
38	38	employees or recipients receiving services from those attendants or
39	39	employees and shall seek to strengthen those policies and rules.
40	40	Sec. 533.073. PAYMENTS FOR HOME HEALTH CARE CLAIMS. The
41	41	commission shall require each managed care organization contracted
42	42	under this chapter to pay claims for home health care services not
43	43	later than the 10th day after the date on which the organization
44	44	receives the claim.
45	45	Sec. 533.074. HOME HEALTH CARE ATTENDANT REQUIREMENTS. (a)
46	46	The commission shall develop minimum training requirements for home
47	47	health care attendants providing services under Medicaid.
48	48	(b) The commission shall develop a statewide no-hire list
49	49	for home health care attendants and include on the list the unique
50	50	identifier of an attendant who fails to meet the minimum training
51	51	requirements under Subsection (a). The no-hire list must be
52	52	accessible to managed care organizations contracted under this
53	53	chapter and home health care providers.
54	54	SECTION 2. If before implementing any provision of this Act
55	55	a state agency determines that a waiver or authorization from a
56	56	federal agency is necessary for implementation of that provision,
57	57	the agency affected by the provision shall request the waiver or
58	58	authorization and may delay implementing that provision until the
59	59	waiver or authorization is granted.
60	60	SECTION 3. This Act takes effect September 1, 2021.