{"data":{"id":"us-tx/tex.-government-code-542.0108","jurisdiction":"us-tx","citation":"Tex. Government Code § 542.0108","heading":"MANAGED CARE ORGANIZATION PARTICIPATION REQUIREMENTS.","body":"The commission shall require that a managed care organization participating in the pilot program:\n(1) ensures that pilot program participants have a choice among acute care and comprehensive long-term services and supports providers and service delivery options, including the consumer direction model;\n(2) demonstrates to the commission's satisfaction that the organization's network of acute care, long-term services and supports, and comprehensive long-term services and supports providers have experience and expertise in providing services for individuals with an intellectual or developmental disability and individuals with similar functional needs;\n(3) has a process for preventing the inappropriate institutionalization of pilot program participants; and\n(4) ensures the timely initiation and consistent provision of services in accordance with a pilot program participant's person-centered plan.\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 542. SYSTEM REDESIGN FOR DELIVERY OF MEDICAID ACUTE CARE SERVICES AND LONG-TERM SERVICES AND SUPPORTS TO INDIVIDUALS WITH AN INTELLECTUAL OR DEVELOPMENTAL DISABILITY","SUBCHAPTER C. STAGE ONE: PILOT PROGRAM FOR IMPROVING SERVICE DELIVERY MODELS"],"source_url":"https://statutes.capitol.texas.gov/Docs/GV/htm/GV.542.htm#542.0108","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:16Z","sha256":"4026f8a82c9e8e2d6b0109f0da7c142bcab527658ae383eda78052dc42aff414","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-government-code-542.0107","next":"us-tx/tex.-government-code-542.0109"},"notice":"GroundRules: Original legal text. Not legal advice."}