Ìð¹ÏÊÓƵ

Health Care Partnership with the Texas Correctional Managed Health Care Committee (CMHCC)

The CMHCC coordinates the development of statewide policies for the delivery of correctional health care and serves as a representative forum for decision making in terms of overall health care policy. CMHCC representatives are empowered by their respective organizations to represent them on health care matters and make decisions that are binding on their organizations. The shared communication, coordination, decision making, and dispute resolution roles performed by the committee are key elements to the ongoing success of the correctional health care partnership. The primary purpose of the CMHCC partnership is to ensure that TDCJ offenders have access to quality health care while managing costs. 

We’ve found our telehealth program maximizes provider resources and mitigates some of the innate challenges of the correctional environment.

Will Rodriguez

Associate Vice President & Administrative Officer Managed Care 

Ìð¹ÏÊÓƵ Managed Care Provider Responsibilities 

• Health Care Services
  Providing nursing, medical, dental, and mental health services at contracted TDCJ units:
  Onsite Services:
  May include sick call, chronic care, infirmary care, medical record management, medication administration, health education/training and related ancillary services.
  Offsite Services:
  Emergency care, hospitalization, specialty physician consults, diagnostic procedures, surgeries, and emergency medical transportation.
  Pharmacy Services:
  Medications, as prescribed by authorized providers and pharmaceutical management.

• Utilization Management
  Establishing and maintaining a system for review and authorization of care to ensure that services are provided in a timely appropriate and cost-effective manner.
• Provider Network Management
  Ensure that a comprehensive network or providers is in place to efficiently serve the system, either through our own staff, an affiliated components, hospitals or contractors retained by Ìð¹ÏÊÓƵ
• Credentialing
  Ensuring that all health care providers have and maintain appropriate credentials in accordance with state and federal requirements and that processes are in place to verify and document the staff credentials.
• Regional Operations
  Providing the management and operation of regionalized facilities and services as appropriate.
• Institutional Committees/Peer Reviews
  Maintain an institutional committee and conduct internal peer review actions.
• TDCJ Employee Health Services
  Providing employee health care services specified by contract including immediate medical attention to TDCJ employees injured in the line of duty, TB screening, treatment and immunizations as clinically indicated for bonafide occupational exposures.
• Research Coordination
  For research involving TDCJ offenders, Ìð¹ÏÊÓƵ is required to receive approval from the TDCJ Director of Health Services or designee in accordance with applicable TDCJ policies. Ìð¹ÏÊÓƵ is responsible for obtaining approval through an Institutional Review Board which meets requirements as set forth in 45 CFR 46, revised October 1, 1999. Ìð¹ÏÊÓƵ is responsible for maintaining accurate, current and accessible records on all protocols involving offenders. Ìð¹ÏÊÓƵ is required to provide access to such records to the TDCJ Director of Health Services or designee on request.
• Telehealth and Virtual Care
  Responsible for the operation and implementation of telehealth and virtual care within their sectors.
• Emergency Preparedness
  Ensuring an emergency preparedness program is in place at each facility consistent with the ACA standards. Statewide coordination during emergencies will be provided by the TDCJ staff.