Texas Health And Safety Code Title 2, Chapter 62 - Child Health Plan For Certain Low-income Children
SUBCHAPTER A GENERAL PROVISIONS
- Texas Section 62.001 - Objective Of The State Child Health Plan
The principal objective of the state child health plan is to provide primary and preventative health care to low-income, uninsured children of this state, including...
- Texas Section 62.002 - Definitions
In this chapter: (1) Repealed by Acts 2015, 84th Leg., R.S., Ch. 1, Sec. 3.1639(22), eff. April 2, 2015. (2) Repealed by Acts 2015, 84th...
- Texas Section 62.003 - Not An Entitlement; Termination Of Program
(a) This chapter does not establish an entitlement to assistance in obtaining health benefits for a child. (b) The program established under this chapter terminates...
SUBCHAPTER B ADMINISTRATION OF CHILD HEALTH PLAN PROGRAM
- Texas Section 62.004 - Federal Law And Regulations
The executive commissioner shall monitor federal legislation affecting Title XXI of the Social Security Act (42 U.S.C. Section 1397aa et seq.) and changes to the...
- Texas Section 62.051 - Duties Of Executive Commissioner And Commission In General
(a) The executive commissioner shall administer a state-designed child health plan program to obtain health benefits coverage for children in low-income families. The executive commissioner...
- Texas Section 62.052 - Authority Of Commission Relating To Health Plan Provider Contracts
The commission may: (1) implement contracts with health plan providers under Section 62.155; (2) monitor the health plan providers, through reporting requirements and other means,...
- Texas Section 62.053 - Authority Of Commission Relating To Eligibility And Medicaid Coordination
The commission may: (1) accept applications for coverage under the child health plan and implement the child health plan program eligibility screening and enrollment procedures;...
- Texas Section 62.0531 - Authority Of Commission Relating To Third Party Administrator
If the commission contracts with a third party administrator under Section 62.055, the commission may: (1) implement the contract; (2) monitor the third party administrator,...
- Texas Section 62.054 - Duties Of Texas Department Of Insurance
(a) At the request of the commission, the Texas Department of Insurance shall provide any necessary assistance with the child health plan. The department shall...
- Texas Section 62.055 - Contracts For Implementation Of Child Health Plan
(a) It is the intent of the legislature that the commission maximize the use of private resources in administering the child health plan created under...
- Texas Section 62.056 - Community Outreach Campaign; Toll-free Hotline
(a) The commission shall conduct a community outreach and education campaign to provide information relating to the availability of health benefits for children under this...
- Texas Section 62.058 - Fraud Prevention
The commission shall develop and implement rules for the prevention and detection of fraud in the child health plan program. Added by Acts 1999, 76th...
- Texas Section 62.0582 - Third-party Billing Vendors
(a) A third-party billing vendor may not submit a claim with the commission for payment on behalf of a health plan provider under the program...
SUBCHAPTER C ELIGIBILITY FOR COVERAGE UNDER CHILD HEALTH PLAN
- Texas Section 62.060 - Health Information Technology Standards
(a) In this section, "health information technology" means information technology used to improve the quality, safety, or efficiency of clinical practice, including the core functionalities...
- Texas Section 62.101 - Eligibility
(a) A child is eligible for health benefits coverage under the child health plan if the child: (1) is younger than 19 years of age;...
- Texas Section 62.1011 - Verification Of Income
The commission shall continue employing methods of verifying the individual incomes of the individuals considered in the calculation of an applicant's household income. The commission...
- Texas Section 62.1015 - Eligibility Of Certain Children; Disallowance Of Matching Funds
(a) In this section: (1) "Charter school" and "regional education service center" have the meanings assigned by Section 1579.002, Insurance Code. (2) "Employee" has the...
- Texas Section 62.102 - Continuous Coverage
(a) Subject to a review under Subsection (b), the commission shall provide that an individual who is determined to be eligible for coverage under the...
- Texas Section 62.103 - Application Form And Procedures
(a) The executive commissioner shall adopt an application form and application procedures for requesting child health plan coverage under this chapter. (b) The form and...
- Texas Section 62.104 - Eligibility Screening And Enrollment
(a) The executive commissioner shall develop eligibility screening and enrollment procedures for children that comply with the requirements of 42 U.S.C. Section 1397bb, as amended,...
- Texas Section 62.105 - Coverage For Qualified Aliens
The commission shall provide coverage under the state Medicaid program and under the program established under this chapter to a child who is a qualified...
- Texas Section 62.106 - Suspension And Automatic Reinstatement Of Eligibility For Children In Juvenile Facilities
(a) In this section, "juvenile facility" means a facility for the placement, detention, or commitment of a child under Title 3, Family Code. (b) To...
SUBCHAPTER D CHILD HEALTH PLAN
- Texas Section 62.107 - Notice Of Certain Placements In Juvenile Facilities
(a) In this section: (1) "Custodian" and "guardian" have the meanings assigned by Section 51.02, Family Code. (2) "Juvenile facility" has the meaning assigned by...
- Texas Section 62.151 - Child Health Plan Coverage
(a) The child health plan must comply with this chapter and the coverage requirements prescribed by 42 U.S.C. Section 1397cc, as amended, and any other...
- Texas Section 62.152 - Application Of Insurance Law
To provide the flexibility necessary to satisfy the requirements of Title XXI of the Social Security Act (42 U.S.C. Section 1397aa et seq.), as amended,...
- Texas Section 62.153 - Cost Sharing
(a) To the extent permitted under 42 U.S.C. Section 1397cc, as amended, and any other applicable law or regulations, the executive commissioner shall require enrollees...
- Texas Section 62.154 - Waiting Period; Crowd Out
(a) To the extent permitted under Title XXI of the Social Security Act (42 U.S.C. Section 1397aa et seq.), as amended, and any other applicable...
- Texas Section 62.155 - Health Plan Providers
(a) The commission shall select the health plan providers under the program through a competitive procurement process. A health plan provider, other than a state...
- Texas Section 62.1551 - Inclusion Of Certain Health Care Providers In Provider Networks
Notwithstanding any other law, including Sections 843.312 and 1301.052, Insurance Code, the executive commissioner shall adopt rules to require a managed care organization or other...
- Texas Section 62.156 - Health Care Providers
Health care providers who provide health care services under the child health plan must satisfy certification and licensure requirements, as required by commission rules and...
- Texas Section 62.1561 - Prohibition Of Certain Health Care Providers
The executive commissioner shall adopt rules for prohibiting a person from participating in the child health plan program as a health care provider for a...
- Texas Section 62.157 - Telemedicine Medical Services And Telehealth Services For Children With Special Health Care Needs
(a) In providing covered benefits to a child with special health care needs, a health plan provider must permit benefits to be provided through telemedicine...
- Texas Section 62.1571 - Telemedicine Medical Services
(a) In providing covered benefits to a child, a health plan provider must permit benefits to be provided through telemedicine medical services in accordance with...
- Texas Section 62.158 - State Taxes
The commission shall ensure that any experience rebate or profit-sharing for health plan providers under the child health plan is calculated by treating premium, maintenance,...
- Texas Section 62.159 - Disease Management Services
(a) In this section, "disease management services" means services to assist a child manage a disease or other chronic health condition, such as heart disease,...
Last modified: September 28, 2016