Tex. Government Code § 540.0266
REIMBURSEMENT FOR CERTAIN SERVICES PROVIDED OUTSIDE REGULAR BUSINESS HOURS
Texas · Texas Government Code · Status: effective
Cite this
- Citation
- Tex. Government Code § 540.0266, REIMBURSEMENT FOR CERTAIN SERVICES PROVIDED OUTSIDE REGULAR BUSINESS HOURS, Texas, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/656300
- Permanent ID
ys:prov:656300@1- SHA-256
b98375c8ff610894a365d5e33f036bf58c8d764f8943e4bb8bcdcc39480b45c8
The hash is SHA-256 of this version's text, with every run of whitespace collapsed to a single space and the ends trimmed. The ID always leads back here, and checking it says whether the text you cited is still the current version.
Full text
(a) A contract to which this subchapter applies must require the contracting Medicaid managed care organization to reimburse a federally qualified health center or rural health clinic for health care services provided to a recipient outside of regular business hours, including on a weekend or holiday, at a rate that is equal to the allowable rate for those services as determined under Section 32.028, Human Resources Code, if the recipient does not have a referral from the recipient's primary care physician.
(b) The executive commissioner shall adopt rules regarding the days, times of days, and holidays that are considered to be outside of regular business hours for purposes of Subsection (a).