8100, Selection of a Service Delivery Option

Revision 20-1; Effective March 16, 2020

All managed care organization (MCO) service coordinators (SCs) must present service delivery options to the applicant, member or legally authorized representative (LAR) at the initial assessment and each subsequent annual reassessment. The service coordinator may use Appendix XVII, It's Your Choice: Deciding How to Manage Your Personal Assistance ServicesForm 1581, Consumer Directed Services (CDS) Option Overview, and Form 1582, Consumer Directed Services Responsibilities, or a document created by the MCO and with Texas Health and Human Services Commission (HHSC) approval, to assist the applicant, member or LAR in making the service delivery decision.

8110 Member Decision

Revision 20-1; Effective March 16, 2020

Managed care organizations (MCOs) must obtain a signature on Form 1584, Consumer Participation Choice, indicating the member's service delivery option choice. If, at any time during the year, a current member contacts the MCO requesting information on service delivery options, the MCO must present the information to the member.

The MCO must keep Form 1584 in the member's case record and ensure the member or legally authorized representative (LAR) understands they may request a service delivery option change at any time by contacting the MCO.