Tex. Insurance Code § 845.153
REIMBURSEMENT AT STATE-DEFINED CAPITATION RATE
Texas · Texas Insurance Code · Status: effective
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- Citation
- Tex. Insurance Code § 845.153, REIMBURSEMENT AT STATE-DEFINED CAPITATION RATE, Texas, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/679605
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Full text
(a) To the extent the system operates under a certificate of authority issued under Chapter 843, the Medicaid contracting agency shall reimburse the system at the state-defined capitation rate for each service area in which the system operates.
(b) The system is not required as a condition of participation in a state contract awarded under Section 845.151 to accept from the Medicaid contracting agency a capitation rate that is lower than the state-defined capitation rate for each service area in which the system operates.