Option 1: Full-Risk Broker Expansion

HHSC successfully implemented two full-risk broker (FRB) models in the Houston/Beaumont and Dallas/FortWorth Service Delivery Areas (SDAs). This option would expand the FRB model to the remaining areas of the state not currently covered by the FRBs, roughly splitting statewide transportation services between one or more FRB contractors. The FRBs would be responsible for management of all nonemergency medical transportation (NEMT) services to include managed care clients, fee-for-service residual clients, Children with Special Healthcare Needs (CSHCN) Services Program clients, and Transportation for Indigent Cancer Patient (TICP) clients.