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Texas Government Code - GOV'T § 533.0063. Provider Network Directories

Current as of January 01, 2024 | Updated by Findlaw Staff

(a) The commission shall ensure that a managed care organization that contracts with the commission to provide health care services to recipients:

(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 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.

(c) Repealed by Acts 2021, 87th Leg., ch. 413 (S.B. 1829), § 3.

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Cite this article: FindLaw.com - Texas Government Code - GOV'T § 533.0063. Provider Network Directories - last updated January 01, 2024 | https://codes.findlaw.com/tx/government-code/gov-t-sect-533-0063/

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