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Texas · Through 89th 2nd Called Legislative Session, 2025

Tex. Government Code § 540.0053: STATEWIDE EFFORT TO PROMOTE MEDICAID ELIGIBILITY MAINTENANCE.

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Where this section sits in the code
  1. GOVERNMENT CODE
  2. TITLE 4. EXECUTIVE BRANCH
  3. SUBTITLE I. HEALTH AND HUMAN SERVICES
  4. CHAPTER 540. MEDICAID MANAGED CARE PROGRAM
  5. SUBCHAPTER B. ADMINISTRATION OF MEDICAID MANAGED CARE PROGRAM

(a) The commission shall develop and implement a statewide effort to assist recipients who satisfy Medicaid eligibility requirements and who receive Medicaid services through a Medicaid managed care organization with:

(1) maintaining eligibility; and

(2) avoiding lapses in Medicaid coverage.

(b) As part of the commission's effort under Subsection (a), the commission shall:

(1) require each Medicaid managed care organization to assist the organization's recipients with maintaining eligibility;

(2) if the commission determines it is cost-effective, develop specific strategies for assisting recipients who receive Supplemental Security Income (SSI) benefits under 42 U.S.C. Section 1381 et seq. with maintaining eligibility; and

(3) ensure information relevant to a recipient's eligibility status is provided to the recipient's Medicaid managed care organization.

Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.

Collected 2026-08-27T01:47:16Z. Source file · JSON

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