Texas § 540.0261 PROVIDER NETWORK SUFFICIENCY.

Texas Statutes

§ 540.0261 — PROVIDER NETWORK SUFFICIENCY.

Texas § 540.0261

Code GVGovernment Code

This text of Texas § 540.0261 (PROVIDER NETWORK SUFFICIENCY.) 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. § 540.0261 (2026).

Text

Sec. 540.0261. PROVIDER NETWORK SUFFICIENCY. A contract to which this subchapter applies must require the contracting Medicaid managed care organization to demonstrate to the commission, before the organization begins providing health care services to recipients, that, subject to the provider access standards the commission establishes under Section 540.0652 :

(1)the organization's provider network has the capacity to serve the number of recipients expected to enroll in a Medicaid managed care plan the organization offers;

(2)the organization's provider network includes:

(A)a sufficient number of primary care providers;

(B)a sufficient variety of provider types;

(C)a sufficient number of long-term services and supports providers and specialty pediatric care providers of home and commu

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Sec. 540.0261. PROVIDER NETWORK SUFFICIENCY. A contract to which this subchapter applies must require the contracting Medicaid managed care organization to demonstrate to the commission, before the organization begins providing health care services to recipients, that, subject to the provider access standards the commission establishes under Section 540.0652 :
(1) the organization's provider network has the capacity to serve the number of recipients expected to enroll in a Medicaid managed care plan the organization offers;
(2) the organization's provider network includes:
(A) a sufficient number of primary care providers;
(B) a sufficient variety of provider types;
(C) a sufficient number of long-term services and supports providers and specialty pediatric care providers of home and community-based services; and
(D) providers located throughout the region in which the organization will provide health care services; and
(3) health care services will be accessible to recipients through the organization's provider network to a comparable extent that health care services would be available to recipients under a fee-for-service model or primary care case management Medicaid managed care model.