Texas § 542.0108 MANAGED CARE ORGANIZATION PARTICIPATION REQUIREMENTS.

Texas Statutes

§ 542.0108 — MANAGED CARE ORGANIZATION PARTICIPATION REQUIREMENTS.

Texas § 542.0108

Code GVGovernment Code

This text of Texas § 542.0108 (MANAGED CARE ORGANIZATION PARTICIPATION REQUIREMENTS.) 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. § 542.0108 (2026).

Text

Sec. 542.0108. MANAGED CARE ORGANIZATION PARTICIPATION REQUIREMENTS. The commission shall require that a managed care organization participating in the pilot program:

(1)ensures that pilot program participants have a choice among acute care and comprehensive long-term services and supports providers and service delivery options, including the consumer direction model;

(2)demonstrates to the commission's satisfaction that the organization's network of acute care, long-term services and supports, and comprehensive long-term services and supports providers have experience and expertise in providing services for individuals with an intellectual or developmental disability and individuals with similar functional needs;

(3)has a process for preventing the inappropriate institutionalization of

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Sec. 542.0108. MANAGED CARE ORGANIZATION PARTICIPATION REQUIREMENTS. The commission shall require that a managed care organization participating in the pilot program:
(1) ensures that pilot program participants have a choice among acute care and comprehensive long-term services and supports providers and service delivery options, including the consumer direction model;
(2) demonstrates to the commission's satisfaction that the organization's network of acute care, long-term services and supports, and comprehensive long-term services and supports providers have experience and expertise in providing services for individuals with an intellectual or developmental disability and individuals with similar functional needs;
(3) has a process for preventing the inappropriate institutionalization of pilot program participants; and
(4) ensures the timely initiation and consistent provision of services in accordance with a pilot program participant's person-centered plan.