{"data":{"id":"us-tx/tex.-government-code-540.0054","jurisdiction":"us-tx","citation":"Tex. Government Code § 540.0054","heading":"PROVIDER AND RECIPIENT EDUCATION PROGRAMS.","body":"(a) In adopting rules to implement a Medicaid managed care program, the executive commissioner shall establish guidelines for, and require Medicaid managed care organizations to provide, education programs for providers and recipients using a variety of techniques and media.\n(b) A provider education program must include information on:\n(1) Medicaid policies, procedures, eligibility standards, and benefits;\n(2) recipients' specific problems and needs; and\n(3) recipients' rights and responsibilities under the bill of rights and the bill of responsibilities prescribed by Section 532.0301.\n(c) A recipient education program must present information in a manner that is easy to understand. A program must include information on:\n(1) a recipient's rights and responsibilities under the bill of rights and the bill of responsibilities prescribed by Section 532.0301;\n(2) how to access health care services;\n(3) how to access complaint procedures and the recipient's right to bypass the Medicaid managed care organization's internal complaint system and use the notice and appeal procedures otherwise required by Medicaid;\n(4) Medicaid policies, procedures, eligibility standards, and benefits;\n(5) the Medicaid managed care organization's policies and procedures; and\n(6) the importance of prevention, early intervention, and appropriate use of services.\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 540. MEDICAID MANAGED CARE PROGRAM","SUBCHAPTER B. ADMINISTRATION OF MEDICAID MANAGED CARE PROGRAM"],"source_url":"https://statutes.capitol.texas.gov/Docs/GV/htm/GV.540.htm#540.0054","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:16Z","sha256":"890af5816ed0af7aaad4daa14a31c4fc9950d4398b8b424405872d44c3cb7a0a","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-government-code-540.0053","next":"us-tx/tex.-government-code-540.0055"},"notice":"GroundRules: Original legal text. Not legal advice."}