Texas Health & Safety Code - Section 12.017. Managed Care Organizations: Medicaid Program
Legal Research Home >
Texas Lawyer > Health & Safety Code > Texas Health & Safety Code - Section 12.017. Managed Care Organizations: Medicaid Program
§ 12.017. MANAGED CARE ORGANIZATIONS: MEDICAID
PROGRAM. (a) Except as provided by Section 533.047, the department
shall develop for managed care organizations that serve Medicaid
clients performance, operation, quality of care, marketing, and
financial standards and standards relating to children's access to
good quality health care services. In developing the standards,
the department shall include measures to monitor and assess the
performance of managed care organizations relating to the health
status and outcome of care for Medicaid clients.
(b) In establishing standards under this section, the
department shall ensure that:
(1) to the extent possible, each Medicaid client can
receive good quality health care services in the client's local
community;
(2) plans serving children have adequate capacity to
provide pediatric care; and
(3) plans provide timely access and appropriate
referrals for specialty care.
Added by Acts 1995, 74th Leg., ch. 574, § 1, eff. Sept. 1, 1995.
Amended by Acts 1997, 75th Leg., ch. 165, § 31.01(59), eff. Sept.
1, 1997.
Section: 12.0128 12.013 12.014 12.0145 12.0146 12.015 12.016 12.017 12.018 12.019 12.020 12.021 12.031 12.032 12.033
Last modified: August 10, 2007
|
