(a) The commission shall ensure that a Medicaid managed care organization:
(1) posts on the organization’s Internet website:
(A) the organization’s provider network directory; and
(B) a direct telephone number and e-mail address through which a recipient enrolled in the organization’s managed care plan or the recipient’s provider may contact the organization to receive assistance with:
(i) identifying in-network providers and services available to the recipient; and
(ii) scheduling an appointment for the recipient with an available in-network provider or to access available in-network services; and
(2) updates the online directory required under Subdivision (1)(A) at least monthly.
(b) A Medicaid managed care organization is required to send a paper form of the organization’s provider network directory for the program only to a recipient who requests to receive the directory in paper form.


Text of section effective on April 01, 2025

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