Tex. Gov't Code § 540.0001 · Subchapter A. GENERAL PROVISIONS

DEFINITIONS.

Verbatim from the official edition

Text — Current through the 89th 2nd Called Legislative Session, 2025

In this chapter:

(1) Notwithstanding Section 521.0001(2), "commission" means the Health and Human Services Commission or an agency operating part of the Medicaid managed care program, as appropriate.

(2) "Health care service region" or "region" means a Medicaid managed care service area the commission delineates.

(3) "Managed care organization" means a person that is authorized or otherwise permitted by law to arrange for or provide a managed care plan.

(4) "Managed care plan" means a plan under which a person undertakes to provide, arrange for, pay for, or reimburse any part of the cost of any health care service. A part of the plan must consist of arranging for or providing health care services as distinguished from indemnification against the cost of those services on a prepaid basis through insurance or otherwise. The term includes a primary care case management provider network. The term does not include a plan that indemnifies a person for the cost of health care services through insurance.

(5) "Potentially preventable event" has the meaning assigned by Section 543A.0001.

(6) "Recipient" means a Medicaid recipient.

Notes and commentary — not statutory text

History

Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.

Source of truth

Edition: Current through the 89th 2nd Called Legislative Session, 2025
Official file: https://statutes.capitol.texas.gov/Docs/GV/htm/GV.540.htm
Text hash: sha256 f7caae07511cb403dad7f861ce23e8731b21fc807da9d3e48f4530e3a0b7ca32
Composed by: compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character

This section cites

Provisions in this library that the text above cites, as it prints each citation. A range cited as “ss. 61.13-61.16” links its first and last provisions.

Government Code

Cited by 7 provisions

Provisions in this library whose text cites Tex. Gov't Code § 540.0001. Each shows the citation as that text prints it.

Family Code

Tex. Fam. Code § 266.0043ASSUMPTION OF FINANCIAL RESPONSIBILITY BY MEDICAL CONSENTERS.Printed as Section 540.0001, Government Code

Government Code

Tex. Gov't Code § 521.0001DEFINITIONS.Printed as Section 540.0001

Health and Safety Code

Human Resources Code

Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.

Tex. Gov't Code § 540.0001 · Subchapter A. GENERAL PROVISIONS

DEFINITIONS.

Verbatim from the official edition

Text — Current through the 89th 2nd Called Legislative Session, 2025

In this chapter:

(1) Notwithstanding Section 521.0001(2), "commission" means the Health and Human Services Commission or an agency operating part of the Medicaid managed care program, as appropriate.

(2) "Health care service region" or "region" means a Medicaid managed care service area the commission delineates.

(3) "Managed care organization" means a person that is authorized or otherwise permitted by law to arrange for or provide a managed care plan.

(5) "Potentially preventable event" has the meaning assigned by Section 543A.0001.

(6) "Recipient" means a Medicaid recipient.

Notes and commentary — not statutory text

History

Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.

Source of truth

Edition: Current through the 89th 2nd Called Legislative Session, 2025
Official file: https://statutes.capitol.texas.gov/Docs/GV/htm/GV.540.htm
Text hash: sha256 f7caae07511cb403dad7f861ce23e8731b21fc807da9d3e48f4530e3a0b7ca32
Composed by: compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character

This section cites

Provisions in this library that the text above cites, as it prints each citation. A range cited as “ss. 61.13-61.16” links its first and last provisions.

Government Code

Cited by 7 provisions

Provisions in this library whose text cites Tex. Gov't Code § 540.0001. Each shows the citation as that text prints it.

Family Code

Tex. Fam. Code § 266.0043ASSUMPTION OF FINANCIAL RESPONSIBILITY BY MEDICAL CONSENTERS.Printed as Section 540.0001, Government Code

Government Code

Tex. Gov't Code § 521.0001DEFINITIONS.Printed as Section 540.0001

Health and Safety Code

Human Resources Code

Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.