Sec. 533.008. MARKETING GUIDELINES    


Latest version.
  • (a) The commission shall establish marketing guidelines for managed care organizations that contract with the commission to provide health care services to recipients, including guidelines that prohibit:

    (1) door-to-door marketing to recipients by managed care organizations or agents of those organizations;

    (2) the use of marketing materials with inaccurate or misleading information;

    (3) misrepresentations to recipients or providers;

    (4) offering recipients material or financial incentives to choose a managed care plan other than nominal gifts or free health screenings approved by the commission that the managed care organization offers to all recipients regardless of whether the recipients enroll in the managed care plan;

    (5) the use of marketing agents who are paid solely by commission; and

    (6) face-to-face marketing at public assistance offices by managed care organizations or agents of those organizations.

    (b) This section does not prohibit:

    (1) the distribution of approved marketing materials at public assistance offices; or

    (2) the provision of information directly to recipients under marketing guidelines established by the commission.

Added by Acts 1997, 75th Leg., ch. 1262, Sec. 2, eff. June 20, 1997.