Texas Register
TITLE 1 ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 353MEDICAID MANAGED CARE
SUBCHAPTER NSTAR KIDS
RULE §353.1205Service Coordination
ISSUE 07/22/2016
ACTION Proposed
Preamble Texas Admin Code Rule
(a)All STAR Kids members have access to service coordination. Service coordination includes:

  (1)face-to-face and telephonic contacts between the member or the LAR and the service coordinator;

   (2)development and maintenance of a comprehensive, person-centered individual service plan (ISP);

   (3)coordination to assist the member in accessing services provided by the STAR Kids MCO;

   (4)coordination to assist the member or the LAR in accessing services provided by other community entities or service providers; and

   (5)transition planning, beginning no later than age 15, to help the member prepare for changes in life circumstances and changes in available healthcare services to ease the shift to adulthood.

 (b)STAR Kids members with an identified need for more intensive service coordination are assigned a single, named service coordinator by the STAR Kids MCO. All STAR Kids members have access to a single, named service coordinator upon request.

The agency certifies that legal counsel has reviewed the proposal and found it to be within the state agency's legal authority to adopt.

Filed with the Office of the Secretary of State on July 5, 2016

TRD-201603366

Karen Ray

Chief Counsel

Texas Health and Human Services Commission

Earliest possible date of adoption: August 21, 2016

For further information, please call: (512) 424-6900

 

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