Text of section effective on April 01, 2025
Sec. 540.0053.  STATEWIDE EFFORT TO PROMOTE MEDICAID ELIGIBILITY MAINTENANCE.  (a)  The commission shall develop and implement a statewide effort to assist recipients who satisfy Medicaid eligibility requirements and who receive Medicaid services through a Medicaid managed care organization with:
(1)  maintaining eligibility; and
(2)  avoiding lapses in Medicaid coverage.
(b)  As part of the commission's effort under Subsection (a), the commission shall:
(1)  require each Medicaid managed care organization to assist the organization's recipients with maintaining eligibility;
(2)  if the commission determines it is cost-effective, develop specific strategies for assisting recipients who receive Supplemental Security Income (SSI) benefits under 42 U.S.C. Section 1381 et seq. with maintaining eligibility; and
(3)  ensure information relevant to a recipient's eligibility status is provided to the recipient's Medicaid managed care organization.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.