Texas Government Code 531.0697 – Prior Approval and Provider Access to Certain Communications With Certain Recipients
(a) This section applies to:
(1) the vendor drug program for Medicaid and the child health plan program;
(2) the kidney health care program;
(3) the children with special health care needs program; and
(4) any other state program administered by the commission that provides prescription drug benefits.
(b) A managed care organization, including a health maintenance organization, or a pharmacy benefit manager, that administers claims for prescription drug benefits under a program to which this section applies shall, at least 10 days before the date the organization or pharmacy benefit manager intends to deliver a communication to recipients collectively under a program:
(1) submit a copy of the communication to the commission for approval; and
(2) if applicable, allow the pharmacy providers of recipients who are to receive the communication access to the communication.
Text of section effective until April 01, 2025