MEDICAL ASSISTANCE REIMBURSEMENT FOR CERTAIN BEHAVIORAL HEALTH AND PHYSICAL HEALTH SERVICES
(a)In this section, "behavioral health services" has the…#
(a) In this section, "behavioral health services" has the meaning assigned by Section 540.0703 (a), Government Code, and includes targeted case management and psychiatric rehabilitation services.
(b)The commission shall provide to a public or private…#
(b) The commission shall provide to a public or private provider of behavioral health services medical assistance reimbursement through a fee-for-service delivery model for behavioral health or physical health services provided to a recipient before that recipient's enrollment with and receipt of medical assistance services through a managed care organization under Chapter 540 or 540A , Government Code, as applicable.
(c)The commission shall ensure that a public or private…#
(c) The commission shall ensure that a public or private provider of behavioral health services who is reimbursed under Subsection (b) through a fee-for-service delivery model is provided medical assistance reimbursement through a managed care model for behavioral health or physical health services provided to a recipient after that recipient's enrollment with and receipt of medical assistance services through a managed care organization under Chapter 540 or 540A , Government Code, as applicable. Added by Acts 2021, 87th Leg., R.S., Ch. 966 (S.B. 1921 ), Sec. 1, eff. September 1, 2022. Amended by: Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611 ), Sec. 2.80, eff. April 1, 2025.