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Current as of January 01, 2024 | Updated by Findlaw Staff
(a) Except as provided by Subsections (b) and (c) and to the extent permitted by federal law, a recipient enrolled in a Medicaid managed care plan may not disenroll from that plan and enroll in another Medicaid managed care plan during the 12-month period after the date the recipient initially enrolls in a plan.
(b) At any time before the 91st day after the date of a recipient's initial enrollment in a Medicaid managed care plan, the recipient may disenroll from that plan for any reason and enroll in another Medicaid managed care plan.
(c) The commission shall allow a recipient who is enrolled in a Medicaid managed care plan to disenroll from that plan and enroll in another Medicaid managed care plan:
(1) at any time for cause in accordance with federal law; and
(2) once for any reason after the periods described by Subsections (a) and (b). (Gov. Code, Sec. 533.0076.)
Cite this article: FindLaw.com - Texas Government Code - GOV'T § 540.0505. Limitations on Recipient Disenrollment from Medicaid Managed Care Plan - last updated January 01, 2024 | https://codes.findlaw.com/tx/government-code/gov-t-sect-540-0505/
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 before relying on it for your legal needs.
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