Tex. Gov't Code § 540.0054 · Subchapter B. ADMINISTRATION OF MEDICAID MANAGED CARE PROGRAM
PROVIDER AND RECIPIENT EDUCATION PROGRAMS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) In adopting rules to implement a Medicaid managed care program, the executive commissioner shall establish guidelines for, and require Medicaid managed care organizations to provide, education programs for providers and recipients using a variety of techniques and media.
(b) A provider education program must include information on:
(1) Medicaid policies, procedures, eligibility standards, and benefits;
(2) recipients' specific problems and needs; and
(3) recipients' rights and responsibilities under the bill of rights and the bill of responsibilities prescribed by Section 532.0301.
(c) A recipient education program must present information in a manner that is easy to understand. A program must include information on:
(1) a recipient's rights and responsibilities under the bill of rights and the bill of responsibilities prescribed by Section 532.0301;
(2) how to access health care services;
(3) how to access complaint procedures and the recipient's right to bypass the Medicaid managed care organization's internal complaint system and use the notice and appeal procedures otherwise required by Medicaid;
(4) Medicaid policies, procedures, eligibility standards, and benefits;
(5) the Medicaid managed care organization's policies and procedures; and
(6) the importance of prevention, early intervention, and appropriate use of services.
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 3763d80519961d6e3b09e5b5b261d42bad35ac88cb3bd0e2e4a2d8437f048e61
- 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
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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.