(a) The commission shall develop and implement a statewide effort to assist recipients who satisfy Medicaid eligibility requirements and who receive Medicaid services through a Medicaid managed care organization with:
(1) maintaining eligibility; and
(2) avoiding lapses in Medicaid coverage.
(b) As part of the commission’s effort under Subsection (a), the commission shall:
(1) require each Medicaid managed care organization to assist the organization’s recipients with maintaining eligibility;
(2) if the commission determines it is cost-effective, develop specific strategies for assisting recipients who receive Supplemental Security Income (SSI) benefits under 42 U.S.C. § 1381 et seq. with maintaining eligibility; and
(3) ensure information relevant to a recipient’s eligibility status is provided to the recipient’s Medicaid managed care organization.

Text of section effective on April 01, 2025