5000, Service Delivery Options

Revision 20-2; Effective September 1, 2020

5010 Selection of a Service Delivery Option

Revision 20-1; Effective March 16, 2020

Managed care organization (MCO) service coordinators must present all service delivery options to the applicant or member and/or the legally authorized representative (LAR) at the initial assessment and each annual reassessment. The MCO service coordinator may use Form 1581, Consumer Directed Services Overview, and Form 1582, Consumer Directed Services Responsibilities, or a document created by the MCO and approved by the Texas Health and Human Services Commission (HHSC), to assist the member or applicant in making the service delivery decision.

5020 Member Decision

Revision 20-1; Effective March 16, 2020

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

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