Tex. Gov't Code § 531.0211

Current with legislation from the 2023 Regular and Special Sessions signed by the Governor as of November 21, 2023.
Section 531.0211 - [Repealed Effective 4/1/2025] Managed Care Medicaid Program: Rules; Education Programs
(a) In adopting rules to implement a managed care Medicaid program, the executive commissioner shall establish guidelines for, and require managed care organizations to provide, education programs for providers and clients using a variety of techniques and mediums.
(b) A provider education program must include information on:
(1) Medicaid policies, procedures, eligibility standards, and benefits;
(2) the specific problems and needs of Medicaid clients; and
(3) the rights and responsibilities of Medicaid clients under the bill of rights and the bill of responsibilities prescribed by Section 531.0212.
(c) A client education program must present information in a manner that is easy to understand. A program must include information on:
(1) a client's rights and responsibilities under the bill of rights and the bill of responsibilities prescribed by Section 531.0212;
(2) how to access health care services;
(3) how to access complaint procedures and the client's right to bypass the managed care organization's internal complaint system and use the notice and appeal procedures otherwise required by Medicaid;
(4) Medicaid policies, procedures, eligibility standards, and benefits;
(5) the policies and procedures of the managed care organization; and
(6) the importance of prevention, early intervention, and appropriate use of services.

Tex. Gov't. Code § 531.0211

Repealed by Acts 2023, Texas Acts of the 88th Leg.- Regular Session, ch. 769,Sec. 3.01, eff. 4/1/2025.
Amended by Acts 2015, Texas Acts of the 84th Leg. - Regular Session, ch. 1,Sec. 2.020, eff. 4/2/2015.
Added by Acts 1997, 75th Leg., ch. 165, Sec. 14.03(a), eff. 9/1/1997.