Subchapter F - REQUIRED CONTRACT PROVISIONS
- Section 540.0251 - [Effective 4/1/2025] Applicability
- Section 540.0252 - [Effective 4/1/2025] Accountability To State
- Section 540.0253 - [Effective 4/1/2025] Capitation Rates
- Section 540.0254 - [Effective 4/1/2025] Cost Information
- Section 540.0255 - [Effective 4/1/2025] Fraud Control
- Section 540.0256 - [Effective 4/1/2025] Recipient Outreach And Education
- Section 540.0257 - [Effective 4/1/2025] Notice Of Medicaid Certification Date
- Section 540.0258 - [Effective 4/1/2025] Primary Care Provider Assignment
- Section 540.0259 - [Effective 4/1/2025] Compliance With Provider Network Requirements
- Section 540.0260 - [Effective 4/1/2025] Compliance With Provider Access Standards; Report
- Section 540.0261 - [Effective 4/1/2025] Provider Network Sufficiency
- Section 540.0262 - [Effective 4/1/2025] Quality Monitoring Program For Health Care Services
- Section 540.0263 - [Effective 4/1/2025] Out-Of-Network Provider Usage And Reimbursement
- Section 540.0264 - [Effective 4/1/2025] Provider Reimbursement Rate Reduction
- Section 540.0265 - [Effective 4/1/2025] Prompt Payment Of Claims
- Section 540.0266 - [Effective 4/1/2025] Reimbursement For Certain Services Provided Outside Regular Business Hours
- Section 540.0267 - [Effective 4/1/2025] Provider Appeals Process
- Section 540.0268 - [Effective 4/1/2025] Assistance Resolving Recipient And Provider Issues
- Section 540.0269 - [Effective 4/1/2025] Use Of Advanced Practice Registered Nurses And Physician Assistants
- Section 540.0270 - [Effective 4/1/2025] Medical Director Availability
- Section 540.0271 - [Effective 4/1/2025] Personnel Required In Certain Service Regions
- Section 540.0272 - [Effective 4/1/2025] Certain Services Permitted In Lieu Of Other Mental Health Or Substance Use Disorder Services; Annual Report
- Section 540.0273 - [Effective 4/1/2025] Outpatient Pharmacy Benefit Plan
- Section 540.0274 - [Effective 4/1/2025] Pharmacy Benefit Plan: Rebates And Receipt Of Confidential Information Prohibited
- Section 540.0275 - [Effective 4/1/2025] Pharmacy Benefit Plan: Certain Pharmacy Benefits For Sex Offenders Prohibited
- Section 540.0276 - [Effective 4/1/2025] Pharmacy Benefit Plan: Recipient Selection Of Pharmaceutical Services Provider
- Section 540.0277 - [Effective 4/1/2025] Pharmacy Benefit Plan: Pharmacy Benefit Providers
- Section 540.0278 - [Effective 4/1/2025] Pharmacy Benefit Plan: Prompt Payment Of Pharmacy Benefit Claims
- Section 540.0279 - [Effective 4/1/2025] Pharmacy Benefit Plan: Maximum Allowable Cost Price And List For Pharmacy Benefits
- Section 540.0280 - [Effective 4/1/2025] Pharmacy Benefit Plan: Pharmacy Benefits For Child Enrolled In Star Kids Managed Care Program