Section 531.655 - Initial Medical And Nonmedical Health-Related Screenings Of Certain Recipients(a) A Medicaid managed care organization that provides health care services to a pregnant woman under the STAR Medicaid managed care program shall conduct an initial health needs screening and nonmedical health-related needs screening of each pregnant recipient to determine, regardless of whether the recipient is considered to have a high-risk pregnancy, if the recipient: (1) is eligible for service coordination benefits to be provided by the managed care organization; or (2) should be referred for program services. (b) Service coordination benefits described by Subsection (a) must include identifying and coordinating the provision of non-covered services, community supports, and other resources the Medicaid managed care organization determines will improve the recipient's health outcomes. (c) A Medicaid managed care organization must use the results of the screenings conducted under Subsection (a) to determine if a recipient requires a more comprehensive assessment for purposes of determining whether the recipient is eligible for service coordination benefits or program services. Tex. Gov't. Code § 531.655
Added by Acts 2023, Texas Acts of the 88th Leg.- Regular Session, ch. 316,Sec. 3, eff. 9/1/2023.