Section 540.0054 - [Effective 4/1/2025] Provider And Recipient Education Programs(a) In adopting rules to implement a Medicaid managed care program, the executive commissioner shall establish guidelines for, and require Medicaid managed care organizations to provide, education programs for providers and recipients using a variety of techniques and media.(b) A provider education program must include information on: (1) Medicaid policies, procedures, eligibility standards, and benefits;(2) recipients' specific problems and needs; and(3) recipients' rights and responsibilities under the bill of rights and the bill of responsibilities prescribed by Section 532.0301.(c) A recipient education program must present information in a manner that is easy to understand. A program must include information on: (1) a recipient's rights and responsibilities under the bill of rights and the bill of responsibilities prescribed by Section 532.0301;(2) how to access health care services;(3) how to access complaint procedures and the recipient's right to bypass the Medicaid managed care organization's internal complaint system and use the notice and appeal procedures otherwise required by Medicaid;(4) Medicaid policies, procedures, eligibility standards, and benefits;(5) the Medicaid managed care organization's policies and procedures; and(6) the importance of prevention, early intervention, and appropriate use of services. (Gov. Code, Sec. 531.0211.)Tex. Gov't. Code § 540.0054
Added by Acts 2023, Texas Acts of the 88th Leg.- Regular Session, ch. 769,Sec. 1.01, eff. 4/1/2025.