Texas Government Code 540.0204 – Contract Considerations Relating to Managed Care Organizations
Current as of: 2024 | Check for updates
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Terms Used In Texas Government Code 540.0204
- Charity: An agency, institution, or organization in existence and operating for the benefit of an indefinite number of persons and conducted for educational, religious, scientific, medical, or other beneficent purposes.
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.
Text of section effective on April 01, 2025