Section 540.0505 - [Effective 4/1/2025] Limitations On Recipient Disenrollment From Medicaid Managed Care Plan(a) Except as provided by Subsections (b) and (c) and to the extent permitted by federal law, a recipient enrolled in a Medicaid managed care plan may not disenroll from that plan and enroll in another Medicaid managed care plan during the 12-month period after the date the recipient initially enrolls in a plan.(b) At any time before the 91st day after the date of a recipient's initial enrollment in a Medicaid managed care plan, the recipient may disenroll from that plan for any reason and enroll in another Medicaid managed care plan.(c) The commission shall allow a recipient who is enrolled in a Medicaid managed care plan to disenroll from that plan and enroll in another Medicaid managed care plan:(1) at any time for cause in accordance with federal law; and(2) once for any reason after the periods described by Subsections (a) and (b). (Gov. Code, Sec. 533.0076.) Tex. Gov't. Code § 540.0505
Added by Acts 2023, Texas Acts of the 88th Leg.- Regular Session, ch. 769,Sec. 1.01, eff. 4/1/2025.