SECTION 354.1351. Coordinated Care Pilot Project

(a) The Texas Department of Health is conducting a coordinated care pilot project in response to the Human Resources Code, §32.041, which was enacted by the Texas Legislature in 1991. The objectives of the project are to ensure adequate access to primary health care, prevent unnecessary utilization of health care resources, reduce inappropriate utilization of health care resources, and enhance the cost effectiveness of the Medicaid program for aid to families with dependent children (AFDC) and AFDC-related clients.

(b) All eligible AFDC and AFDC-related Medicaid clients in the counties specified in subsection (c) of this section must participate in the project. These clients:

(1) will receive the current services available under the Texas Medicaid program, except that the existing three-prescription drug limit for clients over the age of 21 is removed; and

(2) must select an individual primary care provider (PCP) who will manage their medical care.

(c) Clients in Travis County begin participation in the project August 1, 1993, and clients in the tri-county area of Chambers, Jefferson, and Galveston begin participation December 1, 1993. Clients in these counties will continue to participate in the project for a period of two years.

Source Note: The provisions of this §354.1351 adopted to be effective August 31, 1993, 18 TexReg 5401; transferred effective September 1, 1993, as published in the Texas Register September 7, 1993, 18 TexReg 5978; transferred effective September 1, 2001, as published in the Texas Register May 24, 2002, 27 TexReg 4561