(a) The commission shall develop and implement a statewide effort to assist recipients who satisfy Medicaid eligibility requirements and who receive Medicaid services through a managed care organization with maintaining eligibility and avoiding lapses in coverage under Medicaid.
(b) As part of its effort under Subsection (a), the commission shall:
(1) require each managed care organization providing health care services to recipients to assist those recipients with maintaining eligibility;
(2) if the commission determines it is cost-effective, develop specific strategies for assisting recipients who receive Supplemental Security Income (SSI) benefits under 42 U.S.C. § 1381 et seq. with maintaining eligibility; and
(3) ensure information that is relevant to a recipient’s eligibility status is provided to the managed care organization through which the recipient receives Medicaid services.


Text of section effective until April 01, 2025

Ask a legal question, get an answer ASAP!
Click here to chat with a lawyer about your rights.