Text of section effective until April 01, 2025
Sec. 531.0211.  MANAGED CARE MEDICAID PROGRAM:  RULES;  EDUCATION PROGRAMS.  (a)  In adopting rules to implement a managed care Medicaid program, the executive commissioner shall establish guidelines for, and require managed care organizations to provide, education programs for providers and clients using a variety of techniques and mediums.
(b)  A provider education program must include information on:
(1)  Medicaid policies, procedures, eligibility standards, and benefits;
(2)  the specific problems and needs of Medicaid clients;  and
(3)  the rights and responsibilities of Medicaid clients under the bill of rights and the bill of responsibilities prescribed by Section 531.0212.
(c)  A client education program must present information in a manner that is easy to understand.  A program must include information on:
(1)  a client's rights and responsibilities under the bill of rights and the bill of responsibilities prescribed by Section 531.0212;
(2)  how to access health care services;
(3)  how to access complaint procedures and the client's right to bypass the 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 policies and procedures of the managed care organization; and
(6)  the importance of prevention, early intervention, and appropriate use of services.
Added by Acts 1997, 75th Leg., ch. 165, Sec. 14.03(a), eff. Sept. 1, 1997.
Amended by: 
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 2.020, eff. April 2, 2015.
Repealed by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 3.01, eff. April 1, 2025.