Sec. 533.020. MANAGED CARE ORGANIZATIONS: FISCAL SOLVENCY AND COMPLAINT SYSTEM GUIDELINES  


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  • (a) The Texas Department of Insurance, in conjunction with the commission, shall establish fiscal solvency standards and complaint system guidelines for managed care organizations that serve Medicaid recipients.

    (b) The guidelines must require that information regarding a managed care organization's complaint process be made available to a recipient in an appropriate communication format when the recipient enrolls in the Medicaid managed care program.

Added by Acts 2007, 80th Leg., R.S., Ch. 730 , Sec. 1K.001, eff. April 1, 2009. Renumbered from Government Code, Section 533.019 by Acts 2009, 81st Leg., R.S., Ch. 87 , Sec. 27.001(38), eff. September 1, 2009.