Text of section effective on April 01, 2025
Sec. 540.0705.  BEHAVIORAL HEALTH SERVICES PROVIDED THROUGH THIRD PARTY OR SUBSIDIARY.  (a)  In this section, "behavioral health services" has the meaning assigned by Section 540.0703.
(b)  For a Medicaid managed care organization that provides behavioral health services through a contract with a third party or an arrangement with a subsidiary of the organization, the commission shall:
(1)  require the effective sharing and integration of care coordination, service authorization, and utilization management data between the organization and the third party or subsidiary;
(2)  encourage the colocation of physical health and behavioral health care coordination staff, to the extent feasible;
(3)  require warm call transfers between physical health and behavioral health care coordination staff;
(4)  require the organization and the third party or subsidiary to implement joint rounds for physical health and behavioral health services network providers or some other effective means for sharing clinical information; and
(5)  ensure that the organization makes available a seamless provider portal for both physical health and behavioral health services network providers, to the extent allowed by federal law.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.