Tex. Gov't Code § 540.0504 · Subchapter K. MEDICAID MANAGED CARE PLAN ENROLLMENT AND DISENROLLMENT
QUALITY-BASED ENROLLMENT INCENTIVE PROGRAM FOR MEDICAID MANAGED CARE ORGANIZATIONS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
The commission shall create an incentive program that automatically enrolls in a Medicaid managed care plan a greater percentage of recipients who did not actively choose a plan, based on:
(1) the quality of care provided through the Medicaid managed care organization offering the plan;
(2) the organization's ability to efficiently and effectively provide services, considering the acuity of populations the organization primarily serves; and
(3) the organization's performance with respect to exceeding or failing to achieve appropriate outcome and process measures the commission develops, including measures based on potentially preventable events.
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 5a477b9e13925402a2f2e65d5ea10f88349d8399febce094549f3f109ff39426
- 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
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.