(a) The Texas Department of Health is conducting a coordinated
care pilot project in response to the Human Resources Code, §32.041,
which was enacted by the Texas Legislature in 1991. The objectives of the
project are to ensure adequate access to primary health care, prevent unnecessary
utilization of health care resources, reduce inappropriate utilization of
health care resources, and enhance the cost effectiveness of the Medicaid
program for aid to families with dependent children (AFDC) and AFDC-related
clients.
(b) All eligible AFDC and AFDC-related Medicaid clients in
the counties specified in subsection (c) of this section must participate
in the project. These clients:
(1) will receive the current services available under the
Texas Medicaid program, except that the existing three-prescription drug limit
for clients over the age of 21 is removed; and
(2) must select an individual primary care provider (PCP) who
will manage their medical care.
(c) Clients in Travis County begin participation in the project
August 1, 1993, and clients in the tri-county area of Chambers, Jefferson,
and Galveston begin participation December 1, 1993. Clients in these counties
will continue to participate in the project for a period of two years.
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Source Note: The provisions of this §354.1351 adopted to be effective August 31, 1993, 18 TexReg 5401; transferred effective September 1, 1993, as published in the Texas Register September 7, 1993, 18 TexReg 5978; transferred effective September 1, 2001, as published in the Texas Register May 24, 2002, 27 TexReg 4561 |