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Texas Statutes
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Government Code
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Title 4. Executive Branch
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Subtitle I. Health and Human Services
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Chapter 540. Medicaid Managed Care Program
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Subchapter F. Required Contract Provisions
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Section 540.0251. Applicability
Section 540.0252. Accountability to State
Section 540.0253. Capitation Rates
Section 540.0254. Cost Information
Section 540.0255. Fraud Control
Section 540.0256. Recipient Outreach and Education
Section 540.0257. Notice of Medicaid Certification Date
Section 540.0258. Primary Care Provider Assignment
Section 540.0259. Compliance with Provider Network Requirements
Section 540.0260. Compliance with Provider Access Standards; Report
Section 540.0261. Provider Network Sufficiency
Section 540.0262. Quality Monitoring Program for Health Care Services
Section 540.0263. Out-of-network Provider Usage and Reimbursement
Section 540.0264. Provider Reimbursement Rate Reduction
Section 540.0265. Prompt Payment of Claims
Section 540.0266. Reimbursement for Certain Services Provided Outside Regular Business Hours
Section 540.0267. Provider Appeals Process
Section 540.0268. Assistance Resolving Recipient and Provider Issues
Section 540.0269. Use of Advanced Practice Registered Nurses and Physician Assistants
Section 540.0270. Medical Director Availability
Section 540.0271. Personnel Required in Certain Service Regions
Section 540.0272. Certain Services Permitted in Lieu of Other Mental Health Or Substance Use Disorder Services; Annual Report
Section 540.0273. Outpatient Pharmacy Benefit Plan
Section 540.0274. Pharmacy Benefit Plan: Rebates and Receipt of Confidential Information Prohibited
Section 540.0275. Pharmacy Benefit Plan: Certain Pharmacy Benefits for Sex Offenders Prohibited
Section 540.0276. Pharmacy Benefit Plan: Recipient Selection of Pharmaceutical Services Provider
Section 540.0277. Pharmacy Benefit Plan: Pharmacy Benefit Providers
Section 540.0278. Pharmacy Benefit Plan: Prompt Payment of Pharmacy Benefit Claims
Section 540.0279. Pharmacy Benefit Plan: Maximum Allowable Cost Price and List for Pharmacy Benefits
Section 540.0280. Pharmacy Benefit Plan: Pharmacy Benefits for Child Enrolled in Star Kids Managed Care Program