SB 7 establishes a plan for ensuring that seniors and persons with disabilities, receive services in a coordinated manner through managed care.
AUSTIN, TX (Texas House of Representatives) - The House Human Services Committee, Chaired by Representative Richard Peña Raymond, met on Monday to review the implementation of a key piece of legislation passed last session intended to improve the delivery and quality of certain health and human services, including the delivery and quality of Medicaid acute care services and long-term services and supports.
Sponsored by Rep. Raymond, SB 7 establishes a plan for ensuring that seniors and persons with disabilities, including those with intellectual and developmental disabilities, receive services in a coordinated manner through managed care.
The bill expands STAR+PLUS statewide. STAR+PLUS is the state’s Medicaid managed care program for people with disabilities or are age 65 or older. People in STAR+PLUS receive Medicaid health-care and long-term services and support through a managed care plan that they can choose.
Long-term services and support includes things like: Help in the home with basic daily activities, help in making changes to a home so a disabled person can safely move around, short-term care to provide a break for caregivers and help with daily activities. STAR+PLUS also has a service coordination component to help those eligible for services get the medical and long-term services and support they need.
The bill also transitions nursing home services into the STAR+PLUS managed care model. The goal is to improve the quality of care and promote care in the least restrictive, most appropriate setting. Originally scheduled to transition on September 1, 2014, the nursing homes’ move to managed care has been delayed until March 1, 2015 to address concerns raised by stakeholders.