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Current as of January 01, 2024 | Updated by FindLaw Staff
In awarding contracts to managed care organizations, the commission shall:
(1) give preference to an organization that has significant participation in the organization's provider network from each health care provider in the region who has traditionally provided care to Medicaid and charity care patients;
(2) give extra consideration to an organization that agrees to assure continuity of care for at least three months beyond a recipient's Medicaid eligibility period;
(3) consider the need to use different managed care plans to meet the needs of different populations; and
(4) consider the ability of an organization to process Medicaid claims electronically. (Gov. Code, Sec. 533.003(a) (part).)
Cite this article: FindLaw.com - Texas Government Code - GOV'T § 540.0204. Contract Considerations Relating to Managed Care Organizations - last updated January 01, 2024 | https://codes.findlaw.com/tx/government-code/gov-t-sect-540-0204/
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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