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Texas Statutes (Last Updated: January 4, 2014) |
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HEALTH AND SAFETY CODE |
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Title 2. HEALTH |
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Subtitle A. TEXAS DEPARTMENT OF HEALTH |
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Chapter 12. POWERS AND DUTIES OF TEXAS DEPARTMENT OF HEALTH |
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Subchapter B. POWERS AND DUTIES OF DEPARTMENT |
Sec. 12.017. MANAGED CARE ORGANIZATIONS: MEDICAID PROGRAM
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(a) Except as provided by Section 533.047, the department shall develop for managed care organizations that serve Medicaid clients performance, operation, quality of care, marketing, and financial standards and standards relating to children's access to good quality health care services. In developing the standards, the department shall include measures to monitor and assess the performance of managed care organizations relating to the health status and outcome of care for Medicaid clients.
(b) In establishing standards under this section, the department shall ensure that:
(1) to the extent possible, each Medicaid client can receive good quality health care services in the client's local community;
(2) plans serving children have adequate capacity to provide pediatric care; and
(3) plans provide timely access and appropriate referrals for specialty care.