{"data":{"id":"us-tx/tex.-government-code-532.0053","jurisdiction":"us-tx","citation":"Tex. Government Code § 532.0053","heading":"GRIEVANCES.","body":"(a) The commission shall:\n(1) adopt a definition of \"grievance\" related to Medicaid and ensure the definition is consistent among divisions within the commission to ensure all grievances are managed consistently;\n(2) standardize Medicaid grievance data reporting and tracking among divisions within the commission;\n(3) implement a no-wrong-door system for Medicaid grievances reported to the commission; and\n(4) verify grievance data a Medicaid managed care organization reports.\n(b) The commission shall establish a procedure for expedited resolution of a grievance related to Medicaid that allows the commission to:\n(1) identify a grievance related to a Medicaid access-to-care issue that is urgent and requires an expedited resolution; and\n(2) resolve the grievance within a specified period.\n(c) The commission shall:\n(1) aggregate recipient and Medicaid provider grievance data to provide a comprehensive data set of grievances; and\n(2) make the aggregated data available to the legislature and the public in a manner that does not allow for the identification of a particular recipient or provider.\nAdded by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.","path":["GOVERNMENT CODE","TITLE 4. EXECUTIVE BRANCH","SUBTITLE I. HEALTH AND HUMAN SERVICES","CHAPTER 532. MEDICAID ADMINISTRATION AND OPERATION IN GENERAL","SUBCHAPTER B. ADMINISTRATION"],"source_url":"https://statutes.capitol.texas.gov/Docs/GV/htm/GV.532.htm#532.0053","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:16Z","sha256":"28154523413eebf8958467622c63a2edc513e9d7178ae700a0b74a32ffaf673a","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-government-code-532.0052","next":"us-tx/tex.-government-code-532.0054"},"notice":"GroundRules: Original legal text. Not legal advice."}