Section 540.0654 - [Effective 4/1/2025] Provider Network Directories(a) The commission shall ensure that a Medicaid managed care organization: (1) posts on the organization's Internet website: (A) the organization's provider network directory; and(B) a direct telephone number and e-mail address through which a recipient enrolled in the organization's managed care plan or the recipient's provider may contact the organization to receive assistance with: (i) identifying in-network providers and services available to the recipient; and(ii) scheduling an appointment for the recipient with an available in-network provider or to access available in-network services; and(2) updates the online directory required under Subdivision (1)(A) at least monthly.(b) A Medicaid managed care organization is required to send a paper form of the organization's provider network directory for the program only to a recipient who requests to receive the directory in paper form. (Gov. Code, Sec. 533.0063.)Tex. Gov't. Code § 540.0654
Added by Acts 2023, Texas Acts of the 88th Leg.- Regular Session, ch. 769,Sec. 1.01, eff. 4/1/2025.