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

Tex. Government Code § 540.0602: REPORT ON OUT-OF-NETWORK PROVIDER SERVICES.

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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 M. PROVIDER NETWORK ADEQUACY

To ensure appropriate access to an adequate provider network, each Medicaid managed care organization providing health care services to recipients in a health care service region shall submit to the commission, in the format and manner the commission prescribes, a report detailing the number, type, and scope of services out-of-network providers provide to recipients enrolled in a Medicaid managed care plan the organization provides.

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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