Texas § 540.0051 PURPOSE AND IMPLEMENTATION.

Texas Statutes

§ 540.0051 — PURPOSE AND IMPLEMENTATION.

Texas § 540.0051

Code GVGovernment Code

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Bluebook

Tex. Government Code Code Ann. § 540.0051 (2026).

Text

Sec. 540.0051. PURPOSE AND IMPLEMENTATION. The commission shall implement the Medicaid managed care program by contracting with managed care organizations in a manner that, to the extent possible:

(1)improves the health of Texans by:

(A)emphasizing prevention;

(B)promoting continuity of care; and

(C)providing a medical home for recipients;

(2)ensures each recipient receives high quality, comprehensive health care services in the recipient's local community;

(3)encourages training of and access to primary care physicians and providers;

(4)maximizes cooperation with existing public health entities, including local health departments;

(5)provides incentives to managed care organizations to improve the quality of health care services for recipients by providing value-added services; an

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Sec. 540.0051. PURPOSE AND IMPLEMENTATION. The commission shall implement the Medicaid managed care program by contracting with managed care organizations in a manner that, to the extent possible:
(1) improves the health of Texans by:
(A) emphasizing prevention;
(B) promoting continuity of care; and
(C) providing a medical home for recipients;
(2) ensures each recipient receives high quality, comprehensive health care services in the recipient's local community;
(3) encourages training of and access to primary care physicians and providers;
(4) maximizes cooperation with existing public health entities, including local health departments;
(5) provides incentives to managed care organizations to improve the quality of health care services for recipients by providing value-added services; and
(6) reduces administrative and other nonfinancial barriers for recipients in obtaining health care services.

Cecile Erwin Young, in Her Official Capacity as the Executive Commissioner of the Texas Health and Human Services Commission; Molina Healthcare of Texas, Inc.; And Aetna Better Health of Texas, Inc. v. Cook Children's Health Plan, Texas Children's Health Plan, Superior Health Plan, Inc., and Wellpoint Insurance Company

(Court of Appeals of Texas, 2025)