Texas § GV.526.0003 - INFORMATION ON LONG-TERM CARE SERVICES

§ GV.526.0003. INFORMATION ON LONG-TERM CARE SERVICES

INFORMATION ON LONG-TERM CARE SERVICES. (a) The Internet website maintained under Section 526.0002 must include information for consumers concerning long-term care services. The information must: (1) be presented in a manner that is easily accessible to and understandable by a consumer; and (2) allow a consumer to make informed choices concerning long-term care services and include: (A) an explanation of the manner in which long-term care service delivery is administered in different counties through different programs the commission operates so that an individual can easily understand the service options available in the area in which that individual lives; and (B) for the STAR+PLUS Medicaid managed care program, information in an accessible format, such as a table, that allows a consumer to evaluate the performance of each participating plan issuer, including for each issuer: (i) the enrollment in each county; (ii) additional "value-added" services provided; (iii) a summary of the financial statistical report required under Section 540.0211 ; (iv) complaint information; (v) any sanction or penalty imposed by any state agency, including a sanction or penalty imposed by the commission or the Texas Department of Insurance; (vi) consumer satisfaction information; and (vii) other data, including relevant data from reports of external quality review organizations, that may be used by the consumer to evaluate the quality of the services provided. (b) In addition to providing the information required by this section through the Internet website, the commission shall, on request by a consumer without Internet access, provide the consumer with a printed copy of the information from the Internet website. The commission may charge a reasonable fee for printing the information. The executive commissioner by rule shall establish the fee amount. Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611 ), Sec. 1.01, eff. April 1, 2025.