Text of section effective on April 01, 2025
Sec. 540.0654.  PROVIDER NETWORK DIRECTORIES.  (a)  The commission shall ensure that a Medicaid managed care organization:
(1)  posts on the organization's Internet website:
(A)  the organization's provider network directory; and
(B)  a direct telephone number and e-mail address through which a recipient enrolled in the organization's managed care plan or the recipient's provider may contact the organization to receive assistance with:
(i)  identifying in-network providers and services available to the recipient; and
(ii)  scheduling an appointment for the recipient with an available in-network provider or to access available in-network services; and
(2)  updates the online directory required under Subdivision (1)(A) at least monthly.
(b)  A Medicaid managed care organization is required to send a paper form of the organization's provider network directory for the program only to a recipient who requests to receive the directory in paper form.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.