Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 353 - MEDICAID MANAGED CARE
Subchapter A - GENERAL PROVISIONS
Section 353.1 - Purpose
Universal Citation: 1 TX Admin Code ยง 353.1
Current through Reg. 49, No. 38; September 20, 2024
(a) The purpose of this chapter is to define the requirements for the Medicaid Managed Care program.
(b) The rules in this chapter must be read in conjunction with:
(1) federal and state
statutes;
(2) rules relating to
Medicaid in Chapter 354 of this title (relating to Medicaid Health Services);
and
(3) except where otherwise
indicated, Texas Department of Insurance rules regarding:
(A) regulation of health maintenance
organizations at 28 TAC Chapter 11; and
(B) exclusive provider benefit plans at 28
TAC Chapter 3, Subchapter KK.
(c) A managed care organization (MCO) must comply with all terms of its contract with the Health and Human Services Commission (HHSC).
(d) Unless otherwise provided in this chapter or incorporated by reference into an agreement with an MCO, HHSC's rules regarding Medicaid Health Services in Chapter 354 of this title do not apply to the Medicaid managed care program.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.