Tex. Government Code § 540.0601
MONITORING OF PROVIDER NETWORKS
Texas · Texas Government Code · Status: effective
Cite this
- Citation
- Tex. Government Code § 540.0601, MONITORING OF PROVIDER NETWORKS, Texas, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/656346
- Permanent ID
ys:prov:656346@1- SHA-256
8e3583205b2d63c149554bd69d713af0559a1d177bbde1b135f7d8e59c11cdfe
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
The commission shall establish and implement a process for the direct monitoring of a Medicaid managed care organization's provider network and providers in the network. The process:
(1) must be used to ensure compliance with contractual obligations related to:
(A) the number of providers accepting new patients under the Medicaid managed care program; and
(B) the length of time a recipient must wait between scheduling an appointment with a provider and receiving treatment from the provider;
(2) may use reasonable methods to ensure compliance with contractual obligations, including telephone calls made at random times without notice to assess the availability of providers and services to new and existing recipients; and
(3) may be implemented directly by the commission or through a contractor.