Texas Statutes (Last Updated: January 4, 2014) |
GOVERNMENT CODE |
Title 4. EXECUTIVE BRANCH |
Subtitle I. HEALTH AND HUMAN SERVICES |
Chapter 533. IMPLEMENTATION OF MEDICAID MANAGED CARE PROGRAM |
Subchapter A. GENERAL PROVISIONS |
§ 533.001. DEFINITIONS |
§ 533.002. PURPOSE |
§ 533.0025. DELIVERY OF SERVICES |
§ 533.0026. DIRECT ACCESS TO EYE HEALTH CARE SERVICES UNDER MEDICAID MANAGED CARE MODEL OR ARRANGEMENT |
§ 533.0027. PROCEDURES TO ENSURE CERTAIN RECIPIENTS ARE ENROLLED IN SAME MANAGED CARE PLAN |
§ 533.0028. EVALUATION OF CERTAIN STAR + PLUS MEDICAID MANAGED CARE PROGRAM SERVICES |
§ 533.0029. PROMOTION AND PRINCIPLES OF PATIENT-CENTERED MEDICAL HOMES FOR RECIPIENTS |
§ 533.003. CONSIDERATIONS IN AWARDING CONTRACTS |
§ 533.004. MANDATORY CONTRACTS |
§ 533.005. REQUIRED CONTRACT PROVISIONS |
§ 533.0051. PERFORMANCE MEASURES AND INCENTIVES FOR VALUE-BASED CONTRACTS |
§ 533.0052. STAR HEALTH PROGRAM: TRAUMA-INFORMED CARE TRAINING |
§ 533.0053. COMPLIANCE WITH TEXAS HEALTH STEPS |
§ 533.006. PROVIDER NETWORKS |
§ 533.0066. PROVIDER INCENTIVES |
§ 533.007. CONTRACT COMPLIANCE |
§ 533.0071. ADMINISTRATION OF CONTRACTS |
§ 533.0072. INTERNET POSTING OF SANCTIONS IMPOSED FOR CONTRACTUAL VIOLATIONS |
§ 533.0073. MEDICAL DIRECTOR QUALIFICATIONS |
§ 533.0075. RECIPIENT ENROLLMENT |
§ 533.0076. LIMITATIONS ON RECIPIENT DISENROLLMENT |
§ 533.008. MARKETING GUIDELINES |
§ 533.009. SPECIAL DISEASE MANAGEMENT |
§ 533.010. SPECIAL PROTOCOLS |
§ 533.011. PUBLIC NOTICE |
§ 533.012. INFORMATION FOR FRAUD CONTROL |
§ 533.013. PREMIUM PAYMENT RATE DETERMINATION; REVIEW AND COMMENT |
§ 533.0131. USE OF ENCOUNTER DATA IN DETERMINING PREMIUM PAYMENT RATES |
§ 533.01315. REIMBURSEMENT FOR SERVICES PROVIDED OUTSIDE OF REGULAR BUSINESS HOURS |
§ 533.0132. STATE TAXES |
§ 533.014. PROFIT SHARING |
§ 533.015. COORDINATION OF EXTERNAL OVERSIGHT ACTIVITIES |
§ 533.016. PROVIDER REPORTING OF ENCOUNTER DATA |
§ 533.0161. MONITORING OF PSYCHOTROPIC DRUG PRESCRIPTIONS FOR CERTAIN CHILDREN |
§ 533.017. QUALIFICATIONS OF CERTIFIER OF ENCOUNTER DATA |
§ 533.018. CERTIFICATION OF ENCOUNTER DATA |
§ 533.019. VALUE-ADDED SERVICES |
§ 533.020. MANAGED CARE ORGANIZATIONS: FISCAL SOLVENCY AND COMPLAINT SYSTEM GUIDELINES |