Text of section effective on April 01, 2025
Sec. 540.0051. PURPOSE AND IMPLEMENTATION. The commission shall implement the Medicaid managed care program by contracting with managed care organizations in a manner that, to the extent possible:
(1) improves the health of Texans by:
(A) emphasizing prevention;
(B) promoting continuity of care; and
(C) providing a medical home for recipients;
(2) ensures each recipient receives high quality, comprehensive health care services in the recipient's local community;
(3) encourages training of and access to primary care physicians and providers;
(4) maximizes cooperation with existing public health entities, including local health departments;
(5) provides incentives to managed care organizations to improve the quality of health care services for recipients by providing value-added services; and
(6) reduces administrative and other nonfinancial barriers for recipients in obtaining health care services.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.