The commission must create a catastrophic case management system for certain medical-assistance recipients and define the services a case manager must provide.
Sec. 32.055. CATASTROPHIC CASE MANAGEMENT. (a) The commission shall develop and implement a catastrophic case management system to be used in providing medical assistance to persons with catastrophic health problems. (b) The system must provide for the assignment of a case manager to a recipient of medical assistance with catastrophic health problems that are likely to: (1) require the services of multiple, specialized health care providers; and (2) result in major medical costs. (c) The commission shall identify the services to be provided by a case manager assigned under the system. The services must include assessment of the recipient's needs and coordination of all available medical services and payment options. The services may include other support services such as: (1) assistance with making arrangements to receive care from medical facilities; (2) assistance with travel and lodging in connection with receipt of medical care; (3) education of the recipient and the recipient's family members regarding the nature of the recipient's health problems; (4) referral to appropriate support groups; and (5) any other service likely to result in better care provided in a cost-effective manner. (d) Repealed by Acts 2011, 82nd Leg., R.S., Ch. 1083, Sec. 25(109), eff. June 17, 2011. Added by Acts 2001, 77th Leg., ch. 408, Sec. 1, eff. Sept. 1, 2001. Renumbered from Human Resources Code Sec. 32.053 by Acts 2003, 78th Leg., ch. 1275, Sec. 2(99), eff. Sept. 1, 2003. Amended by: Acts 2011, 82nd Leg., R.S., Ch. 1050 (S.B. 71), Sec. 23(7), eff. September 1, 2011. Acts 2011, 82nd Leg., R.S., Ch. 1083 (S.B. 1179), Sec. 25(109), eff. June 17, 2011. Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 4.130, eff. April 2, 2015.