TX HB5488

Requires the Health and Human Services Commission to provide Medicaid reimbursement to providers who deliver coordinated specialty care for first episode psychosis, which includes the initial onset of psychosis caused by medical/neurological conditions, serious mental illness, or substance use

Coordinated specialty care services eligible for reimbursement include psychotherapy, medication management, case management, family education and support, education and employment support, assertive community treatment, and peer support services based on the NIMH RAISE treatment model

Providers must contract with the commission or a managed care organization and adhere to the fidelity of their applicable treatment model to receive reimbursement

Treatment team members serving under a credentialed psychiatrist or licensed clinical leader are automatically considered credentialed to provide first episode psychosis care

Takes effect September 1, 2025, with implementation potentially delayed if federal waivers or authorizations are required