Texas § 540.0204 CONTRACT CONSIDERATIONS RELATING TO MANAGED CARE ORGANIZATIONS.

Texas Statutes

§ 540.0204 — CONTRACT CONSIDERATIONS RELATING TO MANAGED CARE ORGANIZATIONS.

Texas § 540.0204

Code GVGovernment Code

This text of Texas § 540.0204 (CONTRACT CONSIDERATIONS RELATING TO MANAGED CARE ORGANIZATIONS.) is published on Counsel Stack Legal Research, covering Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Tex. Government Code Code Ann. § 540.0204 (2026).

Text

Sec. 540.0204. CONTRACT CONSIDERATIONS RELATING TO MANAGED CARE ORGANIZATIONS. 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.

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Sec. 540.0204. CONTRACT CONSIDERATIONS RELATING TO MANAGED CARE ORGANIZATIONS. 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.