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Current as of January 01, 2024 | Updated by FindLaw Staff
(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.
Cite this article: FindLaw.com - Texas Government Code - GOV'T § 531.0211. Managed Care Medicaid Program: Rules; Education Programs - last updated January 01, 2024 | https://codes.findlaw.com/tx/government-code/gov-t-sect-531-0211/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature or via Westlaw before relying on it for your legal needs.
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