Tex. Government Code § 540.0505
LIMITATIONS ON RECIPIENT DISENROLLMENT FROM MEDICAID MANAGED CARE PLAN
Texas · Texas Government Code · Status: effective
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- Citation
- Tex. Government Code § 540.0505, LIMITATIONS ON RECIPIENT DISENROLLMENT FROM MEDICAID MANAGED CARE PLAN, Texas, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/656341
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Full text
(a) Except as provided by Subsections (b) and (c) and to the extent permitted by federal law, a recipient enrolled in a Medicaid managed care plan may not disenroll from that plan and enroll in another Medicaid managed care plan during the 12-month period after the date the recipient initially enrolls in a plan.
(b) At any time before the 91st day after the date of a recipient's initial enrollment in a Medicaid managed care plan, the recipient may disenroll from that plan for any reason and enroll in another Medicaid managed care plan.
(c) The commission shall allow a recipient who is enrolled in a Medicaid managed care plan to disenroll from that plan and enroll in another Medicaid managed care plan:
(1) at any time for cause in accordance with federal law; and
(2) once for any reason after the periods described by Subsections (a) and (b).