June 21, 2010

Stakeholder Review and Comment: Options for a Capitated or Non-capitated Pilot to Serve Persons with Intellectual and Developmental Disabilities

The Texas Health and Human Service Commission (HHSC) has been reviewing options for a managed care pilot for persons with intellectual and developmental disabilities (IDD). Three options have been proposed: non-capitated enhanced management; fully capitated, non-integrated, managed long-term care; and fully capitated, integrated managed long-term care. Public comment on the options was accepted through July 1, 2010, with the goal of using the comments to develop a final recommendation for the managed care pilot. HHSC has anticipated that the final recommendation will also reflect additional analysis on potential cost savings that could be expected within an IDD managed care model. The legislature has authorized the development of the pilot; HHSC has been charged with submitting the final report by December 1, 2010.